Ado-trastuzumab emtansine 100 mg intravenous solution at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$55.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$110.99
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$42.16 with anthem vs $6,808.49 with kaiser — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| anthem | ppo | $42.16 | ↓ -24% |
| aetna | medicare advantage | $42.16 | ↓ -24% |
| anthem | exchange hmo | $42.16 | ↓ -24% |
| anthem | hmo | $42.16 | ↓ -24% |
| united | medicare advantage | $42.16 | ↓ -24% |
| anthem | medicare advantage | $42.16 | ↓ -24% |
| sentara health | medicare advantage | $43.00 | ↓ -23% |
| kaiser | medicare advantage | $43.85 | ↓ -21% |
| cigna | medicare advantage | $43.85 | ↓ -21% |
| humana | medicare advantage | $46.38 | ↓ -16% |
| cigna | exchange | $58.86 | ↑ +6% |
| cigna | hmo | $58.86 | ↑ +6% |
| cigna | ppo | $58.86 | ↑ +6% |
| sentara health | exchange | $62.52 | ↑ +13% |
| carefirst | ppo | $65.14 | ↑ +17% |
| carefirst | hmo | $65.14 | ↑ +17% |
| united | options | $69.05 | ↑ +24% |
| united | exchange | $69.05 | ↑ +24% |
| united | nonoptions | $69.05 | ↑ +24% |
| sentara health | ppo | $82.25 | ↑ +48% |
| sentara health | hmo | $82.25 | ↑ +48% |
| kaiser | hmo | $86.55 | ↑ +56% |
| kaiser | ppo | $86.55 | ↑ +56% |
| anthem | medicaid advantage | $6,189.54 | ↑ +11052% |
| united | medicaid advantage | $6,313.33 | ↑ +11275% |
| sentara health | medicaid advantage | $6,375.23 | ↑ +11387% |
| humana | medicaid advantage | $6,437.12 | ↑ +11498% |
| aetna | medicaid advantage | $6,499.02 | ↑ +11610% |
| kaiser | medicaid advantage | $6,808.49 | ↑ +12168% |
Visitor-reported prices
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Ado-trastuzumab emtansine 100 mg intravenous solution at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Southern Virginia Medical Center | Emporia | $28,725.30 | not published |
| Rappahannock General Hospital | Kilmarnock | $11,490.12 | not published |
| Southampton Medical Center | Franklin | $24,129.25 | not published |
| St Mary's Hospital | Richmond | $31,406.33 | not published |
| Mary Immaculate Hospital | Newport News | $16,517.07 | not published |
| Richmond Community Hospital | Richmond | $28,074.20 | not published |
| St Francis Medical Center | Midlothian | $36,385.38 | not published |
| Memorial Regional Hospital | Mechanicsville | $37,151.39 | not published |