Alteplase 100 mg infusion from pyxis vial at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$123.17
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.
$246.33
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.
$94.45 with united vs $184.50 with sentara health — 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 |
|---|---|---|---|
| united | medicare advantage | $94.45 | ↓ -23% |
| aetna | medicare advantage | $94.45 | ↓ -23% |
| anthem | exchange hmo | $94.45 | ↓ -23% |
| anthem | hmo | $94.45 | ↓ -23% |
| anthem | medicare advantage | $94.45 | ↓ -23% |
| anthem | ppo | $94.45 | ↓ -23% |
| sentara health | medicare advantage | $96.34 | ↓ -22% |
| kaiser | medicare advantage | $98.22 | ↓ -20% |
| cigna | medicare advantage | $98.22 | ↓ -20% |
| humana | medicare advantage | $103.89 | ↓ -16% |
| cigna | exchange | $131.87 | ↑ +7% |
| cigna | ppo | $131.87 | ↑ +7% |
| cigna | hmo | $131.87 | ↑ +7% |
| sentara health | exchange | $140.23 | ↑ +14% |
| carefirst | ppo | $146.55 | ↑ +19% |
| carefirst | hmo | $146.55 | ↑ +19% |
| anthem | medicaid advantage | $153.60 | ↑ +25% |
| united | options | $155.35 | ↑ +26% |
| united | exchange | $155.35 | ↑ +26% |
| united | nonoptions | $155.35 | ↑ +26% |
| united | medicaid advantage | $156.67 | ↑ +27% |
| sentara health | medicaid advantage | $158.21 | ↑ +28% |
| humana | medicaid advantage | $159.74 | ↑ +30% |
| aetna | medicaid advantage | $161.28 | ↑ +31% |
| kaiser | medicaid advantage | $168.96 | ↑ +37% |
| kaiser | hmo | $179.69 | ↑ +46% |
| kaiser | ppo | $179.69 | ↑ +46% |
| sentara health | ppo | $184.50 | ↑ +50% |
| sentara health | hmo | $184.50 | ↑ +50% |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $11,037.54 | $30.45 – $204.55 |
| Russell County Hospital | LEBANON | $4,871.66 | $30.45 – $204.55 |
| Lonesome Pine Hospital | BIG STONE GAP | $9,743.32 | $22.41 – $225.20 |
| Smyth County Community Hospital | MARION | $4,871.66 | $30.45 – $204.55 |
| Dickenson Community Hospital | CLINTWOOD | $7,469.88 | $30.45 – $201.74 |
| Lee County Community Hospital | PENNINGTON GAP | $7,469.88 | $30.45 – $201.74 |
| Rappahannock General Hospital | Kilmarnock | $35,905.47 | not published |
| Southampton Medical Center | Franklin | $58,082.38 | not published |