Analysis; simple cranial nerv pulse gen prgrmg 95976 at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$60.50
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.
$121.00
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.
$37.29 with united vs $15,150.00 with united — 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 | $37.29 | ↓ -38% |
| anthem | medicare advantage | $37.29 | ↓ -38% |
| aetna | medicare advantage | $37.29 | ↓ -38% |
| sentara health | medicare advantage | $38.04 | ↓ -37% |
| kaiser | medicare advantage | $38.78 | ↓ -36% |
| cigna | medicare advantage | $38.78 | ↓ -36% |
| humana | medicare advantage | $41.02 | ↓ -32% |
| cigna | exchange | $53.94 | ↓ -11% |
| carefirst | hmo | $66.55 | ↑ +10% |
| sentara health | exchange | $68.25 | ↑ +13% |
| aetna | ppo | $68.72 | ↑ +14% |
| aetna | hmo | $68.72 | ↑ +14% |
| carefirst | ppo | $70.18 | ↑ +16% |
| aetna | fannie-mae | $72.12 | ↑ +19% |
| innovation | self insured | $76.12 | ↑ +26% |
| innovation | fully insured | $76.12 | ↑ +26% |
| cigna | ppo | $78.14 | ↑ +29% |
| cigna | hmo | $78.14 | ↑ +29% |
| anthem | exchange hmo | $88.45 | ↑ +46% |
| sentara health | ppo | $89.80 | ↑ +48% |
| sentara health | hmo | $89.80 | ↑ +48% |
| kaiser | hmo | $94.38 | ↑ +56% |
| kaiser | ppo | $94.38 | ↑ +56% |
| anthem | ppo | $101.95 | ↑ +69% |
| anthem | hmo | $101.95 | ↑ +69% |
| anthem | medicaid advantage | $198.30 | ↑ +228% |
| united | medicaid advantage | $202.27 | ↑ +234% |
| sentara health | medicaid advantage | $204.25 | ↑ +238% |
| humana | medicaid advantage | $206.23 | ↑ +241% |
| aetna | medicaid advantage | $208.22 | ↑ +244% |
| kaiser | medicaid advantage | $218.13 | ↑ +261% |
| united | exchange | $11,793.00 | ↑ +19393% |
| united | nonoptions | $15,150.00 | ↑ +24941% |
| united | options | $15,150.00 | ↑ +24941% |
Visitor-reported prices
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Analysis; simple cranial nerv pulse gen prgrmg 95976 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $60.50 | $37.29 – $76.12 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $60.50 | $37.29 – $76.12 |
| Inova Loudoun Hospital | Leesburg | $60.50 | $37.29 – $76.12 |
| Inova Mount Vernon Hospital | Alexandria | $60.50 | $37.29 – $76.12 |
| Sentara Martha Jefferson Hospital | Charlottesville | $64.50 | $37.14 – $38.23 |
| Sentara Northern Virginia Medical Center | Woodbridge | $85.00 | $37.14 – $38.23 |
| Lonesome Pine Hospital | BIG STONE GAP | $19.35 | $18.58 – $180.67 |
| Sentara Halifax Regional Hospital | South Boston | $64.50 | $37.44 – $38.54 |