App high cost ss t/a/l >100sq cm 1st 100sq cm at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$7,657.00
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.
$15,314.00
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.
$2,067.00 with cigna vs $11,944.92 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 |
|---|---|---|---|
| cigna | exchange | $2,067.00 | ↓ -73% |
| innovation | fully insured | $2,149.00 | ↓ -72% |
| innovation | self insured | $2,589.00 | ↓ -66% |
| cigna | ppo | $2,678.00 | ↓ -65% |
| cigna | hmo | $2,678.00 | ↓ -65% |
| anthem | medicaid advantage | $2,788.84 | ↓ -64% |
| united | medicaid advantage | $2,844.62 | ↓ -63% |
| sentara health | medicaid advantage | $2,872.51 | ↓ -62% |
| humana | medicaid advantage | $2,900.39 | ↓ -62% |
| aetna | medicaid advantage | $2,928.28 | ↓ -62% |
| kaiser | medicaid advantage | $3,067.72 | ↓ -60% |
| aetna | fannie-mae | $3,116.15 | ↓ -59% |
| aetna | ppo | $3,645.00 | ↓ -52% |
| aetna | hmo | $3,645.00 | ↓ -52% |
| anthem | medicare advantage | $3,660.97 | ↓ -52% |
| aetna | medicare advantage | $3,660.97 | ↓ -52% |
| united | medicare advantage | $3,660.97 | ↓ -52% |
| sentara health | medicare advantage | $3,734.19 | ↓ -51% |
| kaiser | medicare advantage | $3,807.41 | ↓ -50% |
| cigna | medicare advantage | $3,807.41 | ↓ -50% |
| humana | medicare advantage | $4,027.07 | ↓ -47% |
| carefirst | hmo | $5,515.00 | ↓ -28% |
| carefirst | ppo | $5,568.00 | ↓ -27% |
| sentara health | exchange | $5,622.58 | ↓ -27% |
| sentara health | ppo | $7,397.42 | ↓ -3% |
| sentara health | hmo | $7,397.42 | ↓ -3% |
| united | exchange | $7,887.36 | ↑ +3% |
| anthem | exchange hmo | $8,683.04 | ↑ +13% |
| united | nonoptions | $8,879.63 | ↑ +16% |
| united | options | $8,879.63 | ↑ +16% |
| anthem | hmo | $10,008.75 | ↑ +31% |
| anthem | ppo | $10,008.75 | ↑ +31% |
| kaiser | ppo | $11,944.92 | ↑ +56% |
| kaiser | hmo | $11,944.92 | ↑ +56% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $7,657.00 | $2,067.00 – $5,515.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $7,657.00 | $2,067.00 – $5,515.00 |
| Inova Loudoun Hospital | Leesburg | $7,657.00 | $2,067.00 – $5,515.00 |
| Inova Mount Vernon Hospital | Alexandria | $7,657.00 | $2,067.00 – $5,515.00 |
| Johnston Memorial Hospital | ABINGDON | $860.70 | $1,557.76 – $4,388.58 |
| Russell County Hospital | LEBANON | $860.70 | $2,013.11 – $4,388.58 |
| Sentara Martha Jefferson Hospital | Charlottesville | $5,539.50 | $1,010.00 – $8,246.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $5,351.50 | $2,053.37 – $4,039.00 |