Asp & inj bone cyst at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$795.00
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.
?
What you pay up front if you don't use insurance.
$1,590.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$642.21 with anthem vs $2,561.00 with aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | medicaid advantage | $642.21 | ↓ -19% |
| united | medicaid advantage | $655.05 | ↓ -18% |
| sentara health | medicaid advantage | $661.48 | ↓ -17% |
| humana | medicaid advantage | $667.90 | ↓ -16% |
| aetna | medicaid advantage | $674.32 | ↓ -15% |
| aetna | medicare advantage | $703.59 | ↓ -11% |
| united | medicare advantage | $703.59 | ↓ -11% |
| anthem | medicare advantage | $703.59 | ↓ -11% |
| kaiser | medicaid advantage | $706.43 | ↓ -11% |
| sentara health | medicare advantage | $717.66 | ↓ -10% |
| cigna | exchange | $726.63 | ↓ -9% |
| kaiser | medicare advantage | $731.73 | ↓ -8% |
| cigna | medicare advantage | $731.73 | ↓ -8% |
| humana | medicare advantage | $773.95 | ↓ -3% |
| cigna | hmo | $1,026.82 | ↑ +29% |
| cigna | ppo | $1,026.82 | ↑ +29% |
| kaiser | hmo | $1,240.20 | ↑ +56% |
| kaiser | ppo | $1,240.20 | ↑ +56% |
| sentara health | exchange | $1,285.16 | ↑ +62% |
| innovation | fully insured | $1,509.00 | ↑ +90% |
| anthem | exchange hmo | $1,668.76 | ↑ +110% |
| sentara health | ppo | $1,690.84 | ↑ +113% |
| sentara health | hmo | $1,690.84 | ↑ +113% |
| united | exchange | $1,744.08 | ↑ +119% |
| innovation | self insured | $1,822.00 | ↑ +129% |
| anthem | ppo | $1,923.55 | ↑ +142% |
| anthem | hmo | $1,923.55 | ↑ +142% |
| united | options | $1,963.18 | ↑ +147% |
| united | nonoptions | $1,963.18 | ↑ +147% |
| aetna | fannie-mae | $2,190.02 | ↑ +175% |
| carefirst | hmo | $2,485.00 | ↑ +213% |
| carefirst | ppo | $2,510.00 | ↑ +216% |
| aetna | ppo | $2,561.00 | ↑ +222% |
| aetna | hmo | $2,561.00 | ↑ +222% |
Visitor-reported prices
Comments
Asp & inj bone cyst at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $795.00 | $642.21 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $795.00 | $642.21 – $2,485.00 |
| Inova Loudoun Hospital | Leesburg | $795.00 | $642.21 – $2,485.00 |
| Inova Mount Vernon Hospital | Alexandria | $795.00 | $642.21 – $2,485.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $294.75 | $113.75 – $1,658.19 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $704.73 – $2,845.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $704.73 – $3,988.00 |
| Sentara Halifax Regional Hospital | South Boston | not published | $710.31 – $731.20 |