Biopsy skin incisional single lesion at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$777.00
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.
$1,554.00
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.
$612.13 with united vs $2,678.00 with cigna — 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 | $612.13 | ↓ -21% |
| anthem | medicare advantage | $612.13 | ↓ -21% |
| aetna | medicare advantage | $612.13 | ↓ -21% |
| anthem | medicaid advantage | $621.13 | ↓ -20% |
| sentara health | medicare advantage | $624.37 | ↓ -20% |
| united | medicaid advantage | $633.55 | ↓ -18% |
| kaiser | medicare advantage | $636.62 | ↓ -18% |
| cigna | medicare advantage | $636.62 | ↓ -18% |
| sentara health | medicaid advantage | $639.76 | ↓ -18% |
| humana | medicaid advantage | $645.98 | ↓ -17% |
| aetna | medicaid advantage | $652.19 | ↓ -16% |
| humana | medicare advantage | $673.34 | ↓ -13% |
| kaiser | medicaid advantage | $683.24 | ↓ -12% |
| sentara health | exchange | $883.55 | ↑ +14% |
| carefirst | hmo | $1,043.00 | ↑ +34% |
| carefirst | ppo | $1,054.00 | ↑ +36% |
| sentara health | ppo | $1,162.45 | ↑ +50% |
| sentara health | hmo | $1,162.45 | ↑ +50% |
| kaiser | hmo | $1,212.12 | ↑ +56% |
| kaiser | ppo | $1,212.12 | ↑ +56% |
| anthem | exchange hmo | $1,451.84 | ↑ +87% |
| innovation | fully insured | $1,509.00 | ↑ +94% |
| anthem | hmo | $1,673.50 | ↑ +115% |
| anthem | ppo | $1,673.50 | ↑ +115% |
| united | exchange | $1,744.08 | ↑ +124% |
| innovation | self insured | $1,822.00 | ↑ +134% |
| united | options | $1,963.18 | ↑ +153% |
| united | nonoptions | $1,963.18 | ↑ +153% |
| cigna | exchange | $2,067.00 | ↑ +166% |
| aetna | fannie-mae | $2,190.02 | ↑ +182% |
| aetna | ppo | $2,561.00 | ↑ +230% |
| aetna | hmo | $2,561.00 | ↑ +230% |
| cigna | hmo | $2,678.00 | ↑ +245% |
| cigna | ppo | $2,678.00 | ↑ +245% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $777.00 | $612.13 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $777.00 | $612.13 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $777.00 | $612.13 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $777.00 | $612.13 – $1,509.00 |
| Johnston Memorial Hospital | ABINGDON | $114.15 | $282.67 – $1,572.00 |
| Russell County Hospital | LEBANON | $114.15 | $282.67 – $1,572.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $404.00 | $735.52 – $1,547.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $632.50 | $735.52 – $3,988.00 |