Blood draw capillary 36416 at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$12.50
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.
$25.00
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.
$0.38 with cigna vs $19.50 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 | $0.38 | ↓ -97% |
| cigna | ppo | $0.38 | ↓ -97% |
| cigna | hmo | $0.38 | ↓ -97% |
| united | options | $3.11 | ↓ -75% |
| united | nonoptions | $3.11 | ↓ -75% |
| united | exchange | $3.11 | ↓ -75% |
| anthem | medicaid advantage | $3.67 | ↓ -71% |
| united | medicaid advantage | $3.74 | ↓ -70% |
| sentara health | medicaid advantage | $3.78 | ↓ -70% |
| humana | medicaid advantage | $3.82 | ↓ -69% |
| aetna | medicaid advantage | $3.85 | ↓ -69% |
| kaiser | medicaid advantage | $4.04 | ↓ -68% |
| carefirst | hmo | $13.75 | ↑ +10% |
| aetna | ppo | $14.20 | ↑ +14% |
| aetna | hmo | $14.20 | ↑ +14% |
| carefirst | ppo | $14.50 | ↑ +16% |
| aetna | fannie-mae | $14.90 | ↑ +19% |
| innovation | fully insured | $15.73 | ↑ +26% |
| innovation | self insured | $15.73 | ↑ +26% |
| kaiser | hmo | $19.50 | ↑ +56% |
| kaiser | ppo | $19.50 | ↑ +56% |
Visitor-reported prices
Comments
Blood draw capillary 36416 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $12.50 | $0.38 – $15.73 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $12.50 | $0.38 – $15.73 |
| Inova Loudoun Hospital | Leesburg | $12.50 | $0.38 – $15.73 |
| Inova Mount Vernon Hospital | Alexandria | $12.50 | $0.38 – $15.73 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $72.00 | $1.18 – $14.04 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $154.00 | $3.14 – $13.36 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $48.00 | $3.14 – $13.47 |
| RESTON HOSPITAL CENTER | VIENNA | $94.63 | $1.06 – $15.13 |