Clsd tx fx radius/ulna dist w/manip 25605 at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$3,361.00
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.
$6,722.00
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.
$700.38 with anthem vs $5,955.00 with aetna — 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 |
|---|---|---|---|
| anthem | medicaid advantage | $700.38 | ↓ -79% |
| united | medicaid advantage | $714.39 | ↓ -79% |
| sentara health | medicaid advantage | $721.39 | ↓ -79% |
| humana | medicaid advantage | $728.40 | ↓ -78% |
| aetna | medicaid advantage | $735.40 | ↓ -78% |
| kaiser | medicaid advantage | $770.42 | ↓ -77% |
| sentara health | exchange | $1,285.16 | ↓ -62% |
| anthem | medicare advantage | $1,600.41 | ↓ -52% |
| aetna | medicare advantage | $1,600.41 | ↓ -52% |
| united | medicare advantage | $1,600.41 | ↓ -52% |
| sentara health | medicare advantage | $1,632.42 | ↓ -51% |
| kaiser | medicare advantage | $1,664.43 | ↓ -50% |
| cigna | medicare advantage | $1,664.43 | ↓ -50% |
| sentara health | hmo | $1,690.84 | ↓ -50% |
| sentara health | ppo | $1,690.84 | ↓ -50% |
| united | exchange | $1,744.08 | ↓ -48% |
| humana | medicare advantage | $1,760.45 | ↓ -48% |
| united | nonoptions | $1,963.18 | ↓ -42% |
| united | options | $1,963.18 | ↓ -42% |
| carefirst | hmo | $2,485.00 | ↓ -26% |
| carefirst | ppo | $2,510.00 | ↓ -25% |
| kaiser | hmo | $2,621.58 | ↓ -22% |
| kaiser | ppo | $2,621.58 | ↓ -22% |
| innovation | fully insured | $3,508.00 | ↑ +4% |
| anthem | exchange hmo | $3,795.84 | ↑ +13% |
| innovation | self insured | $4,227.00 | ↑ +26% |
| anthem | ppo | $4,375.39 | ↑ +30% |
| anthem | hmo | $4,375.39 | ↑ +30% |
| cigna | exchange | $4,391.00 | ↑ +31% |
| aetna | fannie-mae | $5,091.48 | ↑ +51% |
| cigna | ppo | $5,689.00 | ↑ +69% |
| cigna | hmo | $5,689.00 | ↑ +69% |
| aetna | ppo | $5,955.00 | ↑ +77% |
| aetna | hmo | $5,955.00 | ↑ +77% |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna dist w/manip 25605 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,361.00 | $700.38 – $3,508.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,361.00 | $700.38 – $3,508.00 |
| Inova Loudoun Hospital | Leesburg | $3,361.00 | $700.38 – $3,508.00 |
| Inova Mount Vernon Hospital | Alexandria | $3,361.00 | $700.38 – $3,508.00 |
| Johnston Memorial Hospital | ABINGDON | $378.15 | $382.23 – $3,420.19 |
| Russell County Hospital | LEBANON | $378.15 | $382.23 – $3,420.19 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,049.00 | $1,547.00 – $3,895.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,104.00 | $1,377.00 – $3,988.00 |