Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$4,403.00
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.
$8,806.00
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.
$1,509.00 with innovation vs $6,696.00 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 |
|---|---|---|---|
| innovation | fully insured | $1,509.00 | ↓ -66% |
| innovation | self insured | $1,822.00 | ↓ -59% |
| anthem | medicare advantage | $1,952.77 | ↓ -56% |
| aetna | medicare advantage | $1,952.77 | ↓ -56% |
| united | medicare advantage | $1,952.77 | ↓ -56% |
| sentara health | medicare advantage | $1,991.83 | ↓ -55% |
| kaiser | medicare advantage | $2,030.88 | ↓ -54% |
| cigna | medicare advantage | $2,030.88 | ↓ -54% |
| anthem | medicaid advantage | $2,112.51 | ↓ -52% |
| humana | medicare advantage | $2,148.05 | ↓ -51% |
| united | medicaid advantage | $2,154.76 | ↓ -51% |
| sentara health | medicaid advantage | $2,175.89 | ↓ -51% |
| aetna | fannie-mae | $2,190.02 | ↓ -50% |
| humana | medicaid advantage | $2,197.01 | ↓ -50% |
| aetna | medicaid advantage | $2,218.14 | ↓ -50% |
| kaiser | medicaid advantage | $2,323.76 | ↓ -47% |
| aetna | hmo | $2,561.00 | ↓ -42% |
| aetna | ppo | $2,561.00 | ↓ -42% |
| kaiser | ppo | $3,434.34 | ↓ -22% |
| kaiser | hmo | $3,434.34 | ↓ -22% |
| carefirst | hmo | $3,529.00 | ↓ -20% |
| carefirst | ppo | $3,563.00 | ↓ -19% |
| sentara health | exchange | $3,855.49 | ↓ -12% |
| anthem | exchange hmo | $4,631.57 | ↑ +5% |
| sentara health | ppo | $5,072.52 | ↑ +15% |
| sentara health | hmo | $5,072.52 | ↑ +15% |
| cigna | exchange | $5,168.00 | ↑ +17% |
| anthem | ppo | $5,338.71 | ↑ +21% |
| anthem | hmo | $5,338.71 | ↑ +21% |
| united | exchange | $5,470.40 | ↑ +24% |
| united | options | $6,158.37 | ↑ +40% |
| united | nonoptions | $6,158.37 | ↑ +40% |
| cigna | hmo | $6,696.00 | ↑ +52% |
| cigna | ppo | $6,696.00 | ↑ +52% |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,403.00 | $1,509.00 – $3,529.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,403.00 | $1,509.00 – $3,529.00 |
| Inova Loudoun Hospital | Leesburg | $4,403.00 | $1,509.00 – $3,529.00 |
| Inova Mount Vernon Hospital | Alexandria | $4,403.00 | $1,509.00 – $3,529.00 |
| Johnston Memorial Hospital | ABINGDON | $421.20 | $949.72 – $4,153.43 |
| Russell County Hospital | LEBANON | $421.20 | $949.72 – $4,153.43 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,844.00 | $1,943.35 – $5,978.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,747.50 | $1,943.35 – $5,607.00 |