Dilation of salivary duct at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$750.00
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.
$1,500.00
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.
$509.25 with aetna vs $5,568.00 with carefirst — 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 |
|---|---|---|---|
| aetna | medicare advantage | $509.25 | ↓ -32% |
| united | medicare advantage | $509.25 | ↓ -32% |
| anthem | medicare advantage | $509.25 | ↓ -32% |
| sentara health | medicare advantage | $519.44 | ↓ -31% |
| kaiser | medicare advantage | $529.62 | ↓ -29% |
| cigna | medicare advantage | $529.62 | ↓ -29% |
| humana | medicare advantage | $560.18 | ↓ -25% |
| cigna | exchange | $685.50 | ↓ -9% |
| sentara health | exchange | $883.55 | ↑ +18% |
| cigna | hmo | $968.70 | ↑ +29% |
| cigna | ppo | $968.70 | ↑ +29% |
| united | exchange | $1,147.12 | ↑ +53% |
| sentara health | ppo | $1,162.45 | ↑ +55% |
| sentara health | hmo | $1,162.45 | ↑ +55% |
| kaiser | ppo | $1,170.00 | ↑ +56% |
| kaiser | hmo | $1,170.00 | ↑ +56% |
| anthem | exchange hmo | $1,207.84 | ↑ +61% |
| united | options | $1,290.59 | ↑ +72% |
| united | nonoptions | $1,290.59 | ↑ +72% |
| anthem | hmo | $1,392.25 | ↑ +86% |
| anthem | ppo | $1,392.25 | ↑ +86% |
| innovation | fully insured | $1,509.00 | ↑ +101% |
| innovation | self insured | $1,822.00 | ↑ +143% |
| aetna | fannie-mae | $2,190.02 | ↑ +192% |
| aetna | ppo | $2,561.00 | ↑ +241% |
| aetna | hmo | $2,561.00 | ↑ +241% |
| anthem | medicaid advantage | $2,786.56 | ↑ +272% |
| united | medicaid advantage | $2,842.29 | ↑ +279% |
| sentara health | medicaid advantage | $2,870.16 | ↑ +283% |
| humana | medicaid advantage | $2,898.02 | ↑ +286% |
| aetna | medicaid advantage | $2,925.89 | ↑ +290% |
| kaiser | medicaid advantage | $3,065.22 | ↑ +309% |
| carefirst | hmo | $5,515.00 | ↑ +635% |
| carefirst | ppo | $5,568.00 | ↑ +642% |
Visitor-reported prices
Comments
Dilation of salivary duct at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $750.00 | $509.25 – $5,515.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $750.00 | $509.25 – $5,515.00 |
| Inova Loudoun Hospital | Leesburg | $750.00 | $509.25 – $5,515.00 |
| Inova Mount Vernon Hospital | Alexandria | $750.00 | $509.25 – $5,515.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $511.00 – $2,845.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $484.00 – $4,039.00 |
| Sentara Halifax Regional Hospital | South Boston | not published | $540.99 – $556.90 |
| Sentara Leigh Hospital | Norfolk | not published | $536.74 – $5,220.00 |