Electrophysiology evaluation at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$1,142.00
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.
$2,284.00
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.
$1,781.52 with kaiser vs $22,932.00 with sentara health — 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 |
|---|---|---|---|
| kaiser | ppo | $1,781.52 | ↑ +56% |
| kaiser | hmo | $1,781.52 | ↑ +56% |
| carefirst | hmo | $2,377.38 | ↑ +108% |
| carefirst | ppo | $2,501.78 | ↑ +119% |
| anthem | medicaid advantage | $9,814.25 | ↑ +759% |
| united | medicaid advantage | $10,010.54 | ↑ +777% |
| sentara health | medicaid advantage | $10,108.68 | ↑ +785% |
| humana | medicaid advantage | $10,206.82 | ↑ +794% |
| aetna | medicaid advantage | $10,304.96 | ↑ +802% |
| kaiser | medicaid advantage | $10,795.68 | ↑ +845% |
| united | exchange | $11,793.00 | ↑ +933% |
| innovation | fully insured | $12,223.00 | ↑ +970% |
| cigna | exchange | $14,366.00 | ↑ +1158% |
| innovation | self insured | $14,747.00 | ↑ +1191% |
| united | options | $15,150.00 | ↑ +1227% |
| united | nonoptions | $15,150.00 | ↑ +1227% |
| aetna | fannie-mae | $15,930.18 | ↑ +1295% |
| sentara health | exchange | $17,430.01 | ↑ +1426% |
| cigna | ppo | $18,613.00 | ↑ +1530% |
| cigna | hmo | $18,613.00 | ↑ +1530% |
| aetna | hmo | $18,632.00 | ↑ +1532% |
| aetna | ppo | $18,632.00 | ↑ +1532% |
| sentara health | ppo | $22,932.00 | ↑ +1908% |
| sentara health | hmo | $22,932.00 | ↑ +1908% |
Visitor-reported prices
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Electrophysiology evaluation at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,142.00 | $1,781.52 – $14,366.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,142.00 | $1,781.52 – $14,366.00 |
| Inova Loudoun Hospital | Leesburg | $1,142.00 | $1,781.52 – $14,366.00 |
| Inova Mount Vernon Hospital | Alexandria | $1,142.00 | $1,781.52 – $14,366.00 |
| RESTON HOSPITAL CENTER | VIENNA | $3,305.99 | $2,453.40 – $2,453.40 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $3,061.10 | $2,453.40 – $2,453.40 |