Endo abl/incom vein/ext/rad fre/#1 36475 at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$4,338.00
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.
$8,676.00
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.
$3,147.50 with united vs $11,070.00 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 |
|---|---|---|---|
| united | medicare advantage | $3,147.50 | ↓ -27% |
| aetna | medicare advantage | $3,147.50 | ↓ -27% |
| anthem | medicare advantage | $3,147.50 | ↓ -27% |
| sentara health | medicare advantage | $3,210.45 | ↓ -26% |
| kaiser | medicare advantage | $3,273.40 | ↓ -25% |
| cigna | medicare advantage | $3,273.40 | ↓ -25% |
| kaiser | ppo | $3,383.64 | ↓ -22% |
| kaiser | hmo | $3,383.64 | ↓ -22% |
| humana | medicare advantage | $3,462.25 | ↓ -20% |
| innovation | fully insured | $3,508.00 | ↓ -19% |
| anthem | medicaid advantage | $3,806.21 | ↓ -12% |
| united | medicaid advantage | $3,882.33 | ↓ -11% |
| sentara health | medicaid advantage | $3,920.40 | ↓ -10% |
| humana | medicaid advantage | $3,958.46 | ↓ -9% |
| aetna | medicaid advantage | $3,996.52 | ↓ -8% |
| kaiser | medicaid advantage | $4,186.83 | ↓ -3% |
| innovation | self insured | $4,227.00 | ↓ -3% |
| aetna | fannie-mae | $5,091.48 | ↑ +17% |
| carefirst | hmo | $5,515.00 | ↑ +27% |
| carefirst | ppo | $5,568.00 | ↑ +28% |
| sentara health | exchange | $5,622.58 | ↑ +30% |
| aetna | ppo | $5,955.00 | ↑ +37% |
| aetna | hmo | $5,955.00 | ↑ +37% |
| sentara health | ppo | $7,397.42 | ↑ +71% |
| sentara health | hmo | $7,397.42 | ↑ +71% |
| anthem | exchange hmo | $7,465.20 | ↑ +72% |
| united | exchange | $7,887.36 | ↑ +82% |
| cigna | exchange | $8,545.00 | ↑ +97% |
| anthem | hmo | $8,604.97 | ↑ +98% |
| anthem | ppo | $8,604.97 | ↑ +98% |
| united | options | $8,879.63 | ↑ +105% |
| united | nonoptions | $8,879.63 | ↑ +105% |
| cigna | ppo | $11,070.00 | ↑ +155% |
| cigna | hmo | $11,070.00 | ↑ +155% |
Visitor-reported prices
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Endo abl/incom vein/ext/rad fre/#1 36475 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,338.00 | $3,147.50 – $5,515.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,338.00 | $3,147.50 – $5,515.00 |
| Inova Loudoun Hospital | Leesburg | $4,338.00 | $3,147.50 – $5,515.00 |
| Inova Mount Vernon Hospital | Alexandria | $4,338.00 | $3,147.50 – $5,515.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,431.00 | $3,142.32 – $8,246.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $4,035.50 | $3,142.32 – $10,469.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $1,290.30 | $3,080.71 – $7,393.69 |
| Sentara Halifax Regional Hospital | South Boston | $3,688.00 | $3,167.20 – $3,260.35 |