healthcosts.net
ER Visit (level 3) at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$919.50
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.
$1,839.00
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.
$276.89 with aetna vs $2,678.00 with united — 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 | $276.89 | ↓ -70% |
| anthem | medicare advantage | $276.89 | ↓ -70% |
| united | medicare advantage | $276.89 | ↓ -70% |
| sentara health | medicare advantage | $282.43 | ↓ -69% |
| cigna | medicare advantage | $287.97 | ↓ -69% |
| kaiser | medicare advantage | $287.97 | ↓ -69% |
| humana | medicare advantage | $304.58 | ↓ -67% |
| anthem | exchange hmo | $656.72 | ↓ -29% |
| anthem | hmo | $756.99 | ↓ -18% |
| anthem | ppo | $756.99 | ↓ -18% |
| aetna | hmo | $1,044.37 | ↑ +14% |
| aetna | ppo | $1,044.37 | ↑ +14% |
| aetna | fannie-mae | $1,096.04 | ↑ +19% |
| innovation | fully insured | $1,266.00 | ↑ +38% |
| cigna | exchange | $1,430.00 | ↑ +56% |
| kaiser | hmo | $1,434.42 | ↑ +56% |
| kaiser | ppo | $1,434.42 | ↑ +56% |
| innovation | self insured | $1,527.00 | ↑ +66% |
| carefirst | hmo | $1,555.00 | ↑ +69% |
| sentara health | exchange | $1,606.45 | ↑ +75% |
| carefirst | ppo | $1,788.00 | ↑ +94% |
| cigna | hmo | $1,893.00 | ↑ +106% |
| cigna | ppo | $1,893.00 | ↑ +106% |
| sentara health | hmo | $2,113.55 | ↑ +130% |
| sentara health | ppo | $2,113.55 | ↑ +130% |
| united | exchange | $2,124.15 | ↑ +131% |
| united | nonoptions | $2,678.00 | ↑ +191% |
| united | options | $2,678.00 | ↑ +191% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $919.50 | $276.89 – $1,497.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $919.50 | $276.89 – $1,497.00 |
| Inova Loudoun Hospital | Leesburg | $919.50 | $276.89 – $1,497.00 |
| Inova Mount Vernon Hospital | Alexandria | $919.50 | $276.89 – $1,497.00 |