Eval aud funcj ea addl 15 at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$35.00
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.
?
What you pay up front if you don't use insurance.
$70.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$31.21 with cigna vs $443.66 with kaiser — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| cigna | exchange | $31.21 | ↓ -11% |
| united | exchange | $39.22 | ↑ +12% |
| sentara health | exchange | $39.49 | ↑ +13% |
| aetna | hmo | $39.75 | ↑ +14% |
| aetna | ppo | $39.75 | ↑ +14% |
| aetna | fannie-mae | $41.72 | ↑ +19% |
| innovation | fully insured | $44.04 | ↑ +26% |
| innovation | self insured | $44.04 | ↑ +26% |
| cigna | hmo | $45.21 | ↑ +29% |
| cigna | ppo | $45.21 | ↑ +29% |
| united | options | $48.09 | ↑ +37% |
| united | nonoptions | $48.09 | ↑ +37% |
| sentara health | ppo | $51.95 | ↑ +48% |
| sentara health | hmo | $51.95 | ↑ +48% |
| kaiser | hmo | $54.60 | ↑ +56% |
| kaiser | ppo | $54.60 | ↑ +56% |
| carefirst | hmo | $72.86 | ↑ +108% |
| carefirst | ppo | $76.67 | ↑ +119% |
| anthem | medicaid advantage | $403.33 | ↑ +1052% |
| united | medicaid advantage | $411.40 | ↑ +1075% |
| sentara health | medicaid advantage | $415.43 | ↑ +1087% |
| humana | medicaid advantage | $419.46 | ↑ +1098% |
| aetna | medicaid advantage | $423.50 | ↑ +1110% |
| kaiser | medicaid advantage | $443.66 | ↑ +1168% |
Visitor-reported prices
Comments
Eval aud funcj ea addl 15 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $35.00 | $31.21 – $419.46 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $35.00 | $31.21 – $419.46 |
| Inova Loudoun Hospital | Leesburg | $35.00 | $31.21 – $419.46 |
| Inova Mount Vernon Hospital | Alexandria | $35.00 | $31.21 – $419.46 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $75.19 – $75.19 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $75.19 – $75.19 |