Fetal shunt placement w/us at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$668.50
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.
$1,337.00
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.
$304.19 with anthem vs $2,678.00 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 |
|---|---|---|---|
| anthem | medicare advantage | $304.19 | ↓ -54% |
| aetna | medicare advantage | $304.19 | ↓ -54% |
| united | medicare advantage | $304.19 | ↓ -54% |
| sentara health | medicare advantage | $310.27 | ↓ -54% |
| cigna | medicare advantage | $316.36 | ↓ -53% |
| kaiser | medicare advantage | $316.36 | ↓ -53% |
| humana | medicare advantage | $334.61 | ↓ -50% |
| united | exchange | $676.00 | ↑ +1% |
| anthem | exchange hmo | $721.48 | ↑ +8% |
| anthem | ppo | $831.63 | ↑ +24% |
| anthem | hmo | $831.63 | ↑ +24% |
| united | nonoptions | $867.00 | ↑ +30% |
| united | options | $867.00 | ↑ +30% |
| sentara health | exchange | $883.55 | ↑ +32% |
| carefirst | hmo | $943.00 | ↑ +41% |
| carefirst | ppo | $953.00 | ↑ +43% |
| kaiser | ppo | $1,042.86 | ↑ +56% |
| kaiser | hmo | $1,042.86 | ↑ +56% |
| sentara health | hmo | $1,162.45 | ↑ +74% |
| sentara health | ppo | $1,162.45 | ↑ +74% |
| anthem | medicaid advantage | $1,470.82 | ↑ +120% |
| united | medicaid advantage | $1,500.24 | ↑ +124% |
| innovation | fully insured | $1,509.00 | ↑ +126% |
| sentara health | medicaid advantage | $1,514.94 | ↑ +127% |
| humana | medicaid advantage | $1,529.65 | ↑ +129% |
| aetna | medicaid advantage | $1,544.36 | ↑ +131% |
| kaiser | medicaid advantage | $1,617.90 | ↑ +142% |
| innovation | self insured | $1,822.00 | ↑ +173% |
| cigna | exchange | $2,067.00 | ↑ +209% |
| aetna | fannie-mae | $2,190.02 | ↑ +228% |
| aetna | ppo | $2,561.00 | ↑ +283% |
| aetna | hmo | $2,561.00 | ↑ +283% |
| cigna | hmo | $2,678.00 | ↑ +301% |
| cigna | ppo | $2,678.00 | ↑ +301% |
Visitor-reported prices
Comments
Fetal shunt placement w/us at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $668.50 | $304.19 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $668.50 | $304.19 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $668.50 | $304.19 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $668.50 | $304.19 – $1,509.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $247.00 | $303.27 – $1,010.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,638.50 | $303.27 – $2,603.00 |
| Sentara Halifax Regional Hospital | South Boston | $1,993.50 | $305.67 – $314.66 |
| Sentara Leigh Hospital | Norfolk | $1,638.50 | $303.27 – $3,408.00 |