Insert hepatic shunt (tips) at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$1,569.50
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.
$3,139.00
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.
$1,434.52 with cigna vs $28,155.05 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 |
|---|---|---|---|
| cigna | exchange | $1,434.52 | ↓ -9% |
| cigna | ppo | $2,027.17 | ↑ +29% |
| cigna | hmo | $2,027.17 | ↑ +29% |
| kaiser | ppo | $2,448.42 | ↑ +56% |
| kaiser | hmo | $2,448.42 | ↑ +56% |
| innovation | fully insured | $4,588.00 | ↑ +192% |
| innovation | self insured | $5,534.00 | ↑ +253% |
| aetna | fannie-mae | $6,667.96 | ↑ +325% |
| aetna | ppo | $7,799.00 | ↑ +397% |
| aetna | hmo | $7,799.00 | ↑ +397% |
| carefirst | hmo | $8,272.00 | ↑ +427% |
| carefirst | ppo | $8,352.00 | ↑ +432% |
| sentara health | exchange | $15,261.30 | ↑ +872% |
| anthem | medicaid advantage | $15,805.57 | ↑ +907% |
| united | medicaid advantage | $16,121.68 | ↑ +927% |
| sentara health | medicaid advantage | $16,279.74 | ↑ +937% |
| humana | medicaid advantage | $16,437.79 | ↑ +947% |
| aetna | medicaid advantage | $16,595.85 | ↑ +957% |
| kaiser | medicaid advantage | $17,386.13 | ↑ +1008% |
| sentara health | hmo | $20,078.71 | ↑ +1179% |
| sentara health | ppo | $20,078.71 | ↑ +1179% |
| united | exchange | $25,009.92 | ↑ +1493% |
| united | options | $28,155.05 | ↑ +1694% |
| united | nonoptions | $28,155.05 | ↑ +1694% |
Visitor-reported prices
Comments
Insert hepatic shunt (tips) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,569.50 | $1,434.52 – $16,437.79 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,569.50 | $1,434.52 – $16,437.79 |
| Inova Loudoun Hospital | Leesburg | $1,569.50 | $1,434.52 – $16,437.79 |
| Inova Mount Vernon Hospital | Alexandria | $1,569.50 | $1,434.52 – $16,437.79 |
| Johnston Memorial Hospital | ABINGDON | $3,418.65 | $13,967.54 – $38,991.26 |
| Russell County Hospital | LEBANON | $3,418.65 | $13,967.71 – $38,991.26 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,117.50 | $7,300.00 – $29,725.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,335.50 | $3,988.00 – $18,735.48 |