MRI breast c-+ w/cad uni at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$1,058.50
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.
$2,117.00
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.
$580.28 with anthem vs $3,679.23 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 | medicaid advantage | $580.28 | ↓ -45% |
| united | medicaid advantage | $591.89 | ↓ -44% |
| united | exchange | $597.22 | ↓ -44% |
| united | options | $597.22 | ↓ -44% |
| united | nonoptions | $597.22 | ↓ -44% |
| sentara health | medicaid advantage | $597.69 | ↓ -44% |
| humana | medicaid advantage | $603.49 | ↓ -43% |
| aetna | medicaid advantage | $609.29 | ↓ -42% |
| kaiser | medicaid advantage | $638.31 | ↓ -40% |
| kaiser | ppo | $1,538.94 | ↑ +45% |
| kaiser | hmo | $1,538.94 | ↑ +45% |
| sentara health | exchange | $1,686.78 | ↑ +59% |
| innovation | fully insured | $2,149.00 | ↑ +103% |
| sentara health | hmo | $2,219.23 | ↑ +110% |
| sentara health | ppo | $2,219.23 | ↑ +110% |
| aetna | fannie-mae | $2,247.51 | ↑ +112% |
| innovation | self insured | $2,589.00 | ↑ +145% |
| aetna | hmo | $2,629.00 | ↑ +148% |
| aetna | ppo | $2,629.00 | ↑ +148% |
| carefirst | hmo | $3,079.65 | ↑ +191% |
| carefirst | ppo | $3,341.31 | ↑ +216% |
| cigna | exchange | $3,679.23 | ↑ +248% |
| cigna | ppo | $3,679.23 | ↑ +248% |
| cigna | hmo | $3,679.23 | ↑ +248% |
Visitor-reported prices
Comments
MRI breast c-+ w/cad uni at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,058.50 | $580.28 – $3,679.23 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,058.50 | $580.28 – $3,679.23 |
| Inova Loudoun Hospital | Leesburg | $1,058.50 | $580.28 – $3,679.23 |
| Inova Mount Vernon Hospital | Alexandria | $1,058.50 | $580.28 – $3,679.23 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $499.62 – $639.07 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $297.57 – $639.07 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $408.83 – $639.07 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $337.80 – $639.07 |