Nasal/sinus endoscopy surg w/bx 31237 at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
not published by hospital
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.
not published by hospital
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.
$1,724.47 with aetna vs $4,714.56 with anthem — 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 | $1,724.47 | — |
| anthem | medicare advantage | $1,724.47 | — |
| united | medicare advantage | $1,724.47 | — |
| sentara health | medicare advantage | $1,758.96 | — |
| kaiser | medicare advantage | $1,793.45 | — |
| cigna | medicare advantage | $1,793.45 | — |
| sentara health | exchange | $1,847.42 | — |
| humana | medicare advantage | $1,896.92 | — |
| innovation | fully insured | $2,149.00 | — |
| sentara health | hmo | $2,430.58 | — |
| sentara health | ppo | $2,430.58 | — |
| united | exchange | $2,538.64 | — |
| innovation | self insured | $2,589.00 | — |
| anthem | medicaid advantage | $2,751.49 | — |
| cigna | exchange | $2,763.00 | — |
| united | medicaid advantage | $2,806.52 | — |
| sentara health | medicaid advantage | $2,834.03 | — |
| united | options | $2,857.22 | — |
| united | nonoptions | $2,857.22 | — |
| humana | medicaid advantage | $2,861.55 | — |
| aetna | medicaid advantage | $2,889.06 | — |
| kaiser | medicaid advantage | $3,026.64 | — |
| aetna | fannie-mae | $3,116.15 | — |
| carefirst | hmo | $3,529.00 | — |
| carefirst | ppo | $3,563.00 | — |
| cigna | hmo | $3,580.00 | — |
| cigna | ppo | $3,580.00 | — |
| aetna | ppo | $3,645.00 | — |
| aetna | hmo | $3,645.00 | — |
| anthem | exchange hmo | $4,090.09 | — |
| anthem | ppo | $4,714.56 | — |
| anthem | hmo | $4,714.56 | — |
Visitor-reported prices
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Nasal/sinus endoscopy surg w/bx 31237 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville | $2,709.50 | $1,571.00 – $3,276.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,427.50 | $1,771.35 – $3,486.00 |
| Sentara Halifax Regional Hospital | South Boston | $3,808.00 | $1,785.37 – $1,837.89 |
| Sentara Leigh Hospital | Norfolk | $3,427.50 | $1,771.35 – $4,564.00 |
| Sentara RMH Medical Center | Harrisonburg | $2,709.50 | $1,771.35 – $1,823.45 |
| Sentara CarePlex Hospital | Hampton | $3,427.50 | $1,771.35 – $1,823.45 |
| Sentara Norfolk General Hospital | Norfolk | $3,427.50 | $1,771.35 – $4,564.00 |
| Sentara Princess Anne Hospital | Virginia Beach | $3,427.50 | $1,771.35 – $4,564.00 |