Observation direct referral from physician office for admission at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$395.00
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.
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What you pay up front if you don't use insurance.
$790.00
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.
$124.00 with carefirst vs $11,830.00 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 |
|---|---|---|---|
| carefirst | hmo | $124.00 | ↓ -69% |
| carefirst | ppo | $126.00 | ↓ -68% |
| sentara health | exchange | $240.97 | ↓ -39% |
| innovation | fully insured | $243.00 | ↓ -38% |
| aetna | fannie-mae | $292.84 | ↓ -26% |
| innovation | self insured | $295.00 | ↓ -25% |
| sentara health | ppo | $317.03 | ↓ -20% |
| sentara health | hmo | $317.03 | ↓ -20% |
| cigna | exchange | $352.18 | ↓ -11% |
| cigna | hmo | $510.18 | ↑ +29% |
| cigna | ppo | $510.18 | ↑ +29% |
| aetna | medicare advantage | $613.10 | ↑ +55% |
| anthem | medicare advantage | $613.10 | ↑ +55% |
| united | medicare advantage | $613.10 | ↑ +55% |
| kaiser | ppo | $616.20 | ↑ +56% |
| kaiser | hmo | $616.20 | ↑ +56% |
| sentara health | medicare advantage | $625.36 | ↑ +58% |
| kaiser | medicare advantage | $637.62 | ↑ +61% |
| cigna | medicare advantage | $637.62 | ↑ +61% |
| humana | medicare advantage | $674.41 | ↑ +71% |
| anthem | exchange hmo | $1,454.14 | ↑ +268% |
| anthem | hmo | $1,676.16 | ↑ +324% |
| anthem | ppo | $1,676.16 | ↑ +324% |
| united | exchange | $9,209.00 | ↑ +2231% |
| united | options | $11,830.00 | ↑ +2895% |
| united | nonoptions | $11,830.00 | ↑ +2895% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $395.00 | $146.00 – $674.41 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $395.00 | $146.00 – $674.41 |
| Inova Loudoun Hospital | Leesburg | $395.00 | $146.00 – $674.41 |
| Inova Mount Vernon Hospital | Alexandria | $395.00 | $146.00 – $674.41 |
| Johnston Memorial Hospital | ABINGDON | $138.00 | $12.00 – $12.00 |
| Russell County Hospital | LEBANON | $138.00 | $49.00 – $49.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $374.50 | $592.67 – $610.10 |
| Sentara Northern Virginia Medical Center | Woodbridge | $465.00 | $592.67 – $610.10 |