Prim art mech thrmbc non-intracranial at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$14,444.00
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.
$28,888.00
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.
$4,588.00 with innovation vs $49,092.05 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 |
|---|---|---|---|
| innovation | fully insured | $4,588.00 | ↓ -68% |
| innovation | self insured | $5,534.00 | ↓ -62% |
| aetna | fannie-mae | $6,667.96 | ↓ -54% |
| carefirst | hmo | $6,895.00 | ↓ -52% |
| carefirst | ppo | $6,962.00 | ↓ -52% |
| aetna | ppo | $7,799.00 | ↓ -46% |
| aetna | hmo | $7,799.00 | ↓ -46% |
| cigna | exchange | $8,545.00 | ↓ -41% |
| sentara health | exchange | $8,674.84 | ↓ -40% |
| anthem | medicaid advantage | $9,454.30 | ↓ -35% |
| united | medicaid advantage | $9,643.39 | ↓ -33% |
| sentara health | medicaid advantage | $9,737.93 | ↓ -33% |
| humana | medicaid advantage | $9,832.47 | ↓ -32% |
| aetna | medicaid advantage | $9,927.02 | ↓ -31% |
| kaiser | medicaid advantage | $10,399.73 | ↓ -28% |
| cigna | ppo | $11,070.00 | ↓ -23% |
| cigna | hmo | $11,070.00 | ↓ -23% |
| kaiser | ppo | $11,266.32 | ↓ -22% |
| kaiser | hmo | $11,266.32 | ↓ -22% |
| sentara health | ppo | $11,413.16 | ↓ -21% |
| sentara health | hmo | $11,413.16 | ↓ -21% |
| united | exchange | $11,683.36 | ↓ -19% |
| united | nonoptions | $13,153.10 | ↓ -9% |
| united | options | $13,153.10 | ↓ -9% |
| aetna | medicare advantage | $17,956.72 | ↑ +24% |
| united | medicare advantage | $17,956.72 | ↑ +24% |
| anthem | medicare advantage | $17,956.72 | ↑ +24% |
| sentara health | medicare advantage | $18,315.85 | ↑ +27% |
| kaiser | medicare advantage | $18,674.99 | ↑ +29% |
| cigna | medicare advantage | $18,674.99 | ↑ +29% |
| humana | medicare advantage | $19,752.39 | ↑ +37% |
| anthem | exchange hmo | $42,589.54 | ↑ +195% |
| anthem | ppo | $49,092.05 | ↑ +240% |
| anthem | hmo | $49,092.05 | ↑ +240% |
Visitor-reported prices
Comments
Prim art mech thrmbc non-intracranial at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $14,444.00 | $4,588.00 – $10,399.73 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $14,444.00 | $4,588.00 – $10,399.73 |
| Inova Loudoun Hospital | Leesburg | $14,444.00 | $4,588.00 – $10,399.73 |
| Inova Mount Vernon Hospital | Alexandria | $14,444.00 | $4,588.00 – $10,399.73 |
| Johnston Memorial Hospital | ABINGDON | $2,004.00 | $2,736.47 – $38,991.26 |
| Russell County Hospital | LEBANON | $2,004.00 | $2,736.47 – $38,991.26 |
| Sentara Martha Jefferson Hospital | Charlottesville | $7,658.50 | $6,716.00 – $18,735.48 |
| Sentara Northern Virginia Medical Center | Woodbridge | $7,396.50 | $5,047.00 – $18,735.48 |