healthcosts.net
Proton treatment complex at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$4,790.50
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.
$9,581.00
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.
$1,275.51 with united vs $7,473.18 with kaiser — 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 |
|---|---|---|---|
| united | medicare advantage | $1,275.51 | ↓ -73% |
| aetna | medicare advantage | $1,275.51 | ↓ -73% |
| anthem | medicare advantage | $1,275.51 | ↓ -73% |
| sentara health | medicare advantage | $1,301.02 | ↓ -73% |
| kaiser | medicare advantage | $1,326.53 | ↓ -72% |
| cigna | medicare advantage | $1,326.53 | ↓ -72% |
| humana | medicare advantage | $1,403.06 | ↓ -71% |
| carefirst | hmo | $1,460.11 | ↓ -70% |
| carefirst | ppo | $1,584.17 | ↓ -67% |
| anthem | medicaid advantage | $2,010.35 | ↓ -58% |
| united | medicaid advantage | $2,050.56 | ↓ -57% |
| sentara health | medicaid advantage | $2,070.66 | ↓ -57% |
| humana | medicaid advantage | $2,090.76 | ↓ -56% |
| aetna | medicaid advantage | $2,110.87 | ↓ -56% |
| kaiser | medicaid advantage | $2,211.39 | ↓ -54% |
| cigna | exchange | $2,890.00 | ↓ -40% |
| anthem | exchange hmo | $3,025.24 | ↓ -37% |
| anthem | ppo | $3,487.13 | ↓ -27% |
| anthem | hmo | $3,487.13 | ↓ -27% |
| cigna | ppo | $3,744.00 | ↓ -22% |
| cigna | hmo | $3,744.00 | ↓ -22% |
| united | exchange | $4,099.20 | ↓ -14% |
| united | options | $5,165.45 | ↑ +8% |
| united | nonoptions | $5,165.45 | ↑ +8% |
| sentara health | exchange | $5,404.54 | ↑ +13% |
| aetna | ppo | $5,441.05 | ↑ +14% |
| aetna | hmo | $5,441.05 | ↑ +14% |
| aetna | fannie-mae | $5,710.28 | ↑ +19% |
| innovation | fully insured | $6,313.88 | ↑ +32% |
| innovation | self insured | $6,313.88 | ↑ +32% |
| sentara health | ppo | $7,110.54 | ↑ +48% |
| sentara health | hmo | $7,110.54 | ↑ +48% |
| kaiser | hmo | $7,473.18 | ↑ +56% |
| kaiser | ppo | $7,473.18 | ↑ +56% |
Visitor-reported prices
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Proton treatment complex at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,790.50 | $1,275.51 – $6,313.88 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,790.50 | $1,275.51 – $6,313.88 |
| Inova Loudoun Hospital | Leesburg | $4,790.50 | $1,275.51 – $6,313.88 |
| Inova Mount Vernon Hospital | Alexandria | $4,790.50 | $1,275.51 – $6,313.88 |