Repair eyelid wound at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$6,138.00
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.
$12,276.00
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.
$1,979.47 with anthem vs $6,378.09 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 |
|---|---|---|---|
| anthem | medicaid advantage | $1,979.47 | ↓ -68% |
| united | medicaid advantage | $2,019.06 | ↓ -67% |
| sentara health | medicaid advantage | $2,038.85 | ↓ -67% |
| humana | medicaid advantage | $2,058.65 | ↓ -66% |
| aetna | medicaid advantage | $2,078.44 | ↓ -66% |
| innovation | fully insured | $2,149.00 | ↓ -65% |
| kaiser | medicaid advantage | $2,177.42 | ↓ -65% |
| anthem | medicare advantage | $2,332.96 | ↓ -62% |
| united | medicare advantage | $2,332.96 | ↓ -62% |
| aetna | medicare advantage | $2,332.96 | ↓ -62% |
| sentara health | medicare advantage | $2,379.62 | ↓ -61% |
| cigna | medicare advantage | $2,426.28 | ↓ -60% |
| kaiser | medicare advantage | $2,426.28 | ↓ -60% |
| humana | medicare advantage | $2,566.26 | ↓ -58% |
| innovation | self insured | $2,589.00 | ↓ -58% |
| cigna | exchange | $2,763.00 | ↓ -55% |
| aetna | fannie-mae | $3,116.15 | ↓ -49% |
| carefirst | hmo | $3,529.00 | ↓ -43% |
| carefirst | ppo | $3,563.00 | ↓ -42% |
| cigna | ppo | $3,580.00 | ↓ -42% |
| cigna | hmo | $3,580.00 | ↓ -42% |
| aetna | ppo | $3,645.00 | ↓ -41% |
| aetna | hmo | $3,645.00 | ↓ -41% |
| sentara health | exchange | $3,855.49 | ↓ -37% |
| kaiser | ppo | $4,787.64 | ↓ -22% |
| kaiser | hmo | $4,787.64 | ↓ -22% |
| sentara health | ppo | $5,072.52 | ↓ -17% |
| sentara health | hmo | $5,072.52 | ↓ -17% |
| united | exchange | $5,470.40 | ↓ -11% |
| anthem | exchange hmo | $5,533.28 | ↓ -10% |
| united | nonoptions | $6,158.37 | ↑ +0% |
| united | options | $6,158.37 | ↑ +0% |
| anthem | ppo | $6,378.09 | ↑ +4% |
| anthem | hmo | $6,378.09 | ↑ +4% |
Visitor-reported prices
Comments
Repair eyelid wound at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $6,138.00 | $1,979.47 – $3,529.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $6,138.00 | $1,979.47 – $3,529.00 |
| Inova Loudoun Hospital | Leesburg | $6,138.00 | $1,979.47 – $3,529.00 |
| Inova Mount Vernon Hospital | Alexandria | $6,138.00 | $1,979.47 – $3,529.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,467.50 | $1,571.00 – $5,978.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,069.00 | $2,366.07 – $3,486.00 |
| Sentara Halifax Regional Hospital | South Boston | $2,668.50 | not published |
| Sentara Leigh Hospital | Norfolk | $3,069.00 | $2,366.07 – $4,564.00 |