Rmvl pm gen w/rplc pm gen mlt lead sys at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$7,855.00
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.
$15,710.00
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.
$3,508.00 with innovation vs $52,138.84 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 | $3,508.00 | ↓ -55% |
| innovation | self insured | $4,227.00 | ↓ -46% |
| aetna | fannie-mae | $5,091.48 | ↓ -35% |
| aetna | ppo | $5,955.00 | ↓ -24% |
| aetna | hmo | $5,955.00 | ↓ -24% |
| carefirst | hmo | $9,927.00 | ↑ +26% |
| carefirst | ppo | $10,024.00 | ↑ +28% |
| anthem | medicaid advantage | $11,391.44 | ↑ +45% |
| united | medicaid advantage | $11,619.27 | ↑ +48% |
| sentara health | medicaid advantage | $11,733.18 | ↑ +49% |
| humana | medicaid advantage | $11,847.10 | ↑ +51% |
| aetna | medicaid advantage | $11,961.01 | ↑ +52% |
| kaiser | ppo | $12,253.80 | ↑ +56% |
| kaiser | hmo | $12,253.80 | ↑ +56% |
| kaiser | medicaid advantage | $12,530.58 | ↑ +60% |
| aetna | medicare advantage | $19,071.16 | ↑ +143% |
| anthem | medicare advantage | $19,071.16 | ↑ +143% |
| united | medicare advantage | $19,071.16 | ↑ +143% |
| sentara health | medicare advantage | $19,452.58 | ↑ +148% |
| kaiser | medicare advantage | $19,834.01 | ↑ +153% |
| cigna | medicare advantage | $19,834.01 | ↑ +153% |
| cigna | exchange | $20,812.00 | ↑ +165% |
| humana | medicare advantage | $20,978.28 | ↑ +167% |
| sentara health | exchange | $23,293.56 | ↑ +197% |
| cigna | ppo | $26,963.00 | ↑ +243% |
| cigna | hmo | $26,963.00 | ↑ +243% |
| sentara health | ppo | $30,646.45 | ↑ +290% |
| sentara health | hmo | $30,646.45 | ↑ +290% |
| united | exchange | $33,184.00 | ↑ +322% |
| united | options | $37,720.00 | ↑ +380% |
| united | nonoptions | $37,720.00 | ↑ +380% |
| anthem | exchange hmo | $45,232.76 | ↑ +476% |
| anthem | hmo | $52,138.84 | ↑ +564% |
| anthem | ppo | $52,138.84 | ↑ +564% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen mlt lead sys at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $7,855.00 | $3,508.00 – $19,834.01 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $7,855.00 | $3,508.00 – $19,834.01 |
| Inova Loudoun Hospital | Leesburg | $7,855.00 | $3,508.00 – $19,834.01 |
| Inova Mount Vernon Hospital | Alexandria | $7,855.00 | $3,508.00 – $19,834.01 |
| Johnston Memorial Hospital | ABINGDON | $4,025.10 | $10,066.73 – $40,969.48 |
| Russell County Hospital | LEBANON | $4,025.10 | $10,066.84 – $40,969.48 |
| Sentara Martha Jefferson Hospital | Charlottesville | $14,984.50 | $3,304.00 – $19,686.02 |
| Sentara Northern Virginia Medical Center | Woodbridge | $11,666.50 | $3,988.00 – $19,686.02 |