healthcosts.net
Skin Biopsy at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$410.50
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.
?
What you pay up front if you don't use insurance.
$821.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$198.70 with united vs $2,561.00 with aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $198.70 | ↓ -52% |
| anthem | medicare advantage | $198.70 | ↓ -52% |
| aetna | medicare advantage | $198.70 | ↓ -52% |
| sentara health | medicare advantage | $202.67 | ↓ -51% |
| kaiser | medicare advantage | $206.65 | ↓ -50% |
| cigna | medicare advantage | $206.65 | ↓ -50% |
| humana | medicare advantage | $218.57 | ↓ -47% |
| cigna | exchange | $375.20 | ↓ -9% |
| anthem | exchange hmo | $471.28 | ↑ +15% |
| cigna | hmo | $530.20 | ↑ +29% |
| cigna | ppo | $530.20 | ↑ +29% |
| anthem | hmo | $543.24 | ↑ +32% |
| anthem | ppo | $543.24 | ↑ +32% |
| anthem | medicaid advantage | $621.13 | ↑ +51% |
| united | medicaid advantage | $633.55 | ↑ +54% |
| sentara health | medicaid advantage | $639.76 | ↑ +56% |
| kaiser | ppo | $640.38 | ↑ +56% |
| kaiser | hmo | $640.38 | ↑ +56% |
| humana | medicaid advantage | $645.98 | ↑ +57% |
| aetna | medicaid advantage | $652.19 | ↑ +59% |
| kaiser | medicaid advantage | $683.24 | ↑ +66% |
| sentara health | exchange | $883.55 | ↑ +115% |
| carefirst | hmo | $1,043.00 | ↑ +154% |
| carefirst | ppo | $1,054.00 | ↑ +157% |
| united | exchange | $1,147.12 | ↑ +179% |
| sentara health | hmo | $1,162.45 | ↑ +183% |
| sentara health | ppo | $1,162.45 | ↑ +183% |
| united | options | $1,290.59 | ↑ +214% |
| united | nonoptions | $1,290.59 | ↑ +214% |
| innovation | fully insured | $1,509.00 | ↑ +268% |
| innovation | self insured | $1,822.00 | ↑ +344% |
| aetna | fannie-mae | $2,190.02 | ↑ +434% |
| aetna | hmo | $2,561.00 | ↑ +524% |
| aetna | ppo | $2,561.00 | ↑ +524% |
Visitor-reported prices
Comments
Skin Biopsy at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $410.50 | $198.70 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $410.50 | $198.70 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $410.50 | $198.70 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $410.50 | $198.70 – $1,509.00 |