Transcath occlusion cns at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$29,810.50
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.
$59,621.00
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.
$4,817.00 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 | $4,817.00 | ↓ -84% |
| innovation | self insured | $5,809.00 | ↓ -81% |
| aetna | fannie-mae | $7,003.02 | ↓ -77% |
| aetna | ppo | $8,191.00 | ↓ -73% |
| aetna | hmo | $8,191.00 | ↓ -73% |
| carefirst | hmo | $11,913.00 | ↓ -60% |
| carefirst | ppo | $12,029.00 | ↓ -60% |
| sentara health | exchange | $15,261.30 | ↓ -49% |
| anthem | medicaid advantage | $19,976.28 | ↓ -33% |
| sentara health | ppo | $20,078.71 | ↓ -33% |
| sentara health | hmo | $20,078.71 | ↓ -33% |
| united | medicaid advantage | $20,375.81 | ↓ -32% |
| sentara health | medicaid advantage | $20,575.57 | ↓ -31% |
| humana | medicaid advantage | $20,775.33 | ↓ -30% |
| aetna | medicaid advantage | $20,975.09 | ↓ -30% |
| kaiser | medicaid advantage | $21,973.91 | ↓ -26% |
| united | exchange | $25,009.92 | ↓ -16% |
| cigna | exchange | $27,246.80 | ↓ -9% |
| united | nonoptions | $28,155.05 | ↓ -6% |
| united | options | $28,155.05 | ↓ -6% |
| cigna | hmo | $38,503.24 | ↑ +29% |
| cigna | ppo | $38,503.24 | ↑ +29% |
| anthem | exchange hmo | $42,589.54 | ↑ +43% |
| kaiser | hmo | $46,504.38 | ↑ +56% |
| kaiser | ppo | $46,504.38 | ↑ +56% |
| anthem | hmo | $49,092.05 | ↑ +65% |
| anthem | ppo | $49,092.05 | ↑ +65% |
Visitor-reported prices
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Transcath occlusion cns at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $29,810.50 | $4,817.00 – $27,246.80 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $29,810.50 | $4,817.00 – $27,246.80 |
| Inova Loudoun Hospital | Leesburg | $29,810.50 | $4,817.00 – $27,246.80 |
| Inova Mount Vernon Hospital | Alexandria | $29,810.50 | $4,817.00 – $27,246.80 |
| Johnston Memorial Hospital | ABINGDON | $2,493.45 | $15,911.45 – $38,991.26 |
| Russell County Hospital | LEBANON | $2,493.45 | $16,623.00 – $38,991.26 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,417.00 | $5,980.00 – $29,725.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,301.00 | $3,988.00 – $18,735.48 |