Trauma partial team response w/critical care services level 4 at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$10,542.00
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.
$21,084.00
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.
$1,323.17 with aetna vs $14,238.12 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 |
|---|---|---|---|
| aetna | medicare advantage | $1,323.17 | ↓ -87% |
| anthem | medicare advantage | $1,323.17 | ↓ -87% |
| united | medicare advantage | $1,323.17 | ↓ -87% |
| sentara health | medicare advantage | $1,349.63 | ↓ -87% |
| cigna | medicare advantage | $1,376.10 | ↓ -87% |
| kaiser | medicare advantage | $1,376.10 | ↓ -87% |
| humana | medicare advantage | $1,455.49 | ↓ -86% |
| anthem | exchange hmo | $3,138.28 | ↓ -70% |
| anthem | hmo | $3,617.43 | ↓ -66% |
| anthem | ppo | $3,617.43 | ↓ -66% |
| sentara health | exchange | $4,016.13 | ↓ -62% |
| united | exchange | $5,276.70 | ↓ -50% |
| sentara health | ppo | $5,283.87 | ↓ -50% |
| sentara health | hmo | $5,283.87 | ↓ -50% |
| united | nonoptions | $6,778.20 | ↓ -36% |
| united | options | $6,778.20 | ↓ -36% |
| cigna | exchange | $8,137.63 | ↓ -23% |
| carefirst | hmo | $10,039.70 | ↓ -5% |
| aetna | hmo | $10,366.45 | ↓ -2% |
| aetna | ppo | $10,366.45 | ↓ -2% |
| carefirst | ppo | $10,587.32 | ↑ +0% |
| aetna | fannie-mae | $10,879.38 | ↑ +3% |
| innovation | self insured | $11,483.59 | ↑ +9% |
| innovation | fully insured | $11,483.59 | ↑ +9% |
| cigna | ppo | $11,788.43 | ↑ +12% |
| cigna | hmo | $11,788.43 | ↑ +12% |
| kaiser | ppo | $14,238.12 | ↑ +35% |
| kaiser | hmo | $14,238.12 | ↑ +35% |
Visitor-reported prices
Comments
Trauma partial team response w/critical care services level 4 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $8,095.50 | $1,323.17 – $8,818.72 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $8,095.50 | $1,323.17 – $8,818.72 |
| Inova Loudoun Hospital | Leesburg | $8,095.50 | $1,323.17 – $8,818.72 |
| Inova Mount Vernon Hospital | Alexandria | $8,095.50 | $1,323.17 – $8,818.72 |
| Johnston Memorial Hospital | ABINGDON | $988.65 | $724.99 – $4,365.48 |
| Russell County Hospital | LEBANON | $988.65 | $724.99 – $4,404.95 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,366.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,598.50 | $1,326.51 – $1,365.52 |