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Upper Endoscopy (EGD, with biopsy) at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$1,484.00
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.
$2,968.00
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.
$937.56 with united vs $3,645.00 with aetna — 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 |
|---|---|---|---|
| united | medicare advantage | $937.56 | ↓ -37% |
| anthem | medicare advantage | $937.56 | ↓ -37% |
| aetna | medicare advantage | $937.56 | ↓ -37% |
| sentara health | medicare advantage | $956.31 | ↓ -36% |
| kaiser | medicare advantage | $975.06 | ↓ -34% |
| cigna | medicare advantage | $975.06 | ↓ -34% |
| humana | medicare advantage | $1,031.32 | ↓ -31% |
| cigna | exchange | $1,356.38 | ↓ -9% |
| anthem | medicaid advantage | $1,446.33 | ↓ -3% |
| united | medicaid advantage | $1,475.26 | ↓ -1% |
| sentara health | medicaid advantage | $1,489.72 | ↑ +0% |
| humana | medicaid advantage | $1,504.18 | ↑ +1% |
| aetna | medicaid advantage | $1,518.65 | ↑ +2% |
| kaiser | medicaid advantage | $1,590.96 | ↑ +7% |
| sentara health | exchange | $1,847.42 | ↑ +24% |
| cigna | hmo | $1,916.73 | ↑ +29% |
| cigna | ppo | $1,916.73 | ↑ +29% |
| innovation | fully insured | $2,149.00 | ↑ +45% |
| anthem | exchange hmo | $2,223.69 | ↑ +50% |
| kaiser | ppo | $2,315.04 | ↑ +56% |
| kaiser | hmo | $2,315.04 | ↑ +56% |
| sentara health | hmo | $2,430.58 | ↑ +64% |
| sentara health | ppo | $2,430.58 | ↑ +64% |
| carefirst | hmo | $2,485.00 | ↑ +67% |
| carefirst | ppo | $2,510.00 | ↑ +69% |
| united | exchange | $2,538.64 | ↑ +71% |
| anthem | hmo | $2,563.20 | ↑ +73% |
| anthem | ppo | $2,563.20 | ↑ +73% |
| innovation | self insured | $2,589.00 | ↑ +74% |
| united | options | $2,857.22 | ↑ +93% |
| united | nonoptions | $2,857.22 | ↑ +93% |
| aetna | fannie-mae | $3,116.15 | ↑ +110% |
| aetna | hmo | $3,645.00 | ↑ +146% |
| aetna | ppo | $3,645.00 | ↑ +146% |
Visitor-reported prices
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Upper Endoscopy (EGD, with biopsy) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,484.00 | $937.56 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,484.00 | $937.56 – $2,485.00 |
| Inova Loudoun Hospital | Leesburg | $1,484.00 | $937.56 – $2,485.00 |
| Inova Mount Vernon Hospital | Alexandria | $1,484.00 | $937.56 – $2,485.00 |