Valvuloplasty aortic at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$5,575.50
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.
$11,151.00
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.
$5,701.52 with aetna vs $24,245.00 with cigna — 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 | $5,701.52 | ↑ +2% |
| anthem | medicare advantage | $5,701.52 | ↑ +2% |
| united | medicare advantage | $5,701.52 | ↑ +2% |
| sentara health | medicare advantage | $5,815.55 | ↑ +4% |
| kaiser | medicare advantage | $5,929.58 | ↑ +6% |
| cigna | medicare advantage | $5,929.58 | ↑ +6% |
| humana | medicare advantage | $6,271.67 | ↑ +12% |
| aetna | fannie-mae | $7,003.02 | ↑ +26% |
| innovation | fully insured | $7,015.09 | ↑ +26% |
| innovation | self insured | $7,015.09 | ↑ +26% |
| aetna | hmo | $8,191.00 | ↑ +47% |
| aetna | ppo | $8,191.00 | ↑ +47% |
| sentara health | exchange | $8,674.84 | ↑ +56% |
| kaiser | ppo | $8,697.78 | ↑ +56% |
| kaiser | hmo | $8,697.78 | ↑ +56% |
| sentara health | ppo | $11,413.16 | ↑ +105% |
| sentara health | hmo | $11,413.16 | ↑ +105% |
| united | exchange | $11,683.36 | ↑ +110% |
| anthem | medicaid advantage | $12,299.91 | ↑ +121% |
| united | medicaid advantage | $12,545.91 | ↑ +125% |
| sentara health | medicaid advantage | $12,668.91 | ↑ +127% |
| humana | medicaid advantage | $12,791.91 | ↑ +129% |
| aetna | medicaid advantage | $12,914.91 | ↑ +132% |
| united | nonoptions | $13,153.10 | ↑ +136% |
| united | options | $13,153.10 | ↑ +136% |
| anthem | exchange hmo | $13,522.80 | ↑ +143% |
| kaiser | medicaid advantage | $13,529.90 | ↑ +143% |
| anthem | hmo | $15,587.44 | ↑ +180% |
| anthem | ppo | $15,587.44 | ↑ +180% |
| cigna | exchange | $18,714.00 | ↑ +236% |
| carefirst | hmo | $21,287.00 | ↑ +282% |
| carefirst | ppo | $22,400.85 | ↑ +302% |
| cigna | hmo | $24,245.00 | ↑ +335% |
| cigna | ppo | $24,245.00 | ↑ +335% |
Visitor-reported prices
Comments
Valvuloplasty aortic at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $5,575.50 | $5,701.52 – $21,287.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $5,575.50 | $5,701.52 – $21,287.00 |
| Inova Loudoun Hospital | Leesburg | $5,575.50 | $5,701.52 – $21,287.00 |
| Inova Mount Vernon Hospital | Alexandria | $5,575.50 | $5,701.52 – $21,287.00 |
| Johnston Memorial Hospital | ABINGDON | $4,357.65 | $1,264.39 – $12,105.92 |
| Russell County Hospital | LEBANON | $4,357.65 | $1,525.20 – $12,105.92 |
| Sentara Martha Jefferson Hospital | Charlottesville | $4,673.50 | $5,664.24 – $13,397.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $6,018.50 | $5,664.24 – $5,830.83 |