X-ray surgical specimen at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
$520.00
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.
?
What you pay up front if you don't use insurance.
$1,040.00
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.
$88.53 with carefirst vs $1,499.00 with anthem — 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 |
|---|---|---|---|
| carefirst | hmo | $88.53 | ↓ -83% |
| carefirst | ppo | $96.05 | ↓ -82% |
| anthem | medicaid advantage | $167.33 | ↓ -68% |
| united | medicaid advantage | $170.68 | ↓ -67% |
| sentara health | medicaid advantage | $172.35 | ↓ -67% |
| humana | medicaid advantage | $174.02 | ↓ -67% |
| aetna | medicaid advantage | $175.70 | ↓ -66% |
| kaiser | medicaid advantage | $184.06 | ↓ -65% |
| cigna | exchange | $463.63 | ↓ -11% |
| anthem | medicare advantage | $548.30 | ↑ +5% |
| united | medicare advantage | $548.30 | ↑ +5% |
| aetna | medicare advantage | $548.30 | ↑ +5% |
| sentara health | medicare advantage | $559.27 | ↑ +8% |
| kaiser | medicare advantage | $570.23 | ↑ +10% |
| cigna | medicare advantage | $570.23 | ↑ +10% |
| sentara health | exchange | $586.65 | ↑ +13% |
| aetna | ppo | $590.62 | ↑ +14% |
| aetna | hmo | $590.62 | ↑ +14% |
| humana | medicare advantage | $603.13 | ↑ +16% |
| aetna | fannie-mae | $619.84 | ↑ +19% |
| cigna | hmo | $671.63 | ↑ +29% |
| cigna | ppo | $671.63 | ↑ +29% |
| innovation | fully insured | $685.36 | ↑ +32% |
| innovation | self insured | $685.36 | ↑ +32% |
| sentara health | ppo | $771.84 | ↑ +48% |
| sentara health | hmo | $771.84 | ↑ +48% |
| kaiser | hmo | $811.20 | ↑ +56% |
| kaiser | ppo | $811.20 | ↑ +56% |
| united | options | $1,110.33 | ↑ +114% |
| united | exchange | $1,110.33 | ↑ +114% |
| united | nonoptions | $1,110.33 | ↑ +114% |
| anthem | exchange hmo | $1,300.45 | ↑ +150% |
| anthem | hmo | $1,499.00 | ↑ +188% |
| anthem | ppo | $1,499.00 | ↑ +188% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $1,598.00 | $75.83 – $1,086.50 |
| Inova Alexandria Hospital | Alexandria | $520.00 | $88.53 – $685.36 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $520.00 | $88.53 – $685.36 |
| Inova Loudoun Hospital | Leesburg | $520.00 | $88.53 – $685.36 |
| Inova Mount Vernon Hospital | Alexandria | $520.00 | $88.53 – $685.36 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $1,002.00 | $62.05 – $1,086.50 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $913.00 | $51.27 – $1,086.50 |
| TRICITIES HOSPITAL | HOPEWELL | $1,002.00 | $40.55 – $1,086.50 |