Cltx carpl scphd fx w/mnpj at Sentara CarePlex Hospital
3000 Coliseum Drive, Hampton, VA · Sentara · · NPI 1336109107
$1,352.50
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.
?
What you pay up front if you don't use insurance.
$2,705.00
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.
$1,600.27 with Sentara Health Plan vs $5,486.01 with Bcbs — 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 |
|---|---|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $1,600.27 | ↑ +18% |
| Humana | Medicare Managed Care Plan | $1,615.96 | ↑ +19% |
| Bcbs | Anthem Medicare Managed Care Plan | $1,643.42 | ↑ +22% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $1,647.34 | ↑ +22% |
| Unitedhealthcare | All Commercial Plans | $3,461.00 | ↑ +156% |
| Unitedhealthcare | Options Ppo | $3,880.00 | ↑ +187% |
| Bcbs | Anthem Exchange | $4,924.24 | ↑ +264% |
| Bcbs | Anthem Hmo | $5,266.40 | ↑ +289% |
| Bcbs | Anthem Ppo | $5,486.01 | ↑ +306% |
Visitor-reported prices
Comments
Cltx carpl scphd fx w/mnpj at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $9,527.00 | $700.38 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | $9,527.00 | $700.38 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $9,527.00 | $700.38 – $2,485.00 |
| Inova Loudoun Hospital | Leesburg | $9,527.00 | $700.38 – $2,485.00 |
| Inova Mount Vernon Hospital | Alexandria | $9,527.00 | $700.38 – $2,485.00 |
| Johnston Memorial Hospital | ABINGDON | $283.95 | $323.90 – $3,420.19 |
| Russell County Hospital | LEBANON | $283.95 | $323.90 – $3,420.19 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,264.00 | $1,547.00 – $1,647.34 |