Contrast x-ray of brain at Sentara CarePlex Hospital
3000 Coliseum Drive, Hampton, VA · Sentara · · NPI 1336109107
$1,217.50
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.
$2,435.00
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.
$780.16 with Sentara Health Plan vs $2,674.51 with Bcbs — 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 |
|---|---|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $780.16 | ↓ -36% |
| Humana | Medicare Managed Care Plan | $787.81 | ↓ -35% |
| Bcbs | Anthem Medicare Managed Care Plan | $801.19 | ↓ -34% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $803.10 | ↓ -34% |
| Bcbs | Anthem Exchange | $2,400.64 | ↑ +97% |
| Bcbs | Anthem Hmo | $2,567.45 | ↑ +111% |
| Bcbs | Anthem Ppo | $2,674.51 | ↑ +120% |
Visitor-reported prices
Comments
Contrast x-ray of brain at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville | $426.50 | $780.16 – $803.10 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,217.50 | $396.41 – $803.10 |
| Lonesome Pine Hospital | BIG STONE GAP | $321.60 | $129.86 – $1,835.66 |
| Sentara Halifax Regional Hospital | South Boston | $1,245.00 | $251.22 – $807.53 |
| Sentara Leigh Hospital | Norfolk | $1,217.50 | $780.16 – $803.10 |
| Sentara RMH Medical Center | Harrisonburg | $426.50 | $780.16 – $803.10 |
| Sentara Norfolk General Hospital | Norfolk | $1,217.50 | $780.16 – $803.10 |
| Sentara Princess Anne Hospital | Virginia Beach | $1,217.50 | $780.16 – $803.10 |