Anca screen with reflex to titer -quest at Inova Loudoun Hospital

44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 12, 2026

$101.50

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$203.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.38 with anthem vs $158.34 with kaiser — 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 →

Payer
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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
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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
anthem medicaid advantage $13.38 ↓ -87%
united medicaid advantage $13.65 ↓ -87%
sentara health medicaid advantage $13.78 ↓ -86%
humana medicaid advantage $13.92 ↓ -86%
aetna medicaid advantage $14.05 ↓ -86%
kaiser medicaid advantage $14.72 ↓ -85%
anthem hmo $15.05 ↓ -85%
united medicare advantage $15.05 ↓ -85%
united options $15.05 ↓ -85%
united nonoptions $15.05 ↓ -85%
united exchange $15.05 ↓ -85%
aetna medicare advantage $15.05 ↓ -85%
anthem ppo $15.05 ↓ -85%
anthem exchange hmo $15.05 ↓ -85%
anthem medicare advantage $15.05 ↓ -85%
sentara health medicare advantage $15.35 ↓ -85%
cigna medicare advantage $15.65 ↓ -85%
kaiser medicare advantage $15.65 ↓ -85%
humana medicare advantage $16.56 ↓ -84%
sentara health exchange $33.24 ↓ -67%
sentara health hmo $43.74 ↓ -57%
sentara health ppo $43.74 ↓ -57%
cigna hmo $61.13 ↓ -40%
cigna exchange $61.13 ↓ -40%
cigna ppo $61.13 ↓ -40%
carefirst hmo $65.96 ↓ -35%
carefirst ppo $73.38 ↓ -28%
aetna ppo $115.28 ↑ +14%
aetna hmo $115.28 ↑ +14%
aetna fannie-mae $120.99 ↑ +19%
innovation fully insured $127.71 ↑ +26%
innovation self insured $127.71 ↑ +26%
kaiser hmo $158.34 ↑ +56%
kaiser ppo $158.34 ↑ +56%

Visitor-reported prices

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Anca screen with reflex to titer -quest at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $101.50 $13.38 – $127.71
Inova Fairfax Hospital Falls Church $101.50 $13.38 – $127.71
Inova Fair Oaks Hospital VA 22033-1709 $101.50 $13.38 – $127.71
Inova Mount Vernon Hospital Alexandria $101.50 $13.38 – $127.71
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $400.00 $13.10 – $67.29
LEWISGALE HOSPITAL-PULASKI PULASKI $269.00 $11.56 – $16.10
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $13.10 – $21.82
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $13.10 – $16.10

All Virginia hospitals for this procedure →