Anl sp inf pmp w/mdreprg&fil at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$537.00
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.
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What you pay up front if you don't use insurance.
$1,074.00
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.
$198.30 with anthem vs $3,645.00 with aetna — 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 |
|---|---|---|---|
| anthem | medicaid advantage | $198.30 | ↓ -63% |
| united | medicaid advantage | $202.27 | ↓ -62% |
| sentara health | medicaid advantage | $204.25 | ↓ -62% |
| humana | medicaid advantage | $206.23 | ↓ -62% |
| aetna | medicaid advantage | $208.22 | ↓ -61% |
| kaiser | medicaid advantage | $218.13 | ↓ -59% |
| aetna | medicare advantage | $299.91 | ↓ -44% |
| united | medicare advantage | $299.91 | ↓ -44% |
| anthem | medicare advantage | $299.91 | ↓ -44% |
| sentara health | medicare advantage | $305.91 | ↓ -43% |
| cigna | medicare advantage | $311.91 | ↓ -42% |
| kaiser | medicare advantage | $311.91 | ↓ -42% |
| humana | medicare advantage | $329.90 | ↓ -39% |
| cigna | exchange | $490.82 | ↓ -9% |
| cigna | ppo | $693.59 | ↑ +29% |
| cigna | hmo | $693.59 | ↑ +29% |
| anthem | exchange hmo | $700.56 | ↑ +30% |
| anthem | hmo | $807.55 | ↑ +50% |
| anthem | ppo | $807.55 | ↑ +50% |
| kaiser | ppo | $837.72 | ↑ +56% |
| kaiser | hmo | $837.72 | ↑ +56% |
| sentara health | exchange | $883.55 | ↑ +65% |
| carefirst | hmo | $1,043.00 | ↑ +94% |
| carefirst | ppo | $1,054.00 | ↑ +96% |
| united | exchange | $1,127.36 | ↑ +110% |
| sentara health | ppo | $1,162.45 | ↑ +116% |
| sentara health | hmo | $1,162.45 | ↑ +116% |
| united | options | $1,269.99 | ↑ +136% |
| united | nonoptions | $1,269.99 | ↑ +136% |
| innovation | fully insured | $2,149.00 | ↑ +300% |
| innovation | self insured | $2,589.00 | ↑ +382% |
| aetna | fannie-mae | $3,116.15 | ↑ +480% |
| aetna | ppo | $3,645.00 | ↑ +579% |
| aetna | hmo | $3,645.00 | ↑ +579% |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $537.00 | $198.30 – $2,149.00 |
| Inova Fairfax Hospital | Falls Church | $537.00 | $198.30 – $2,149.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $537.00 | $198.30 – $2,149.00 |
| Inova Mount Vernon Hospital | Alexandria | $537.00 | $198.30 – $2,149.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $445.50 | $305.66 – $2,845.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $430.00 | $305.66 – $3,988.00 |
| Sentara Halifax Regional Hospital | South Boston | $523.00 | not published |
| Sentara Leigh Hospital | Norfolk | $430.00 | $305.66 – $5,220.00 |