Biopsy abdominal mass at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$2,228.00
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.
$4,456.00
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.
$1,059.89 with anthem vs $4,362.71 with anthem — 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 | $1,059.89 | ↓ -52% |
| united | medicaid advantage | $1,081.09 | ↓ -51% |
| sentara health | medicaid advantage | $1,091.69 | ↓ -51% |
| humana | medicaid advantage | $1,102.29 | ↓ -51% |
| aetna | medicaid advantage | $1,112.88 | ↓ -50% |
| kaiser | medicaid advantage | $1,165.88 | ↓ -48% |
| innovation | fully insured | $1,509.00 | ↓ -32% |
| anthem | medicare advantage | $1,620.24 | ↓ -27% |
| united | medicare advantage | $1,620.24 | ↓ -27% |
| aetna | medicare advantage | $1,620.24 | ↓ -27% |
| sentara health | medicare advantage | $1,652.64 | ↓ -26% |
| cigna | medicare advantage | $1,685.05 | ↓ -24% |
| kaiser | medicare advantage | $1,685.05 | ↓ -24% |
| humana | medicare advantage | $1,782.26 | ↓ -20% |
| innovation | self insured | $1,822.00 | ↓ -18% |
| sentara health | exchange | $1,847.42 | ↓ -17% |
| cigna | exchange | $2,067.00 | ↓ -7% |
| aetna | fannie-mae | $2,190.02 | ↓ -2% |
| sentara health | hmo | $2,430.58 | ↑ +9% |
| sentara health | ppo | $2,430.58 | ↑ +9% |
| carefirst | hmo | $2,485.00 | ↑ +12% |
| carefirst | ppo | $2,510.00 | ↑ +13% |
| united | exchange | $2,538.64 | ↑ +14% |
| aetna | hmo | $2,561.00 | ↑ +15% |
| aetna | ppo | $2,561.00 | ↑ +15% |
| cigna | hmo | $2,678.00 | ↑ +20% |
| cigna | ppo | $2,678.00 | ↑ +20% |
| united | options | $2,857.22 | ↑ +28% |
| united | nonoptions | $2,857.22 | ↑ +28% |
| kaiser | ppo | $3,475.68 | ↑ +56% |
| kaiser | hmo | $3,475.68 | ↑ +56% |
| anthem | exchange hmo | $3,784.71 | ↑ +70% |
| anthem | ppo | $4,362.71 | ↑ +96% |
| anthem | hmo | $4,362.71 | ↑ +96% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $2,228.00 | $1,059.89 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | $2,228.00 | $1,059.89 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $2,228.00 | $1,059.89 – $2,485.00 |
| Inova Mount Vernon Hospital | Alexandria | $2,228.00 | $1,059.89 – $2,485.00 |
| Johnston Memorial Hospital | ABINGDON | $402.15 | $936.63 – $3,512.94 |
| Russell County Hospital | LEBANON | $402.15 | $936.64 – $3,512.94 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,092.50 | $1,010.00 – $3,276.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,131.50 | $1,643.67 – $2,603.00 |