Biopsy, bone open deep at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$5,879.00
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.
$11,758.00
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.
$2,626.58 with anthem vs $9,171.24 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 →
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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 | $2,626.58 | ↓ -55% |
| united | medicaid advantage | $2,679.11 | ↓ -54% |
| sentara health | medicaid advantage | $2,705.38 | ↓ -54% |
| humana | medicaid advantage | $2,731.64 | ↓ -54% |
| aetna | medicaid advantage | $2,757.91 | ↓ -53% |
| anthem | medicare advantage | $2,862.05 | ↓ -51% |
| united | medicare advantage | $2,862.05 | ↓ -51% |
| aetna | medicare advantage | $2,862.05 | ↓ -51% |
| kaiser | medicaid advantage | $2,889.24 | ↓ -51% |
| sentara health | medicare advantage | $2,919.29 | ↓ -50% |
| cigna | medicare advantage | $2,976.53 | ↓ -49% |
| kaiser | medicare advantage | $2,976.53 | ↓ -49% |
| humana | medicare advantage | $3,148.26 | ↓ -46% |
| innovation | fully insured | $3,508.00 | ↓ -40% |
| sentara health | exchange | $3,855.49 | ↓ -34% |
| innovation | self insured | $4,227.00 | ↓ -28% |
| cigna | exchange | $4,391.00 | ↓ -25% |
| sentara health | hmo | $5,072.52 | ↓ -14% |
| sentara health | ppo | $5,072.52 | ↓ -14% |
| aetna | fannie-mae | $5,091.48 | ↓ -13% |
| united | exchange | $5,470.40 | ↓ -7% |
| carefirst | hmo | $5,515.00 | ↓ -6% |
| carefirst | ppo | $5,568.00 | ↓ -5% |
| cigna | hmo | $5,689.00 | ↓ -3% |
| cigna | ppo | $5,689.00 | ↓ -3% |
| aetna | ppo | $5,955.00 | ↑ +1% |
| aetna | hmo | $5,955.00 | ↑ +1% |
| united | options | $6,158.37 | ↑ +5% |
| united | nonoptions | $6,158.37 | ↑ +5% |
| anthem | exchange hmo | $6,685.46 | ↑ +14% |
| anthem | hmo | $7,706.47 | ↑ +31% |
| anthem | ppo | $7,706.47 | ↑ +31% |
| kaiser | hmo | $9,171.24 | ↑ +56% |
| kaiser | ppo | $9,171.24 | ↑ +56% |
Visitor-reported prices
Comments
Biopsy, bone open deep at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $5,879.00 | $2,626.58 – $5,515.00 |
| Inova Fairfax Hospital | Falls Church | $5,879.00 | $2,626.58 – $5,515.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $5,879.00 | $2,626.58 – $5,515.00 |
| Inova Mount Vernon Hospital | Alexandria | $5,879.00 | $2,626.58 – $5,515.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $2,890.77 – $5,978.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $2,890.77 – $4,039.00 |
| Sentara Halifax Regional Hospital | South Boston | not published | $2,913.65 – $2,999.35 |
| Sentara Leigh Hospital | Norfolk | not published | $2,890.77 – $5,220.00 |