Electrophysiology evaluation at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$4,382.00
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.
$8,764.00
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.
$883.55 with sentara health vs $18,632.00 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 |
|---|---|---|---|
| sentara health | exchange | $883.55 | ↓ -80% |
| sentara health | ppo | $1,162.45 | ↓ -73% |
| sentara health | hmo | $1,162.45 | ↓ -73% |
| carefirst | hmo | $1,496.64 | ↓ -66% |
| carefirst | ppo | $1,574.95 | ↓ -64% |
| cigna | exchange | $3,906.99 | ↓ -11% |
| cigna | ppo | $5,659.79 | ↑ +29% |
| cigna | hmo | $5,659.79 | ↑ +29% |
| kaiser | ppo | $6,835.92 | ↑ +56% |
| kaiser | hmo | $6,835.92 | ↑ +56% |
| united | exchange | $9,042.00 | ↑ +106% |
| anthem | medicaid advantage | $9,814.25 | ↑ +124% |
| united | medicaid advantage | $10,010.54 | ↑ +128% |
| sentara health | medicaid advantage | $10,108.68 | ↑ +131% |
| humana | medicaid advantage | $10,206.82 | ↑ +133% |
| aetna | medicaid advantage | $10,304.96 | ↑ +135% |
| kaiser | medicaid advantage | $10,795.68 | ↑ +146% |
| united | options | $11,615.00 | ↑ +165% |
| united | nonoptions | $11,615.00 | ↑ +165% |
| innovation | fully insured | $12,223.00 | ↑ +179% |
| innovation | self insured | $14,747.00 | ↑ +237% |
| aetna | fannie-mae | $15,930.18 | ↑ +264% |
| aetna | ppo | $18,632.00 | ↑ +325% |
| aetna | hmo | $18,632.00 | ↑ +325% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,382.00 | $883.55 – $12,223.00 |
| Inova Fairfax Hospital | Falls Church | $4,382.00 | $883.55 – $12,223.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,382.00 | $883.55 – $12,223.00 |
| Inova Mount Vernon Hospital | Alexandria | $4,382.00 | $883.55 – $12,223.00 |
| RESTON HOSPITAL CENTER | VIENNA | $3,700.87 | $1,544.50 – $1,544.50 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $1,544.50 – $1,544.50 |