Ercp bil/panc duct; each stent plcmt 43274 at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$2,849.00
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.
$5,698.00
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.
$3,508.00 with innovation vs $16,028.76 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 |
|---|---|---|---|
| innovation | fully insured | $3,508.00 | ↑ +23% |
| sentara health | exchange | $3,855.49 | ↑ +35% |
| innovation | self insured | $4,227.00 | ↑ +48% |
| kaiser | hmo | $4,444.44 | ↑ +56% |
| kaiser | ppo | $4,444.44 | ↑ +56% |
| sentara health | ppo | $5,072.52 | ↑ +78% |
| sentara health | hmo | $5,072.52 | ↑ +78% |
| aetna | fannie-mae | $5,091.48 | ↑ +79% |
| united | exchange | $5,470.40 | ↑ +92% |
| anthem | medicare advantage | $5,952.81 | ↑ +109% |
| aetna | medicare advantage | $5,952.81 | ↑ +109% |
| united | medicare advantage | $5,952.81 | ↑ +109% |
| aetna | hmo | $5,955.00 | ↑ +109% |
| aetna | ppo | $5,955.00 | ↑ +109% |
| sentara health | medicare advantage | $6,071.87 | ↑ +113% |
| united | nonoptions | $6,158.37 | ↑ +116% |
| united | options | $6,158.37 | ↑ +116% |
| cigna | medicare advantage | $6,190.92 | ↑ +117% |
| kaiser | medicare advantage | $6,190.92 | ↑ +117% |
| anthem | medicaid advantage | $6,482.91 | ↑ +128% |
| humana | medicare advantage | $6,548.09 | ↑ +130% |
| united | medicaid advantage | $6,612.57 | ↑ +132% |
| sentara health | medicaid advantage | $6,677.40 | ↑ +134% |
| humana | medicaid advantage | $6,742.23 | ↑ +137% |
| aetna | medicaid advantage | $6,807.06 | ↑ +139% |
| kaiser | medicaid advantage | $7,131.20 | ↑ +150% |
| carefirst | hmo | $8,272.00 | ↑ +190% |
| carefirst | ppo | $8,352.00 | ↑ +193% |
| cigna | exchange | $8,545.00 | ↑ +200% |
| cigna | hmo | $11,070.00 | ↑ +289% |
| cigna | ppo | $11,070.00 | ↑ +289% |
| anthem | exchange hmo | $13,905.17 | ↑ +388% |
| anthem | hmo | $16,028.76 | ↑ +463% |
| anthem | ppo | $16,028.76 | ↑ +463% |
Visitor-reported prices
Comments
Ercp bil/panc duct; each stent plcmt 43274 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $2,849.00 | $3,508.00 – $8,272.00 |
| Inova Fairfax Hospital | Falls Church | $2,849.00 | $3,508.00 – $8,272.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $2,849.00 | $3,508.00 – $8,272.00 |
| Inova Mount Vernon Hospital | Alexandria | $2,849.00 | $3,508.00 – $8,272.00 |
| St Mary's Hospital | Richmond | $23,046.02 | $6,090.75 – $6,212.56 |
| Memorial Regional Hospital | Mechanicsville | $18,798.62 | $6,090.75 – $6,212.56 |
| Southside Regional Medical Center | Petersburg | $22,629.19 | $5,923.28 – $6,041.75 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $3,304.00 – $6,716.00 |