Fna bx w/ct gdn 1st les at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$2,076.00
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.
$4,152.00
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.
$703.59 with united vs $3,238.56 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 |
|---|---|---|---|
| united | medicare advantage | $703.59 | ↓ -66% |
| anthem | medicare advantage | $703.59 | ↓ -66% |
| aetna | medicare advantage | $703.59 | ↓ -66% |
| sentara health | medicare advantage | $717.66 | ↓ -65% |
| cigna | medicare advantage | $731.73 | ↓ -65% |
| kaiser | medicare advantage | $731.73 | ↓ -65% |
| humana | medicare advantage | $773.95 | ↓ -63% |
| anthem | medicaid advantage | $966.12 | ↓ -53% |
| united | medicaid advantage | $985.44 | ↓ -53% |
| sentara health | medicaid advantage | $995.10 | ↓ -52% |
| humana | medicaid advantage | $1,004.76 | ↓ -52% |
| aetna | medicaid advantage | $1,014.43 | ↓ -51% |
| kaiser | medicaid advantage | $1,062.73 | ↓ -49% |
| sentara health | exchange | $1,285.16 | ↓ -38% |
| innovation | fully insured | $1,509.00 | ↓ -27% |
| anthem | exchange hmo | $1,643.51 | ↓ -21% |
| sentara health | ppo | $1,690.84 | ↓ -19% |
| sentara health | hmo | $1,690.84 | ↓ -19% |
| united | exchange | $1,719.12 | ↓ -17% |
| innovation | self insured | $1,822.00 | ↓ -12% |
| anthem | ppo | $1,894.51 | ↓ -9% |
| anthem | hmo | $1,894.51 | ↓ -9% |
| united | nonoptions | $1,935.37 | ↓ -7% |
| united | options | $1,935.37 | ↓ -7% |
| cigna | exchange | $2,067.00 | ↓ -0% |
| aetna | fannie-mae | $2,190.02 | ↑ +5% |
| carefirst | hmo | $2,485.00 | ↑ +20% |
| carefirst | ppo | $2,510.00 | ↑ +21% |
| aetna | ppo | $2,561.00 | ↑ +23% |
| aetna | hmo | $2,561.00 | ↑ +23% |
| cigna | hmo | $2,678.00 | ↑ +29% |
| cigna | ppo | $2,678.00 | ↑ +29% |
| kaiser | ppo | $3,238.56 | ↑ +56% |
| kaiser | hmo | $3,238.56 | ↑ +56% |
Visitor-reported prices
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Fna bx w/ct gdn 1st les at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $2,076.00 | $703.59 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | $2,076.00 | $703.59 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $2,076.00 | $703.59 – $2,485.00 |
| Inova Mount Vernon Hospital | Alexandria | $2,076.00 | $703.59 – $2,485.00 |
| Johnston Memorial Hospital | ABINGDON | $747.90 | $568.95 – $1,506.19 |
| Russell County Hospital | LEBANON | $747.90 | $690.91 – $1,506.19 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,119.00 | $704.73 – $1,547.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,197.00 | $704.73 – $3,988.00 |