Heart first pass add-on at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$519.00
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.
$1,038.00
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.
$462.74 with cigna vs $1,205.19 with carefirst — 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 |
|---|---|---|---|
| cigna | exchange | $462.74 | ↓ -11% |
| anthem | medicaid advantage | $531.39 | ↑ +2% |
| united | medicaid advantage | $542.02 | ↑ +4% |
| sentara health | medicaid advantage | $547.33 | ↑ +5% |
| humana | medicaid advantage | $552.65 | ↑ +6% |
| aetna | medicaid advantage | $557.96 | ↑ +8% |
| united | exchange | $581.53 | ↑ +12% |
| kaiser | medicaid advantage | $584.53 | ↑ +13% |
| sentara health | exchange | $585.52 | ↑ +13% |
| aetna | hmo | $589.48 | ↑ +14% |
| aetna | ppo | $589.48 | ↑ +14% |
| aetna | fannie-mae | $618.65 | ↑ +19% |
| cigna | ppo | $670.34 | ↑ +29% |
| cigna | hmo | $670.34 | ↑ +29% |
| innovation | fully insured | $684.04 | ↑ +32% |
| innovation | self insured | $684.04 | ↑ +32% |
| united | nonoptions | $713.17 | ↑ +37% |
| united | options | $713.17 | ↑ +37% |
| sentara health | ppo | $770.35 | ↑ +48% |
| sentara health | hmo | $770.35 | ↑ +48% |
| kaiser | hmo | $809.64 | ↑ +56% |
| kaiser | ppo | $809.64 | ↑ +56% |
| carefirst | hmo | $1,110.81 | ↑ +114% |
| carefirst | ppo | $1,205.19 | ↑ +132% |
Visitor-reported prices
Comments
Heart first pass add-on at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $519.00 | $462.74 – $1,110.81 |
| Inova Fairfax Hospital | Falls Church | $519.00 | $462.74 – $1,110.81 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $519.00 | $462.74 – $1,110.81 |
| Inova Mount Vernon Hospital | Alexandria | $519.00 | $462.74 – $1,110.81 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $104.22 – $104.22 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $62.07 – $62.07 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $85.28 – $85.28 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $70.47 – $70.47 |