Hopd mntl hlt, 30-60 min at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$135.00
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.
$270.00
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.
$64.12 with anthem vs $370.00 with united — 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 | $64.12 | ↓ -53% |
| united | medicaid advantage | $65.40 | ↓ -52% |
| sentara health | medicaid advantage | $66.04 | ↓ -51% |
| humana | medicaid advantage | $66.68 | ↓ -51% |
| aetna | medicaid advantage | $67.33 | ↓ -50% |
| kaiser | medicaid advantage | $70.53 | ↓ -48% |
| united | medicare advantage | $92.50 | ↓ -31% |
| aetna | medicare advantage | $92.50 | ↓ -31% |
| anthem | medicare advantage | $92.50 | ↓ -31% |
| sentara health | medicare advantage | $94.35 | ↓ -30% |
| kaiser | medicare advantage | $96.20 | ↓ -29% |
| cigna | medicare advantage | $96.20 | ↓ -29% |
| humana | medicare advantage | $101.75 | ↓ -25% |
| cigna | exchange | $120.37 | ↓ -11% |
| carefirst | hmo | $148.50 | ↑ +10% |
| carefirst | ppo | $156.60 | ↑ +16% |
| cigna | hmo | $174.37 | ↑ +29% |
| cigna | ppo | $174.37 | ↑ +29% |
| kaiser | ppo | $210.60 | ↑ +56% |
| kaiser | hmo | $210.60 | ↑ +56% |
| anthem | exchange hmo | $216.08 | ↑ +60% |
| anthem | ppo | $249.08 | ↑ +85% |
| anthem | hmo | $249.08 | ↑ +85% |
| united | exchange | $288.00 | ↑ +113% |
| united | nonoptions | $370.00 | ↑ +174% |
| united | options | $370.00 | ↑ +174% |
Visitor-reported prices
Comments
Hopd mntl hlt, 30-60 min at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $135.00 | $64.12 – $148.50 |
| Inova Fairfax Hospital | Falls Church | $135.00 | $64.12 – $148.50 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $135.00 | $64.12 – $148.50 |
| Inova Mount Vernon Hospital | Alexandria | $135.00 | $64.12 – $148.50 |
| Johnston Memorial Hospital | ABINGDON | $32.10 | $56.66 – $216.08 |
| Russell County Hospital | LEBANON | $32.10 | $56.66 – $216.08 |
| Lonesome Pine Hospital | BIG STONE GAP | $32.10 | $37.93 – $216.08 |
| Smyth County Community Hospital | MARION | $32.10 | $56.66 – $216.08 |