Prgr stim/pace a/iv drug at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$3,513.00
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.
$7,026.00
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 | ↓ -75% |
| sentara health | ppo | $1,162.45 | ↓ -67% |
| sentara health | hmo | $1,162.45 | ↓ -67% |
| cigna | exchange | $3,132.19 | ↓ -11% |
| carefirst | hmo | $3,864.30 | ↑ +10% |
| carefirst | ppo | $4,075.08 | ↑ +16% |
| cigna | hmo | $4,537.39 | ↑ +29% |
| cigna | ppo | $4,537.39 | ↑ +29% |
| kaiser | hmo | $5,480.28 | ↑ +56% |
| kaiser | ppo | $5,480.28 | ↑ +56% |
| united | exchange | $9,042.00 | ↑ +157% |
| anthem | medicaid advantage | $9,814.25 | ↑ +179% |
| united | medicaid advantage | $10,010.54 | ↑ +185% |
| sentara health | medicaid advantage | $10,108.68 | ↑ +188% |
| humana | medicaid advantage | $10,206.82 | ↑ +191% |
| aetna | medicaid advantage | $10,304.96 | ↑ +193% |
| kaiser | medicaid advantage | $10,795.68 | ↑ +207% |
| united | nonoptions | $11,615.00 | ↑ +231% |
| united | options | $11,615.00 | ↑ +231% |
| innovation | fully insured | $12,223.00 | ↑ +248% |
| innovation | self insured | $14,747.00 | ↑ +320% |
| aetna | fannie-mae | $15,930.18 | ↑ +353% |
| aetna | hmo | $18,632.00 | ↑ +430% |
| aetna | ppo | $18,632.00 | ↑ +430% |
Visitor-reported prices
Comments
Prgr stim/pace a/iv drug at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,513.00 | $883.55 – $12,223.00 |
| Inova Fairfax Hospital | Falls Church | $3,513.00 | $883.55 – $12,223.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,513.00 | $883.55 – $12,223.00 |
| Inova Mount Vernon Hospital | Alexandria | $3,513.00 | $883.55 – $12,223.00 |
| Johnston Memorial Hospital | ABINGDON | $513.90 | $129.44 – $9,106.60 |
| Russell County Hospital | LEBANON | $513.90 | $129.44 – $9,106.70 |
| Sentara Martha Jefferson Hospital | Charlottesville | $236.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,725.00 | $484.00 – $484.00 |