Prq card revasc mi 1 vsl drug-eluting at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$17,162.50
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.
$34,325.00
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.
$12,299.91 with anthem vs $32,563.45 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 | $12,299.91 | ↓ -28% |
| united | medicaid advantage | $12,545.91 | ↓ -27% |
| sentara health | medicaid advantage | $12,668.91 | ↓ -26% |
| humana | medicaid advantage | $12,791.91 | ↓ -25% |
| aetna | medicaid advantage | $12,914.91 | ↓ -25% |
| kaiser | medicaid advantage | $13,529.90 | ↓ -21% |
| carefirst | hmo | $18,878.75 | ↑ +10% |
| carefirst | ppo | $19,908.50 | ↑ +16% |
| sentara health | exchange | $20,080.66 | ↑ +17% |
| cigna | exchange | $22,196.00 | ↑ +29% |
| sentara health | ppo | $26,419.35 | ↑ +54% |
| sentara health | hmo | $26,419.35 | ↑ +54% |
| kaiser | ppo | $26,773.50 | ↑ +56% |
| kaiser | hmo | $26,773.50 | ↑ +56% |
| cigna | hmo | $28,757.00 | ↑ +68% |
| cigna | ppo | $28,757.00 | ↑ +68% |
| united | exchange | $28,925.52 | ↑ +69% |
| united | options | $32,563.45 | ↑ +90% |
| united | nonoptions | $32,563.45 | ↑ +90% |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $17,162.50 | $12,299.91 – $22,196.00 |
| Inova Fairfax Hospital | Falls Church | $17,162.50 | $12,299.91 – $22,196.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $17,162.50 | $12,299.91 – $22,196.00 |
| Inova Mount Vernon Hospital | Alexandria | $17,162.50 | $12,299.91 – $22,196.00 |
| Johnston Memorial Hospital | ABINGDON | $4,926.60 | $1,164.06 – $11,413.03 |
| Russell County Hospital | LEBANON | $4,926.60 | $10,869.68 – $11,413.16 |
| Sentara Martha Jefferson Hospital | Charlottesville | $15,784.50 | $1,547.00 – $1,547.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $16,566.00 | $1,972.00 – $3,988.00 |