Ther/proph/diag inj ia at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$117.50
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.
$235.00
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.
$74.35 with anthem vs $1,153.60 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 | $74.35 | ↓ -37% |
| united | medicaid advantage | $75.84 | ↓ -35% |
| sentara health | medicaid advantage | $76.58 | ↓ -35% |
| humana | medicaid advantage | $77.32 | ↓ -34% |
| aetna | medicaid advantage | $78.07 | ↓ -34% |
| kaiser | medicaid advantage | $81.79 | ↓ -30% |
| cigna | exchange | $104.76 | ↓ -11% |
| sentara health | exchange | $132.56 | ↑ +13% |
| aetna | hmo | $133.46 | ↑ +14% |
| aetna | ppo | $133.46 | ↑ +14% |
| aetna | fannie-mae | $140.06 | ↑ +19% |
| innovation | fully insured | $147.84 | ↑ +26% |
| innovation | self insured | $147.84 | ↑ +26% |
| cigna | ppo | $151.76 | ↑ +29% |
| cigna | hmo | $151.76 | ↑ +29% |
| sentara health | hmo | $174.41 | ↑ +48% |
| sentara health | ppo | $174.41 | ↑ +48% |
| kaiser | ppo | $183.30 | ↑ +56% |
| kaiser | hmo | $183.30 | ↑ +56% |
| anthem | medicare advantage | $210.69 | ↑ +79% |
| aetna | medicare advantage | $210.69 | ↑ +79% |
| united | medicare advantage | $210.69 | ↑ +79% |
| sentara health | medicare advantage | $214.90 | ↑ +83% |
| kaiser | medicare advantage | $219.12 | ↑ +86% |
| cigna | medicare advantage | $219.12 | ↑ +86% |
| humana | medicare advantage | $231.76 | ↑ +97% |
| carefirst | hmo | $403.44 | ↑ +243% |
| carefirst | ppo | $424.55 | ↑ +261% |
| anthem | exchange hmo | $492.15 | ↑ +319% |
| anthem | hmo | $567.31 | ↑ +383% |
| anthem | ppo | $567.31 | ↑ +383% |
| united | exchange | $916.65 | ↑ +680% |
| united | nonoptions | $1,153.60 | ↑ +882% |
| united | options | $1,153.60 | ↑ +882% |
Visitor-reported prices
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Ther/proph/diag inj ia at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $117.50 | $74.35 – $403.44 |
| Inova Fairfax Hospital | Falls Church | $117.50 | $74.35 – $403.44 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $117.50 | $74.35 – $403.44 |
| Inova Mount Vernon Hospital | Alexandria | $117.50 | $74.35 – $403.44 |
| Johnston Memorial Hospital | ABINGDON | $53.70 | $16.51 – $452.42 |
| Russell County Hospital | LEBANON | $53.70 | $16.51 – $452.42 |
| Sentara Martha Jefferson Hospital | Charlottesville | $321.50 | $211.68 – $217.91 |
| Sentara Northern Virginia Medical Center | Woodbridge | $313.00 | $211.68 – $217.91 |