Treatment of retinal lesion at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$1,586.00
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.
$3,172.00
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.
$548.60 with united vs $5,895.00 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 |
|---|---|---|---|
| united | medicare advantage | $548.60 | ↓ -65% |
| aetna | medicare advantage | $548.60 | ↓ -65% |
| anthem | medicare advantage | $548.60 | ↓ -65% |
| sentara health | medicare advantage | $559.57 | ↓ -65% |
| kaiser | medicare advantage | $570.54 | ↓ -64% |
| cigna | medicare advantage | $570.54 | ↓ -64% |
| humana | medicare advantage | $603.46 | ↓ -62% |
| kaiser | ppo | $1,237.08 | ↓ -22% |
| kaiser | hmo | $1,237.08 | ↓ -22% |
| anthem | exchange hmo | $1,281.48 | ↓ -19% |
| sentara health | exchange | $1,285.16 | ↓ -19% |
| anthem | medicaid advantage | $1,477.12 | ↓ -7% |
| anthem | ppo | $1,477.19 | ↓ -7% |
| anthem | hmo | $1,477.19 | ↓ -7% |
| united | medicaid advantage | $1,506.66 | ↓ -5% |
| sentara health | medicaid advantage | $1,521.43 | ↓ -4% |
| humana | medicaid advantage | $1,536.20 | ↓ -3% |
| aetna | medicaid advantage | $1,550.98 | ↓ -2% |
| kaiser | medicaid advantage | $1,624.83 | ↑ +2% |
| sentara health | ppo | $1,690.84 | ↑ +7% |
| sentara health | hmo | $1,690.84 | ↑ +7% |
| united | exchange | $1,719.12 | ↑ +8% |
| united | nonoptions | $1,935.37 | ↑ +22% |
| united | options | $1,935.37 | ↑ +22% |
| cigna | exchange | $2,067.00 | ↑ +30% |
| carefirst | hmo | $2,485.00 | ↑ +57% |
| carefirst | ppo | $2,510.00 | ↑ +58% |
| cigna | ppo | $2,678.00 | ↑ +69% |
| cigna | hmo | $2,678.00 | ↑ +69% |
| innovation | fully insured | $3,469.00 | ↑ +119% |
| innovation | self insured | $4,185.00 | ↑ +164% |
| aetna | fannie-mae | $5,040.27 | ↑ +218% |
| aetna | hmo | $5,895.00 | ↑ +272% |
| aetna | ppo | $5,895.00 | ↑ +272% |
Visitor-reported prices
Comments
Treatment of retinal lesion at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,586.00 | $548.60 – $3,469.00 |
| Inova Fairfax Hospital | Falls Church | $1,586.00 | $548.60 – $3,469.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,586.00 | $548.60 – $3,469.00 |
| Inova Mount Vernon Hospital | Alexandria | $1,586.00 | $548.60 – $3,469.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $899.50 | $547.36 – $2,603.00 |
| Sentara Leigh Hospital | Norfolk | $899.50 | $547.36 – $3,408.00 |
| Sentara CarePlex Hospital | Hampton | $899.50 | $547.36 – $563.46 |
| Sentara Norfolk General Hospital | Norfolk | $899.50 | $547.36 – $3,408.00 |