Unlisted orl service/px at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$153.00
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.
$306.00
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.
$24.49 with aetna vs $943.00 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 |
|---|---|---|---|
| aetna | medicare advantage | $24.49 | ↓ -84% |
| anthem | medicare advantage | $24.49 | ↓ -84% |
| united | medicare advantage | $24.49 | ↓ -84% |
| sentara health | medicare advantage | $24.98 | ↓ -84% |
| kaiser | medicare advantage | $25.47 | ↓ -83% |
| cigna | medicare advantage | $25.47 | ↓ -83% |
| humana | medicare advantage | $26.94 | ↓ -82% |
| anthem | exchange hmo | $57.22 | ↓ -63% |
| anthem | ppo | $65.96 | ↓ -57% |
| anthem | hmo | $65.96 | ↓ -57% |
| cigna | exchange | $136.41 | ↓ -11% |
| carefirst | hmo | $168.30 | ↑ +10% |
| sentara health | exchange | $172.61 | ↑ +13% |
| aetna | hmo | $173.78 | ↑ +14% |
| aetna | ppo | $173.78 | ↑ +14% |
| carefirst | ppo | $177.48 | ↑ +16% |
| aetna | fannie-mae | $182.38 | ↑ +19% |
| innovation | self insured | $192.50 | ↑ +26% |
| innovation | fully insured | $192.50 | ↑ +26% |
| cigna | ppo | $197.61 | ↑ +29% |
| cigna | hmo | $197.61 | ↑ +29% |
| sentara health | ppo | $227.10 | ↑ +48% |
| sentara health | hmo | $227.10 | ↑ +48% |
| kaiser | hmo | $238.68 | ↑ +56% |
| kaiser | ppo | $238.68 | ↑ +56% |
| anthem | medicaid advantage | $266.70 | ↑ +74% |
| united | medicaid advantage | $272.03 | ↑ +78% |
| sentara health | medicaid advantage | $274.70 | ↑ +80% |
| humana | medicaid advantage | $277.37 | ↑ +81% |
| aetna | medicaid advantage | $280.04 | ↑ +83% |
| kaiser | medicaid advantage | $293.37 | ↑ +92% |
| united | exchange | $735.00 | ↑ +380% |
| united | nonoptions | $943.00 | ↑ +516% |
| united | options | $943.00 | ↑ +516% |
Visitor-reported prices
Comments
Unlisted orl service/px at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $153.00 | $24.49 – $192.50 |
| Inova Fairfax Hospital | Falls Church | $153.00 | $24.49 – $192.50 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $153.00 | $24.49 – $192.50 |
| Inova Mount Vernon Hospital | Alexandria | $153.00 | $24.49 – $192.50 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $28.78 – $29.63 |
| Sentara Halifax Regional Hospital | South Boston | not published | $29.01 – $29.87 |
| Sentara Leigh Hospital | Norfolk | not published | $28.78 – $29.63 |
| Sentara RMH Medical Center | Harrisonburg | not published | $28.78 – $29.63 |