Valvuloplasty pulmonary at Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
$5,575.50
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.
$11,151.00
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.
$7,003.02 with aetna vs $30,536.06 with anthem — 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 | fannie-mae | $7,003.02 | ↑ +26% |
| innovation | self insured | $7,015.09 | ↑ +26% |
| innovation | fully insured | $7,015.09 | ↑ +26% |
| aetna | ppo | $8,191.00 | ↑ +47% |
| aetna | hmo | $8,191.00 | ↑ +47% |
| sentara health | exchange | $8,674.84 | ↑ +56% |
| kaiser | hmo | $8,697.78 | ↑ +56% |
| kaiser | ppo | $8,697.78 | ↑ +56% |
| anthem | medicare advantage | $11,340.57 | ↑ +103% |
| aetna | medicare advantage | $11,340.57 | ↑ +103% |
| united | medicare advantage | $11,340.57 | ↑ +103% |
| sentara health | ppo | $11,413.16 | ↑ +105% |
| sentara health | hmo | $11,413.16 | ↑ +105% |
| united | exchange | $11,502.40 | ↑ +106% |
| sentara health | medicare advantage | $11,567.38 | ↑ +107% |
| kaiser | medicare advantage | $11,794.19 | ↑ +112% |
| cigna | medicare advantage | $11,794.19 | ↑ +112% |
| anthem | medicaid advantage | $12,299.91 | ↑ +121% |
| humana | medicare advantage | $12,474.63 | ↑ +124% |
| united | medicaid advantage | $12,545.91 | ↑ +125% |
| sentara health | medicaid advantage | $12,668.91 | ↑ +127% |
| humana | medicaid advantage | $12,791.91 | ↑ +129% |
| aetna | medicaid advantage | $12,914.91 | ↑ +132% |
| united | nonoptions | $12,949.16 | ↑ +132% |
| united | options | $12,949.16 | ↑ +132% |
| kaiser | medicaid advantage | $13,529.90 | ↑ +143% |
| cigna | exchange | $18,714.00 | ↑ +236% |
| cigna | ppo | $24,245.00 | ↑ +335% |
| cigna | hmo | $24,245.00 | ↑ +335% |
| carefirst | hmo | $24,618.50 | ↑ +342% |
| carefirst | ppo | $25,906.67 | ↑ +365% |
| anthem | exchange hmo | $26,490.45 | ↑ +375% |
| anthem | hmo | $30,536.06 | ↑ +448% |
| anthem | ppo | $30,536.06 | ↑ +448% |
Visitor-reported prices
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Valvuloplasty pulmonary at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $5,575.50 | $7,003.02 – $24,618.50 |
| Inova Fairfax Hospital | Falls Church | $5,575.50 | $7,003.02 – $24,618.50 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $5,575.50 | $7,003.02 – $24,618.50 |
| Inova Mount Vernon Hospital | Alexandria | $5,575.50 | $7,003.02 – $24,618.50 |
| Sentara Martha Jefferson Hospital | Charlottesville | $8,670.50 | $5,980.00 – $13,397.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $9,716.50 | $11,488.76 – $11,798.51 |
| Sentara Halifax Regional Hospital | South Boston | $10,645.00 | $11,579.71 – $11,920.29 |
| Sentara Leigh Hospital | Norfolk | $9,716.50 | $11,488.76 – $11,826.66 |