Knee arthroscopy/surgery at Mary Immaculate Hospital
2 Bernardine Dr., Newport News, VA · Bonsecours · · NPI 1427064310
$34,508.99
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.
$57,514.98
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.
$7,079.78 with AETNA MEDICARE [1003] vs $7,221.37 with HUMANA MEDICARE [1010] — 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 [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $7,079.78 | ↓ -79% |
| UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $7,079.78 | ↓ -79% |
| UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $7,079.78 | ↓ -79% |
| UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $7,079.78 | ↓ -79% |
| HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $7,221.37 | ↓ -79% |
| HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $7,221.37 | ↓ -79% |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Southampton Medical Center | Franklin | $22,666.67 | $7,582.44 – $7,734.09 |
| Maryview Hospital | Portsmouth | $42,890.28 | $7,079.78 – $7,221.37 |
| St Mary's Hospital | Richmond | $43,547.75 | $7,279.94 – $7,425.54 |
| Harbour View Medical Center | Suffolk | $52,865.65 | not published |
| St Francis Medical Center | Midlothian | $85,728.57 | $7,079.78 – $12,526.51 |
| Southside Regional Medical Center | Petersburg | $32,249.32 | $12,526.51 – $12,777.04 |
| Inova Alexandria Hospital | Alexandria | not published | $3,508.00 – $16,441.00 |
| Inova Fairfax Hospital | Falls Church | not published | $3,508.00 – $16,441.00 |