Arthrotomy/elbow/exp/drain/rmv fb 24000 at Sentara Leigh Hospital
830 Kempsville Road, Norfolk, VA · Sentara · · NPI 1811957681
$3,704.00
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.
?
What you pay up front if you don't use insurance.
$7,408.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,256.29 with Sentara Health Plan vs $19,040.00 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $3,256.29 | ↓ -12% |
| Humana | Medicare Managed Care Plan | $3,288.21 | ↓ -11% |
| Bcbs | Anthem Medicare Managed Care Plan | $3,344.08 | ↓ -10% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $3,352.06 | ↓ -10% |
| Cigna | Ppo/Pos | $6,448.00 | ↑ +74% |
| Bcbs | Anthem Exchange | $8,699.91 | ↑ +135% |
| Bcbs | Anthem Hmo | $9,304.75 | ↑ +151% |
| Bcbs | Anthem Ppo | $9,692.37 | ↑ +162% |
| Unitedhealthcare | All Commercial Plans | $16,996.00 | ↑ +359% |
| Unitedhealthcare | Options Ppo | $19,040.00 | ↑ +414% |
Visitor-reported prices
Comments
Arthrotomy/elbow/exp/drain/rmv fb 24000 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Norfolk General Hospital | Norfolk | $3,704.00 | $3,256.29 – $6,448.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,462.00 | $3,256.29 – $8,246.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,704.00 | $3,256.29 – $5,047.00 |
| Sentara Halifax Regional Hospital | South Boston | $4,840.00 | $3,282.07 – $3,378.60 |
| Sentara RMH Medical Center | Harrisonburg | $3,462.00 | $3,256.29 – $3,352.06 |
| Sentara CarePlex Hospital | Hampton | $3,704.00 | $3,256.29 – $3,352.06 |
| Sentara Princess Anne Hospital | Virginia Beach | $3,704.00 | $3,256.29 – $6,448.00 |
| Sentara Virginia Beach General Hospital | Virginia Beach | $3,704.00 | $3,256.29 – $6,448.00 |