Injection radioactive tracer sentinel node (both sides) at Sentara Norfolk General Hospital
600 Gresham Dr, Norfolk, VA · Sentara · · NPI 1437119310
$543.50
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.
$1,087.00
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.
$397.85 with Sentara Health Plan vs $3,408.00 with Cigna — 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 |
|---|---|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $397.85 | ↓ -27% |
| Humana | Medicare Managed Care Plan | $401.75 | ↓ -26% |
| Bcbs | Anthem Medicare Managed Care Plan | $408.58 | ↓ -25% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $409.55 | ↓ -25% |
| Bcbs | Anthem Exchange | $1,238.94 | ↑ +128% |
| Bcbs | Anthem Hmo | $1,324.99 | ↑ +144% |
| Bcbs | Anthem Ppo | $1,380.17 | ↑ +154% |
| Unitedhealthcare | All Commercial Plans | $2,375.00 | ↑ +337% |
| Unitedhealthcare | Options Ppo | $2,633.00 | ↑ +384% |
| Cigna | Ppo/Pos | $3,408.00 | ↑ +527% |
Visitor-reported prices
Comments
Injection radioactive tracer sentinel node (both sides) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Leigh Hospital | Norfolk | $543.50 | $397.85 – $3,408.00 |
| Inova Alexandria Hospital | Alexandria | $724.00 | $401.83 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church | $724.00 | $401.83 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $724.00 | $401.83 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $724.00 | $401.83 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $724.00 | $401.83 – $1,509.00 |
| Johnston Memorial Hospital | ABINGDON | $482.85 | $347.06 – $850.31 |
| Russell County Hospital | LEBANON | $482.85 | $390.05 – $850.31 |