Correct bunion/keller/mcbride/mayo 28292 at Maryview Hospital
3636 High St., Portsmouth, VA · Bonsecours · · NPI 1750399192
$99,180.39
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.
$165,300.65
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.
$3,192.44 with AETNA MEDICARE [1003] vs $3,256.29 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 HMO [103003] | $3,192.44 | ↓ -97% |
| AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $3,192.44 | ↓ -97% |
| UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $3,192.44 | ↓ -97% |
| UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $3,192.44 | ↓ -97% |
| UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $3,192.44 | ↓ -97% |
| HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $3,256.29 | ↓ -97% |
Visitor-reported prices
Comments
Correct bunion/keller/mcbride/mayo 28292 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Mary's Hospital | Richmond | $12,918.85 | $3,282.70 – $3,348.35 |
| St Francis Medical Center | Midlothian | $30,864.04 | $3,192.44 – $3,192.44 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $1,571.00 – $8,246.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $3,256.29 – $4,039.00 |
| Sentara Halifax Regional Hospital | South Boston | not published | $3,282.07 – $3,378.60 |
| Sentara Leigh Hospital | Norfolk | not published | $3,256.29 – $4,564.00 |
| Sentara RMH Medical Center | Harrisonburg | not published | $3,256.29 – $3,352.06 |
| Sentara CarePlex Hospital | Hampton | not published | $3,256.29 – $3,352.06 |