Tomosynthesis breast diagnostic left at HENRICO DOCTORS HOSPITAL
1602 SKIPWITH ROAD, RICHMOND, VA · HCA Virginia · · NPI 1194762294
$43.00
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.
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What you pay up front if you don't use insurance.
$43.00
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.
$8.17 with Lifeworks vs $131.81 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 |
|---|---|---|---|
| Lifeworks | MCR | $8.17 | ↓ -81% |
| United | OptionsPPO | $8.94 | ↓ -79% |
| Universal Healthcare Group | MCR | $9.46 | ↓ -78% |
| TriAtlantic | TRICR | $12.72 | ↓ -70% |
| Devoted | MCR | $12.86 | ↓ -70% |
| United | VACCN | $12.86 | ↓ -70% |
| Optum Transplant | OON | $12.86 | ↓ -70% |
| Humana | MCR | $12.86 | ↓ -70% |
| Sentara Health | MCR | $12.86 | ↓ -70% |
| United Behavioral Health | VACCN | $12.86 | ↓ -70% |
| Aetna | MGMCR | $13.01 | ↓ -70% |
| United | MGMCR | $13.12 | ↓ -69% |
| Virginia Premier Health | MGMCR | $13.12 | ↓ -69% |
| OptumHealth Transplant | MCR | $13.25 | ↓ -69% |
| DaVita Village Health | MCR | $13.37 | ↓ -69% |
| Evernorth Behavioral Health | MCR | $13.37 | ↓ -69% |
| Cigna HealthSpring | MCR | $13.37 | ↓ -69% |
| Health Net | TRICR | $13.46 | ↓ -69% |
| Clear Spring Health Plan | MCR | $13.50 | ↓ -69% |
| Aetna | Broad | $13.76 | ↓ -68% |
| Pyramid Life | MGMCR | $13.76 | ↓ -68% |
| Align Senior Care | MGMCR | $13.76 | ↓ -68% |
| Aetna | SharedSavings | $14.19 | ↓ -67% |
| Humana Military | TRCR | $14.51 | ↓ -66% |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $14.96 | ↓ -65% |
| Virginia Health Network | ULTRA | $15.05 | ↓ -65% |
| United | GlobalBenefitPlan | $19.35 | ↓ -55% |
| Greenvbrier Sporting Club | COMM | $25.80 | ↓ -40% |
| Virginia Health Network | COMM | $27.95 | ↓ -35% |
| Virginia Health Network | WC | $27.95 | ↓ -35% |
| CorVel | WorkersComp | $30.96 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $34.40 | ↓ -20% |
| 4Most Health Nework | COMM | $38.70 | ↓ -10% |
| Multiplan | PHCS | $38.70 | ↓ -10% |
| Anthem | HIX | $42.36 | ↓ -1% |
| Anthem | HPN | $53.77 | ↑ +25% |
| UNITED | SmallBusiness | $57.31 | ↑ +33% |
| UNITED | NewBusiness | $57.31 | ↑ +33% |
| UNITED | NavigateCorePayer | $57.31 | ↑ +33% |
| UNITED | AllPayerAppendix | $57.31 | ↑ +33% |
| Anthem | PPO | $58.29 | ↑ +36% |
| Anthem | HMO | $58.29 | ↑ +36% |
| Cigna | PPO | $125.47 | ↑ +192% |
| Cigna | HMO | $125.47 | ↑ +192% |
| Cigna | IFP | $131.81 | ↑ +207% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $82.00 | $12.48 – $14.51 |
| Inova Alexandria Hospital | Alexandria | $86.50 | $48.25 – $95.15 |
| Inova Fairfax Hospital | Falls Church | $86.50 | $48.25 – $95.15 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $86.50 | $48.25 – $95.15 |
| Inova Loudoun Hospital | Leesburg | $86.50 | $48.25 – $95.15 |
| Inova Mount Vernon Hospital | Alexandria | $86.50 | $48.25 – $95.15 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $43.00 | $12.72 – $125.47 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $84.00 | $12.72 – $14.51 |