2d tee w or without fol w/con,in at Sentara Halifax Regional Hospital
2204 Wilborn Avenue, South Boston, VA · Sentara · · NPI 1588668842
$2,000.00
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.
$4,000.00
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.
$786.33 with Sentara Health Plan vs $2,738.94 with Bcbs — 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 | $786.33 | ↓ -61% |
| Humana | Medicare Managed Care Plan | $794.04 | ↓ -60% |
| Bcbs | Anthem Medicare Managed Care Plan | $807.53 | ↓ -60% |
| Unitedhealthcare | Snp Medicare Managed Care Plan | $809.46 | ↓ -60% |
| Bcbs | Anthem Exchange | $2,470.79 | ↑ +24% |
| Bcbs | Anthem Hmo | $2,656.73 | ↑ +33% |
| Bcbs | Anthem Ppo | $2,738.94 | ↑ +37% |
Visitor-reported prices
Comments
2d tee w or without fol w/con,in at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,106.50 | $675.71 – $2,894.73 |
| Inova Fairfax Hospital | Falls Church | $3,106.50 | $675.71 – $2,894.73 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,106.50 | $675.71 – $2,894.73 |
| Inova Loudoun Hospital | Leesburg | $3,106.50 | $675.71 – $2,894.73 |
| Inova Mount Vernon Hospital | Alexandria | $3,106.50 | $675.71 – $2,894.73 |
| Johnston Memorial Hospital | ABINGDON | $595.80 | $501.02 – $1,667.39 |
| Russell County Hospital | LEBANON | $595.80 | $501.02 – $1,667.39 |
| Sentara Martha Jefferson Hospital | Charlottesville | $763.50 | $780.16 – $803.10 |