Arthrodesis glenohumeral jt at Sentara Halifax Regional Hospital
2204 Wilborn Avenue, South Boston, VA · Sentara · · NPI 1588668842
$5,012.00
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.
$10,024.00
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.
$7,278.54 with Sentara Health Plan vs $25,352.50 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 | $7,278.54 | ↑ +45% |
| Humana | Medicare Managed Care Plan | $7,349.90 | ↑ +47% |
| Bcbs | Anthem Medicare Managed Care Plan | $7,474.77 | ↑ +49% |
| Unitedhealthcare | Snp Medicare Managed Care Plan | $7,492.61 | ↑ +49% |
| Bcbs | Anthem Exchange | $22,870.40 | ↑ +356% |
| Bcbs | Anthem Hmo | $24,591.51 | ↑ +391% |
| Bcbs | Anthem Ppo | $25,352.50 | ↑ +406% |
Visitor-reported prices
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Arthrodesis glenohumeral jt at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville | $3,367.50 | $3,338.00 – $13,397.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $5,484.50 | $4,926.00 – $12,325.00 |
| Sentara Leigh Hospital | Norfolk | $5,484.50 | $6,448.00 – $7,433.77 |
| Sentara RMH Medical Center | Harrisonburg | $3,367.50 | $7,221.37 – $7,433.77 |
| Sentara CarePlex Hospital | Hampton | $5,484.50 | $7,221.37 – $7,433.77 |
| Sentara Norfolk General Hospital | Norfolk | $5,484.50 | $6,448.00 – $7,433.77 |
| Sentara Princess Anne Hospital | Virginia Beach | $5,484.50 | $6,448.00 – $7,433.77 |
| Sentara Virginia Beach General Hospital | Virginia Beach | $5,484.50 | $6,448.00 – $7,433.77 |