Reticulocyte direct measurement automated at Sentara Halifax Regional Hospital
2204 Wilborn Avenue, South Boston, VA · Sentara · · NPI 1588668842
$28.50
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.
$57.00
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.
$4.85 with Sentara Health Plan vs $12.14 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 | $4.85 | ↓ -83% |
| Humana | Medicare Managed Care Plan | $5.74 | ↓ -80% |
| Bcbs | Anthem Medicare Managed Care Plan | $5.83 | ↓ -80% |
| Unitedhealthcare | Snp Medicare Managed Care Plan | $5.85 | ↓ -79% |
| Sentara Health Plan | Hmo/Pos | $7.64 | ↓ -73% |
| Sentara Health Plan | Exchange | $7.64 | ↓ -73% |
| Sentara Health Plan | Ppo | $7.64 | ↓ -73% |
| Unitedhealthcare | All Commercial Plans | $9.36 | ↓ -67% |
| Bcbs | Anthem Exchange | $10.92 | ↓ -62% |
| Bcbs | Anthem Hmo | $11.75 | ↓ -59% |
| Bcbs | Anthem Ppo | $12.14 | ↓ -57% |
Visitor-reported prices
Comments
Reticulocyte direct measurement automated at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $218.00 | $4.84 – $8.08 |
| Sentara Martha Jefferson Hospital | Charlottesville | $22.00 | $5.68 – $9.36 |
| Sentara Northern Virginia Medical Center | Woodbridge | $83.50 | $4.89 – $29.17 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $216.00 | $4.84 – $5.96 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $216.00 | $4.28 – $5.96 |
| RESTON HOSPITAL CENTER | VIENNA | $309.96 | $5.57 – $31.67 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $336.96 | $5.53 – $22.51 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $334.76 | $4.28 – $31.67 |