Tc-99m bicisate at Sentara Halifax Regional Hospital
2204 Wilborn Avenue, South Boston, VA · Sentara · · NPI 1588668842
$952.00
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.
$1,904.00
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.
$791.03 with Sentara Health Plan vs $1,490.68 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 | $791.03 | ↓ -17% |
| Humana | Medicare Managed Care Plan | $798.79 | ↓ -16% |
| Bcbs | Anthem Medicare Managed Care Plan | $812.36 | ↓ -15% |
| Unitedhealthcare | Snp Medicare Managed Care Plan | $814.30 | ↓ -14% |
| Bcbs | Anthem Exchange | $1,340.25 | ↑ +41% |
| Bcbs | Anthem Hmo | $1,442.82 | ↑ +52% |
| Bcbs | Anthem Ppo | $1,490.68 | ↑ +57% |
Visitor-reported prices
Comments
Tc-99m bicisate at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville | $1,695.50 | $791.03 – $814.30 |
| Sentara Northern Virginia Medical Center | Woodbridge | $948.00 | $791.03 – $814.30 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $3,233.00 | $2,055.13 – $3,926.63 |
| TRICITIES HOSPITAL | HOPEWELL | $3,233.00 | $2,055.13 – $3,926.63 |
| RESTON HOSPITAL CENTER | VIENNA | $3,615.80 | $2,055.13 – $3,403.08 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $3,827.52 | $2,055.13 – $3,926.63 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $3,288.01 | $2,055.13 – $3,403.08 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $3,233.00 | $2,055.13 – $3,926.63 |