Inj. herceptin hylecta, 10mg at Sentara Obici Hospital
2800 Godwin Boulevard, Suffolk, VA · Sentara · · NPI 1376540138
not published by hospital
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.
not published by hospital
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.
$62.66 with Sentara Health Plan vs $180.72 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 | $62.66 | — |
| Humana | Medicare Managed Care Plan | $63.28 | — |
| Bcbs | Anthem Medicare Managed Care Plan | $64.35 | — |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $64.51 | — |
| Bcbs | Anthem Exchange | $162.46 | — |
| Bcbs | Anthem Hmo | $173.80 | — |
| Bcbs | Anthem Ppo | $180.72 | — |
Visitor-reported prices
Comments
Inj. herceptin hylecta, 10mg at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harbour View Medical Center | Suffolk | $18,373.70 | not published |
| Russell County Hospital | LEBANON | $5,181.21 | $61.07 – $5,469.82 |
| Maryview Hospital | Portsmouth | $18,373.70 | not published |
| Mary Immaculate Hospital | Newport News | $19,355.50 | not published |
| Richmond Community Hospital | Richmond | $20,561.71 | not published |
| Memorial Regional Hospital | Mechanicsville | $27,209.90 | not published |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $53.48 – $161.84 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $62.66 – $64.51 |