MRI without fol w/cont, breast at Sentara Obici Hospital
2800 Godwin Boulevard, Suffolk, VA · Sentara · · NPI 1376540138
$3,552.00
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.
$7,104.00
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.
$347.20 with Sentara Health Plan vs $8,716.76 with Cigna — 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 | $347.20 | ↓ -90% |
| Humana | Medicare Managed Care Plan | $350.60 | ↓ -90% |
| Bcbs | Anthem Medicare Managed Care Plan | $356.56 | ↓ -90% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $357.41 | ↓ -90% |
| Bcbs | Anthem Exchange | $1,237.44 | ↓ -65% |
| Bcbs | Anthem Hmo | $1,323.53 | ↓ -63% |
| Sentara Health Plan | Exchange | $1,351.00 | ↓ -62% |
| Bcbs | Anthem Ppo | $1,378.62 | ↓ -61% |
| Sentara Health Plan | Hmo/Pos | $1,390.00 | ↓ -61% |
| Sentara Health Plan | Ppo | $1,395.00 | ↓ -61% |
| Cigna | Ppo/Pos | $8,716.76 | ↑ +145% |
Visitor-reported prices
Comments
MRI without fol w/cont, breast at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harbour View Medical Center | Suffolk | $4,941.60 | not published |
| Johnston Memorial Hospital | ABINGDON | $668.55 | $340.39 – $742.05 |
| Russell County Hospital | LEBANON | $668.55 | $340.39 – $742.05 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,558.00 | $347.20 – $357.41 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,552.00 | $347.20 – $2,452.76 |
| Lonesome Pine Hospital | BIG STONE GAP | $668.55 | $267.02 – $816.94 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $7,824.00 | $828.27 – $828.27 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $7,214.00 | $828.27 – $828.27 |