Alys cplx sp/pn npgt w/prgrm at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$437.50
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.
$875.00
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.
$91.79 with anthem vs $817.00 with united — 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 |
|---|---|---|---|
| anthem | medicare advantage | $91.79 | ↓ -79% |
| united | medicare advantage | $91.79 | ↓ -79% |
| aetna | medicare advantage | $91.79 | ↓ -79% |
| sentara health | medicare advantage | $93.63 | ↓ -79% |
| kaiser | medicare advantage | $95.46 | ↓ -78% |
| cigna | medicare advantage | $95.46 | ↓ -78% |
| humana | medicare advantage | $100.97 | ↓ -77% |
| anthem | medicaid advantage | $198.30 | ↓ -55% |
| united | medicaid advantage | $202.27 | ↓ -54% |
| sentara health | medicaid advantage | $204.25 | ↓ -53% |
| humana | medicaid advantage | $206.23 | ↓ -53% |
| aetna | medicaid advantage | $208.22 | ↓ -52% |
| anthem | exchange hmo | $215.37 | ↓ -51% |
| kaiser | medicaid advantage | $218.13 | ↓ -50% |
| anthem | hmo | $248.25 | ↓ -43% |
| anthem | ppo | $248.25 | ↓ -43% |
| carefirst | hmo | $283.80 | ↓ -35% |
| carefirst | ppo | $298.65 | ↓ -32% |
| cigna | exchange | $390.08 | ↓ -11% |
| sentara health | exchange | $493.58 | ↑ +13% |
| aetna | ppo | $496.91 | ↑ +14% |
| aetna | hmo | $496.91 | ↑ +14% |
| aetna | fannie-mae | $521.50 | ↑ +19% |
| innovation | fully insured | $550.46 | ↑ +26% |
| innovation | self insured | $550.46 | ↑ +26% |
| cigna | hmo | $565.08 | ↑ +29% |
| cigna | ppo | $565.08 | ↑ +29% |
| united | exchange | $637.00 | ↑ +46% |
| sentara health | ppo | $649.38 | ↑ +48% |
| sentara health | hmo | $649.38 | ↑ +48% |
| kaiser | hmo | $682.50 | ↑ +56% |
| kaiser | ppo | $682.50 | ↑ +56% |
| united | nonoptions | $817.00 | ↑ +87% |
| united | options | $817.00 | ↑ +87% |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $437.50 | $91.79 – $550.46 |
| Inova Fairfax Hospital | Falls Church | $437.50 | $91.79 – $550.46 |
| Inova Loudoun Hospital | Leesburg | $437.50 | $91.79 – $550.46 |
| Inova Mount Vernon Hospital | Alexandria | $437.50 | $91.79 – $550.46 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $292.88 – $292.88 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $292.88 – $292.88 |