Apl(pml-rara) quant - sendout at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$447.50
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.
$895.00
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.
$190.07 with anthem vs $842.20 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 |
|---|---|---|---|
| anthem | medicaid advantage | $190.07 | ↓ -58% |
| united | medicaid advantage | $193.87 | ↓ -57% |
| sentara health | medicaid advantage | $195.77 | ↓ -56% |
| humana | medicaid advantage | $197.67 | ↓ -56% |
| aetna | medicaid advantage | $199.57 | ↓ -55% |
| united | medicare advantage | $207.31 | ↓ -54% |
| united | options | $207.31 | ↓ -54% |
| united | nonoptions | $207.31 | ↓ -54% |
| united | exchange | $207.31 | ↓ -54% |
| aetna | medicare advantage | $207.31 | ↓ -54% |
| anthem | ppo | $207.31 | ↓ -54% |
| anthem | exchange hmo | $207.31 | ↓ -54% |
| anthem | medicare advantage | $207.31 | ↓ -54% |
| anthem | hmo | $207.31 | ↓ -54% |
| kaiser | medicaid advantage | $209.08 | ↓ -53% |
| sentara health | medicare advantage | $211.46 | ↓ -53% |
| kaiser | medicare advantage | $215.60 | ↓ -52% |
| cigna | medicare advantage | $215.60 | ↓ -52% |
| humana | medicare advantage | $228.04 | ↓ -49% |
| carefirst | hmo | $258.80 | ↓ -42% |
| carefirst | ppo | $287.94 | ↓ -36% |
| sentara health | exchange | $457.92 | ↑ +2% |
| aetna | ppo | $508.27 | ↑ +14% |
| aetna | hmo | $508.27 | ↑ +14% |
| aetna | fannie-mae | $533.42 | ↑ +19% |
| innovation | fully insured | $563.04 | ↑ +26% |
| innovation | self insured | $563.04 | ↑ +26% |
| sentara health | hmo | $602.47 | ↑ +35% |
| sentara health | ppo | $602.47 | ↑ +35% |
| kaiser | ppo | $698.10 | ↑ +56% |
| kaiser | hmo | $698.10 | ↑ +56% |
| cigna | hmo | $842.20 | ↑ +88% |
| cigna | exchange | $842.20 | ↑ +88% |
| cigna | ppo | $842.20 | ↑ +88% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $447.50 | $190.07 – $563.04 |
| Inova Fairfax Hospital | Falls Church | $447.50 | $190.07 – $563.04 |
| Inova Loudoun Hospital | Leesburg | $447.50 | $190.07 – $563.04 |
| Inova Mount Vernon Hospital | Alexandria | $447.50 | $190.07 – $563.04 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $363.00 | $207.31 – $221.82 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $259.00 | $207.31 – $300.60 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $1,440.00 | $207.31 – $838.07 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $207.31 – $300.60 |