Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$956.00
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.
$1,912.00
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.
$295.19 with anthem vs $2,561.00 with aetna — 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 | $295.19 | ↓ -69% |
| aetna | medicare advantage | $295.19 | ↓ -69% |
| united | medicare advantage | $295.19 | ↓ -69% |
| sentara health | medicare advantage | $301.09 | ↓ -69% |
| kaiser | medicare advantage | $307.00 | ↓ -68% |
| cigna | medicare advantage | $307.00 | ↓ -68% |
| humana | medicare advantage | $324.71 | ↓ -66% |
| cigna | exchange | $436.89 | ↓ -54% |
| cigna | ppo | $617.38 | ↓ -35% |
| cigna | hmo | $617.38 | ↓ -35% |
| anthem | medicaid advantage | $642.21 | ↓ -33% |
| united | medicaid advantage | $655.05 | ↓ -31% |
| sentara health | medicaid advantage | $661.48 | ↓ -31% |
| humana | medicaid advantage | $667.90 | ↓ -30% |
| aetna | medicaid advantage | $674.32 | ↓ -29% |
| anthem | exchange hmo | $692.62 | ↓ -28% |
| kaiser | medicaid advantage | $706.43 | ↓ -26% |
| kaiser | ppo | $745.68 | ↓ -22% |
| kaiser | hmo | $745.68 | ↓ -22% |
| anthem | hmo | $798.36 | ↓ -16% |
| anthem | ppo | $798.36 | ↓ -16% |
| sentara health | exchange | $883.55 | ↓ -8% |
| carefirst | hmo | $1,043.00 | ↑ +9% |
| carefirst | ppo | $1,054.00 | ↑ +10% |
| united | exchange | $1,127.36 | ↑ +18% |
| sentara health | ppo | $1,162.45 | ↑ +22% |
| sentara health | hmo | $1,162.45 | ↑ +22% |
| united | options | $1,269.99 | ↑ +33% |
| united | nonoptions | $1,269.99 | ↑ +33% |
| innovation | fully insured | $1,509.00 | ↑ +58% |
| innovation | self insured | $1,822.00 | ↑ +91% |
| aetna | fannie-mae | $2,190.02 | ↑ +129% |
| aetna | ppo | $2,561.00 | ↑ +168% |
| aetna | hmo | $2,561.00 | ↑ +168% |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $956.00 | $295.19 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church | $956.00 | $295.19 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $956.00 | $295.19 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $956.00 | $295.19 – $1,509.00 |
| Johnston Memorial Hospital | ABINGDON | $178.20 | $243.04 – $652.88 |
| Russell County Hospital | LEBANON | $178.20 | $299.49 – $652.88 |
| Sentara Martha Jefferson Hospital | Charlottesville | $647.50 | $305.48 – $2,845.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $459.50 | $305.48 – $3,988.00 |