Biopsy of heart lining at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$3,868.50
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.
$7,737.00
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.
$1,231.97 with carefirst vs $10,523.00 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 |
|---|---|---|---|
| carefirst | hmo | $1,231.97 | ↓ -68% |
| carefirst | ppo | $1,296.43 | ↓ -66% |
| united | medicare advantage | $3,147.50 | ↓ -19% |
| aetna | medicare advantage | $3,147.50 | ↓ -19% |
| anthem | medicare advantage | $3,147.50 | ↓ -19% |
| sentara health | medicare advantage | $3,210.45 | ↓ -17% |
| cigna | medicare advantage | $3,273.40 | ↓ -15% |
| kaiser | medicare advantage | $3,273.40 | ↓ -15% |
| humana | medicare advantage | $3,462.25 | ↓ -11% |
| anthem | medicaid advantage | $3,562.96 | ↓ -8% |
| united | medicaid advantage | $3,634.22 | ↓ -6% |
| sentara health | medicaid advantage | $3,669.85 | ↓ -5% |
| humana | medicaid advantage | $3,705.48 | ↓ -4% |
| aetna | medicaid advantage | $3,741.11 | ↓ -3% |
| kaiser | medicaid advantage | $3,919.26 | ↑ +1% |
| sentara health | exchange | $5,622.58 | ↑ +45% |
| kaiser | ppo | $6,034.86 | ↑ +56% |
| kaiser | hmo | $6,034.86 | ↑ +56% |
| anthem | exchange hmo | $7,385.07 | ↑ +91% |
| sentara health | ppo | $7,397.42 | ↑ +91% |
| sentara health | hmo | $7,397.42 | ↑ +91% |
| united | exchange | $7,764.64 | ↑ +101% |
| cigna | exchange | $8,122.00 | ↑ +110% |
| innovation | fully insured | $8,206.00 | ↑ +112% |
| anthem | ppo | $8,512.49 | ↑ +120% |
| anthem | hmo | $8,512.49 | ↑ +120% |
| aetna | fannie-mae | $8,708.87 | ↑ +125% |
| united | nonoptions | $8,740.58 | ↑ +126% |
| united | options | $8,740.58 | ↑ +126% |
| innovation | self insured | $9,898.00 | ↑ +156% |
| aetna | ppo | $10,186.00 | ↑ +163% |
| aetna | hmo | $10,186.00 | ↑ +163% |
| cigna | hmo | $10,523.00 | ↑ +172% |
| cigna | ppo | $10,523.00 | ↑ +172% |
Visitor-reported prices
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Biopsy of heart lining at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,868.50 | $1,231.97 – $8,206.00 |
| Inova Fairfax Hospital | Falls Church | $3,868.50 | $1,231.97 – $8,206.00 |
| Inova Loudoun Hospital | Leesburg | $3,868.50 | $1,231.97 – $8,206.00 |
| Inova Mount Vernon Hospital | Alexandria | $3,868.50 | $1,231.97 – $8,206.00 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $1,271.36 – $1,271.36 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $1,271.36 – $1,271.36 |