Bone marrow biopsyneedle/trocar 38221 at Inova Fair Oaks Hospital

3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 12, 2026

$2,503.00

Cash price

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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.

$5,006.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1,285.16 with sentara health vs $4,381.97 with anthem — 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 →

Payer
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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
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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 exchange $1,285.16 ↓ -49%
innovation fully insured $1,509.00 ↓ -40%
aetna medicare advantage $1,620.24 ↓ -35%
anthem medicare advantage $1,620.24 ↓ -35%
united medicare advantage $1,620.24 ↓ -35%
sentara health medicare advantage $1,652.64 ↓ -34%
kaiser medicare advantage $1,685.05 ↓ -33%
cigna medicare advantage $1,685.05 ↓ -33%
sentara health ppo $1,690.84 ↓ -32%
sentara health hmo $1,690.84 ↓ -32%
united exchange $1,719.12 ↓ -31%
humana medicare advantage $1,782.26 ↓ -29%
innovation self insured $1,822.00 ↓ -27%
united nonoptions $1,935.37 ↓ -23%
united options $1,935.37 ↓ -23%
kaiser ppo $1,952.34 ↓ -22%
kaiser hmo $1,952.34 ↓ -22%
cigna exchange $2,067.00 ↓ -17%
aetna fannie-mae $2,190.02 ↓ -13%
aetna hmo $2,561.00 ↑ +2%
aetna ppo $2,561.00 ↑ +2%
cigna ppo $2,678.00 ↑ +7%
cigna hmo $2,678.00 ↑ +7%
anthem medicaid advantage $2,704.95 ↑ +8%
united medicaid advantage $2,759.05 ↑ +10%
sentara health medicaid advantage $2,786.10 ↑ +11%
humana medicaid advantage $2,813.15 ↑ +12%
aetna medicaid advantage $2,840.20 ↑ +13%
kaiser medicaid advantage $2,975.45 ↑ +19%
carefirst hmo $3,529.00 ↑ +41%
carefirst ppo $3,563.00 ↑ +42%
anthem exchange hmo $3,801.61 ↑ +52%
anthem hmo $4,381.97 ↑ +75%
anthem ppo $4,381.97 ↑ +75%

Visitor-reported prices

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Bone marrow biopsyneedle/trocar 38221 at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $2,503.00 $1,285.16 – $3,529.00
Inova Fairfax Hospital Falls Church $2,503.00 $1,285.16 – $3,529.00
Inova Loudoun Hospital Leesburg $2,503.00 $1,285.16 – $3,529.00
Inova Mount Vernon Hospital Alexandria $2,503.00 $1,285.16 – $3,529.00
Johnston Memorial Hospital ABINGDON $554.70 $1,338.86 – $3,512.94
Russell County Hospital LEBANON $554.70 $1,611.44 – $3,512.94
Sentara Martha Jefferson Hospital Charlottesville $1,165.50 $1,010.00 – $1,692.01
Sentara Northern Virginia Medical Center Woodbridge $1,252.50 $1,377.00 – $2,603.00

All Virginia hospitals for this procedure →