Breast reconstruction 19357 at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
not published by hospital
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.
not published by hospital
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.
$3,469.00 with innovation vs $47,054.32 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 →
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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 |
|---|---|---|---|
| innovation | fully insured | $3,469.00 | — |
| innovation | self insured | $4,185.00 | — |
| aetna | fannie-mae | $5,040.27 | — |
| cigna | exchange | $5,168.00 | — |
| aetna | ppo | $5,895.00 | — |
| aetna | hmo | $5,895.00 | — |
| cigna | hmo | $6,696.00 | — |
| cigna | ppo | $6,696.00 | — |
| sentara health | exchange | $8,674.84 | — |
| anthem | medicaid advantage | $10,736.02 | — |
| united | medicaid advantage | $10,950.74 | — |
| sentara health | medicaid advantage | $11,058.10 | — |
| humana | medicaid advantage | $11,165.46 | — |
| aetna | medicaid advantage | $11,272.82 | — |
| sentara health | ppo | $11,413.16 | — |
| sentara health | hmo | $11,413.16 | — |
| united | exchange | $11,502.40 | — |
| kaiser | medicaid advantage | $11,809.62 | — |
| united | options | $12,949.16 | — |
| united | nonoptions | $12,949.16 | — |
| aetna | medicare advantage | $17,398.35 | — |
| anthem | medicare advantage | $17,398.35 | — |
| united | medicare advantage | $17,398.35 | — |
| sentara health | medicare advantage | $17,746.32 | — |
| carefirst | hmo | $18,086.00 | — |
| cigna | medicare advantage | $18,094.28 | — |
| kaiser | medicare advantage | $18,094.28 | — |
| carefirst | ppo | $18,261.00 | — |
| humana | medicare advantage | $19,138.19 | — |
| anthem | exchange hmo | $40,822.30 | — |
| anthem | ppo | $47,054.32 | — |
| anthem | hmo | $47,054.32 | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Mary's Hospital | Richmond | $63,128.27 | $13,826.01 – $14,102.53 |
| Mary Immaculate Hospital | Newport News | $46,318.36 | $13,445.87 – $13,714.78 |
| Inova Alexandria Hospital | Alexandria | not published | $3,469.00 – $18,086.00 |
| Inova Fairfax Hospital | Falls Church | not published | $3,469.00 – $18,086.00 |
| Inova Loudoun Hospital | Leesburg | not published | $3,469.00 – $18,086.00 |
| Inova Mount Vernon Hospital | Alexandria | not published | $3,469.00 – $18,086.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $4,007.00 – $14,084.54 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $5,607.00 – $19,258.00 |