Bx perianal mass at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$750.50
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.
$1,501.00
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.
$685.96 with cigna vs $4,455.00 with carefirst — 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 |
|---|---|---|---|
| cigna | exchange | $685.96 | ↓ -9% |
| aetna | medicare advantage | $911.71 | ↑ +21% |
| united | medicare advantage | $911.71 | ↑ +21% |
| anthem | medicare advantage | $911.71 | ↑ +21% |
| sentara health | medicare advantage | $929.94 | ↑ +24% |
| cigna | medicare advantage | $948.18 | ↑ +26% |
| kaiser | medicare advantage | $948.18 | ↑ +26% |
| cigna | ppo | $969.35 | ↑ +29% |
| cigna | hmo | $969.35 | ↑ +29% |
| humana | medicare advantage | $1,002.88 | ↑ +34% |
| kaiser | hmo | $1,170.78 | ↑ +56% |
| kaiser | ppo | $1,170.78 | ↑ +56% |
| sentara health | exchange | $1,285.16 | ↑ +71% |
| innovation | fully insured | $1,509.00 | ↑ +101% |
| sentara health | ppo | $1,690.84 | ↑ +125% |
| sentara health | hmo | $1,690.84 | ↑ +125% |
| united | exchange | $1,719.12 | ↑ +129% |
| innovation | self insured | $1,822.00 | ↑ +143% |
| united | options | $1,935.37 | ↑ +158% |
| united | nonoptions | $1,935.37 | ↑ +158% |
| anthem | medicaid advantage | $2,117.94 | ↑ +182% |
| anthem | exchange hmo | $2,139.17 | ↑ +185% |
| united | medicaid advantage | $2,160.30 | ↑ +188% |
| sentara health | medicaid advantage | $2,181.48 | ↑ +191% |
| aetna | fannie-mae | $2,190.02 | ↑ +192% |
| humana | medicaid advantage | $2,202.66 | ↑ +193% |
| aetna | medicaid advantage | $2,223.84 | ↑ +196% |
| kaiser | medicaid advantage | $2,329.73 | ↑ +210% |
| anthem | hmo | $2,465.74 | ↑ +229% |
| anthem | ppo | $2,465.74 | ↑ +229% |
| aetna | ppo | $2,561.00 | ↑ +241% |
| aetna | hmo | $2,561.00 | ↑ +241% |
| carefirst | hmo | $4,413.00 | ↑ +488% |
| carefirst | ppo | $4,455.00 | ↑ +494% |
Visitor-reported prices
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Bx perianal mass at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $750.50 | $685.96 – $4,413.00 |
| Inova Fairfax Hospital | Falls Church | $750.50 | $685.96 – $4,413.00 |
| Inova Loudoun Hospital | Leesburg | $750.50 | $685.96 – $4,413.00 |
| Inova Mount Vernon Hospital | Alexandria | $750.50 | $685.96 – $4,413.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,311.00 | $925.49 – $1,547.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,804.50 | $925.49 – $3,988.00 |
| Sentara Halifax Regional Hospital | South Boston | $2,195.50 | $932.82 – $960.25 |
| Sentara Leigh Hospital | Norfolk | $1,804.50 | $925.49 – $5,220.00 |