Calculi urinary-sendout at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$122.00
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.
$244.00
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.
$12.87 with aetna vs $190.32 with kaiser — 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 |
|---|---|---|---|
| aetna | medicare advantage | $12.87 | ↓ -89% |
| united | medicare advantage | $12.87 | ↓ -89% |
| united | options | $12.87 | ↓ -89% |
| united | nonoptions | $12.87 | ↓ -89% |
| united | exchange | $12.87 | ↓ -89% |
| anthem | hmo | $12.87 | ↓ -89% |
| anthem | medicare advantage | $12.87 | ↓ -89% |
| anthem | exchange hmo | $12.87 | ↓ -89% |
| anthem | ppo | $12.87 | ↓ -89% |
| sentara health | medicare advantage | $13.13 | ↓ -89% |
| kaiser | medicare advantage | $13.38 | ↓ -89% |
| cigna | medicare advantage | $13.38 | ↓ -89% |
| humana | medicare advantage | $14.16 | ↓ -88% |
| anthem | medicaid advantage | $14.35 | ↓ -88% |
| united | medicaid advantage | $14.64 | ↓ -88% |
| sentara health | medicaid advantage | $14.78 | ↓ -88% |
| humana | medicaid advantage | $14.92 | ↓ -88% |
| aetna | medicaid advantage | $15.07 | ↓ -88% |
| kaiser | medicaid advantage | $15.79 | ↓ -87% |
| sentara health | exchange | $28.43 | ↓ -77% |
| sentara health | hmo | $37.40 | ↓ -69% |
| sentara health | ppo | $37.40 | ↓ -69% |
| cigna | hmo | $52.33 | ↓ -57% |
| cigna | ppo | $52.33 | ↓ -57% |
| cigna | exchange | $52.33 | ↓ -57% |
| carefirst | hmo | $81.49 | ↓ -33% |
| carefirst | ppo | $90.67 | ↓ -26% |
| aetna | ppo | $138.57 | ↑ +14% |
| aetna | hmo | $138.57 | ↑ +14% |
| aetna | fannie-mae | $145.42 | ↑ +19% |
| innovation | fully insured | $153.50 | ↑ +26% |
| innovation | self insured | $153.50 | ↑ +26% |
| kaiser | hmo | $190.32 | ↑ +56% |
| kaiser | ppo | $190.32 | ↑ +56% |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $306.00 | $11.20 – $18.66 |
| Inova Alexandria Hospital | Alexandria | $122.00 | $12.87 – $153.50 |
| Inova Fairfax Hospital | Falls Church | $122.00 | $12.87 – $153.50 |
| Inova Loudoun Hospital | Leesburg | $122.00 | $12.87 – $153.50 |
| Inova Mount Vernon Hospital | Alexandria | $122.00 | $12.87 – $153.50 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $564.00 | $11.20 – $13.77 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $623.00 | $9.88 – $13.77 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $285.00 | $11.20 – $18.66 |