Consultation pathology during surgery frozen section first tissue block at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$136.00
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.
$272.00
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.
$92.73 with sentara health vs $463.46 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 |
|---|---|---|---|
| sentara health | exchange | $92.73 | ↓ -32% |
| sentara health | hmo | $122.00 | ↓ -10% |
| sentara health | ppo | $122.00 | ↓ -10% |
| carefirst | hmo | $134.54 | ↓ -1% |
| anthem | medicaid advantage | $137.85 | ↑ +1% |
| united | medicaid advantage | $140.61 | ↑ +3% |
| sentara health | medicaid advantage | $141.99 | ↑ +4% |
| humana | medicaid advantage | $143.36 | ↑ +5% |
| aetna | medicaid advantage | $144.74 | ↑ +6% |
| carefirst | ppo | $149.69 | ↑ +10% |
| kaiser | medicaid advantage | $151.64 | ↑ +12% |
| united | nonoptions | $152.32 | ↑ +12% |
| united | options | $152.32 | ↑ +12% |
| united | exchange | $152.32 | ↑ +12% |
| aetna | hmo | $154.47 | ↑ +14% |
| aetna | ppo | $154.47 | ↑ +14% |
| aetna | fannie-mae | $162.11 | ↑ +19% |
| cigna | hmo | $169.33 | ↑ +25% |
| cigna | ppo | $169.33 | ↑ +25% |
| cigna | exchange | $169.33 | ↑ +25% |
| innovation | self insured | $171.12 | ↑ +26% |
| innovation | fully insured | $171.12 | ↑ +26% |
| aetna | medicare advantage | $171.36 | ↑ +26% |
| anthem | medicare advantage | $171.36 | ↑ +26% |
| united | medicare advantage | $171.36 | ↑ +26% |
| sentara health | medicare advantage | $174.79 | ↑ +29% |
| kaiser | medicare advantage | $178.21 | ↑ +31% |
| cigna | medicare advantage | $178.21 | ↑ +31% |
| humana | medicare advantage | $188.50 | ↑ +39% |
| kaiser | ppo | $212.16 | ↑ +56% |
| kaiser | hmo | $212.16 | ↑ +56% |
| anthem | exchange hmo | $402.08 | ↑ +196% |
| anthem | ppo | $463.46 | ↑ +241% |
| anthem | hmo | $463.46 | ↑ +241% |
Visitor-reported prices
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Consultation pathology during surgery frozen section first tissue block at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $105.00 | $149.16 – $842.01 |
| Inova Alexandria Hospital | Alexandria | $136.00 | $92.73 – $171.12 |
| Inova Fairfax Hospital | Falls Church | $136.00 | $92.73 – $171.12 |
| Inova Loudoun Hospital | Leesburg | $136.00 | $92.73 – $171.12 |
| Inova Mount Vernon Hospital | Alexandria | $136.00 | $92.73 – $171.12 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $612.00 | $149.16 – $666.89 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $704.00 | $149.16 – $634.53 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $1,898.00 | $149.16 – $639.90 |