Fem/popl revasc w/stent 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.
$3,689.00 with innovation vs $30,670.87 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 | $3,689.00 | — |
| innovation | self insured | $4,448.00 | — |
| aetna | fannie-mae | $5,360.06 | — |
| aetna | hmo | $6,269.00 | — |
| aetna | ppo | $6,269.00 | — |
| carefirst | hmo | $9,927.00 | — |
| carefirst | ppo | $10,024.00 | — |
| anthem | medicare advantage | $11,340.57 | — |
| united | medicare advantage | $11,340.57 | — |
| aetna | medicare advantage | $11,340.57 | — |
| sentara health | medicare advantage | $11,567.38 | — |
| cigna | medicare advantage | $11,794.19 | — |
| kaiser | medicare advantage | $11,794.19 | — |
| humana | medicare advantage | $12,474.63 | — |
| sentara health | exchange | $15,261.30 | — |
| anthem | medicaid advantage | $15,805.57 | — |
| united | medicaid advantage | $16,121.68 | — |
| sentara health | medicaid advantage | $16,279.74 | — |
| humana | medicaid advantage | $16,437.79 | — |
| aetna | medicaid advantage | $16,595.85 | — |
| kaiser | medicaid advantage | $17,386.13 | — |
| sentara health | hmo | $20,078.71 | — |
| sentara health | ppo | $20,078.71 | — |
| united | exchange | $24,622.00 | — |
| anthem | exchange hmo | $26,608.73 | — |
| united | nonoptions | $27,718.33 | — |
| united | options | $27,718.33 | — |
| anthem | hmo | $30,670.87 | — |
| anthem | ppo | $30,670.87 | — |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $4,121.25 | $8,511.85 – $14,665.92 |
| Russell County Hospital | LEBANON | $4,121.25 | $8,511.85 – $14,666.10 |
| Sentara Martha Jefferson Hospital | Charlottesville | $17,271.50 | $3,338.00 – $29,725.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $16,843.00 | $3,988.00 – $12,301.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $4,121.25 | $8,511.85 – $14,665.92 |
| Smyth County Community Hospital | MARION | $4,121.25 | $8,511.85 – $14,526.24 |
| Sentara Halifax Regional Hospital | South Boston | $19,983.00 | not published |
| Sentara Leigh Hospital | Norfolk | $16,843.00 | $5,220.00 – $31,497.00 |