Ghs intermed repair over 30 cm - 12037 at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$6,083.00
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.
$12,166.00
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.
$563.84 with anthem vs $9,489.48 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 |
|---|---|---|---|
| anthem | medicaid advantage | $563.84 | ↓ -91% |
| united | medicaid advantage | $575.12 | ↓ -91% |
| sentara health | medicaid advantage | $580.76 | ↓ -90% |
| humana | medicaid advantage | $586.39 | ↓ -90% |
| aetna | medicaid advantage | $592.03 | ↓ -90% |
| kaiser | medicaid advantage | $620.22 | ↓ -90% |
| aetna | medicare advantage | $1,829.23 | ↓ -70% |
| united | medicare advantage | $1,829.23 | ↓ -70% |
| anthem | medicare advantage | $1,829.23 | ↓ -70% |
| sentara health | medicare advantage | $1,865.81 | ↓ -69% |
| cigna | medicare advantage | $1,902.40 | ↓ -69% |
| kaiser | medicare advantage | $1,902.40 | ↓ -69% |
| humana | medicare advantage | $2,012.15 | ↓ -67% |
| innovation | fully insured | $2,149.00 | ↓ -65% |
| united | exchange | $2,538.64 | ↓ -58% |
| innovation | self insured | $2,589.00 | ↓ -57% |
| cigna | exchange | $2,763.00 | ↓ -55% |
| united | nonoptions | $2,857.22 | ↓ -53% |
| united | options | $2,857.22 | ↓ -53% |
| aetna | fannie-mae | $3,116.15 | ↓ -49% |
| cigna | ppo | $3,580.00 | ↓ -41% |
| cigna | hmo | $3,580.00 | ↓ -41% |
| aetna | ppo | $3,645.00 | ↓ -40% |
| aetna | hmo | $3,645.00 | ↓ -40% |
| sentara health | exchange | $3,855.49 | ↓ -37% |
| anthem | exchange hmo | $4,291.98 | ↓ -29% |
| anthem | hmo | $4,947.20 | ↓ -19% |
| anthem | ppo | $4,947.20 | ↓ -19% |
| sentara health | hmo | $5,072.52 | ↓ -17% |
| sentara health | ppo | $5,072.52 | ↓ -17% |
| carefirst | hmo | $5,515.00 | ↓ -9% |
| carefirst | ppo | $5,568.00 | ↓ -8% |
| kaiser | hmo | $9,489.48 | ↑ +56% |
| kaiser | ppo | $9,489.48 | ↑ +56% |
Visitor-reported prices
Comments
Ghs intermed repair over 30 cm - 12037 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $6,083.00 | $563.84 – $5,515.00 |
| Inova Fairfax Hospital | Falls Church | $6,083.00 | $563.84 – $5,515.00 |
| Inova Loudoun Hospital | Leesburg | $6,083.00 | $563.84 – $5,515.00 |
| Inova Mount Vernon Hospital | Alexandria | $6,083.00 | $563.84 – $5,515.00 |
| Johnston Memorial Hospital | ABINGDON | $136.50 | $314.56 – $4,388.58 |
| Russell County Hospital | LEBANON | $136.50 | $314.56 – $4,388.58 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,895.50 | $1,571.00 – $3,276.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,098.00 | $2,053.37 – $4,039.00 |