Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$4,466.50
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.
$8,933.00
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.
$943.00 with carefirst vs $37,133.00 with united — 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 |
|---|---|---|---|
| carefirst | hmo | $943.00 | ↓ -79% |
| carefirst | ppo | $953.00 | ↓ -79% |
| kaiser | hmo | $6,967.74 | ↑ +56% |
| kaiser | ppo | $6,967.74 | ↑ +56% |
| sentara health | exchange | $10,843.55 | ↑ +143% |
| anthem | medicaid advantage | $11,391.44 | ↑ +155% |
| united | medicaid advantage | $11,619.27 | ↑ +160% |
| sentara health | medicaid advantage | $11,733.18 | ↑ +163% |
| humana | medicaid advantage | $11,847.10 | ↑ +165% |
| aetna | medicaid advantage | $11,961.01 | ↑ +168% |
| kaiser | medicaid advantage | $12,530.58 | ↑ +181% |
| innovation | fully insured | $12,868.00 | ↑ +188% |
| sentara health | ppo | $14,266.45 | ↑ +219% |
| sentara health | hmo | $14,266.45 | ↑ +219% |
| aetna | fannie-mae | $14,868.40 | ↑ +233% |
| innovation | self insured | $15,519.00 | ↑ +247% |
| aetna | hmo | $17,390.00 | ↑ +289% |
| aetna | ppo | $17,390.00 | ↑ +289% |
| cigna | exchange | $20,812.00 | ↑ +366% |
| cigna | hmo | $26,963.00 | ↑ +504% |
| cigna | ppo | $26,963.00 | ↑ +504% |
| united | exchange | $32,668.00 | ↑ +631% |
| united | nonoptions | $37,133.00 | ↑ +731% |
| united | options | $37,133.00 | ↑ +731% |
Visitor-reported prices
Comments
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,466.50 | $943.00 – $20,812.00 |
| Inova Fairfax Hospital | Falls Church | $4,466.50 | $943.00 – $20,812.00 |
| Inova Loudoun Hospital | Leesburg | $4,466.50 | $943.00 – $20,812.00 |
| Inova Mount Vernon Hospital | Alexandria | $4,466.50 | $943.00 – $20,812.00 |
| Johnston Memorial Hospital | ABINGDON | $2,714.40 | $445.23 – $10,570.07 |
| Russell County Hospital | LEBANON | $2,714.40 | $445.23 – $10,570.18 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,679.50 | $3,338.00 – $3,338.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $8,029.50 | $778.00 – $19,608.00 |