healthcosts.net
New Patient Office Visit (level 5) at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$401.50
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.
$803.00
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.
$357.98 with cigna vs $626.34 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 |
|---|---|---|---|
| cigna | exchange | $357.98 | ↓ -11% |
| carefirst | hmo | $441.65 | ↑ +10% |
| united | exchange | $449.87 | ↑ +12% |
| sentara health | exchange | $452.96 | ↑ +13% |
| aetna | hmo | $456.02 | ↑ +14% |
| aetna | ppo | $456.02 | ↑ +14% |
| carefirst | ppo | $465.74 | ↑ +16% |
| aetna | fannie-mae | $478.59 | ↑ +19% |
| innovation | fully insured | $505.17 | ↑ +26% |
| innovation | self insured | $505.17 | ↑ +26% |
| cigna | hmo | $518.58 | ↑ +29% |
| cigna | ppo | $518.58 | ↑ +29% |
| united | nonoptions | $551.71 | ↑ +37% |
| united | options | $551.71 | ↑ +37% |
| sentara health | hmo | $595.95 | ↑ +48% |
| sentara health | ppo | $595.95 | ↑ +48% |
| kaiser | hmo | $626.34 | ↑ +56% |
| kaiser | ppo | $626.34 | ↑ +56% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $401.50 | $357.98 – $626.34 |
| Inova Fairfax Hospital | Falls Church | $401.50 | $357.98 – $626.34 |
| Inova Loudoun Hospital | Leesburg | $401.50 | $357.98 – $626.34 |
| Inova Mount Vernon Hospital | Alexandria | $401.50 | $357.98 – $626.34 |