Perq nl/pl lithotrp cplx>2cm at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$33,517.00
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.
$67,034.00
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.
$3,469.00 with innovation vs $26,143.26 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 |
|---|---|---|---|
| innovation | fully insured | $3,469.00 | ↓ -90% |
| innovation | self insured | $4,185.00 | ↓ -88% |
| aetna | fannie-mae | $5,040.27 | ↓ -85% |
| aetna | ppo | $5,895.00 | ↓ -82% |
| aetna | hmo | $5,895.00 | ↓ -82% |
| sentara health | exchange | $7,229.04 | ↓ -78% |
| aetna | medicare advantage | $9,247.15 | ↓ -72% |
| united | medicare advantage | $9,247.15 | ↓ -72% |
| anthem | medicare advantage | $9,247.15 | ↓ -72% |
| sentara health | medicare advantage | $9,432.09 | ↓ -72% |
| sentara health | ppo | $9,510.97 | ↓ -72% |
| sentara health | hmo | $9,510.97 | ↓ -72% |
| cigna | medicare advantage | $9,617.04 | ↓ -71% |
| kaiser | medicare advantage | $9,617.04 | ↓ -71% |
| united | exchange | $9,971.52 | ↓ -70% |
| anthem | medicaid advantage | $10,040.27 | ↓ -70% |
| humana | medicare advantage | $10,171.87 | ↓ -70% |
| united | medicaid advantage | $10,241.08 | ↓ -69% |
| sentara health | medicaid advantage | $10,341.48 | ↓ -69% |
| humana | medicaid advantage | $10,441.88 | ↓ -69% |
| aetna | medicaid advantage | $10,542.28 | ↓ -69% |
| kaiser | medicaid advantage | $11,044.30 | ↓ -67% |
| united | options | $11,224.94 | ↓ -67% |
| united | nonoptions | $11,224.94 | ↓ -67% |
| cigna | exchange | $15,317.27 | ↓ -54% |
| carefirst | hmo | $16,441.00 | ↓ -51% |
| carefirst | ppo | $16,600.00 | ↓ -50% |
| cigna | ppo | $21,645.28 | ↓ -35% |
| cigna | hmo | $21,645.28 | ↓ -35% |
| anthem | exchange hmo | $21,696.87 | ↓ -35% |
| anthem | ppo | $25,009.16 | ↓ -25% |
| anthem | hmo | $25,009.16 | ↓ -25% |
| kaiser | hmo | $26,143.26 | ↓ -22% |
| kaiser | ppo | $26,143.26 | ↓ -22% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $33,517.00 | $3,469.00 – $16,441.00 |
| Inova Fairfax Hospital | Falls Church | $33,517.00 | $3,469.00 – $16,441.00 |
| Inova Loudoun Hospital | Leesburg | $33,517.00 | $3,469.00 – $16,441.00 |
| Inova Mount Vernon Hospital | Alexandria | $33,517.00 | $3,469.00 – $16,441.00 |
| Maryview Hospital | Portsmouth | $56,031.68 | $9,236.28 – $9,421.01 |
| Mary Immaculate Hospital | Newport News | $32,611.30 | $9,236.28 – $9,421.01 |
| Southside Regional Medical Center | Petersburg | $34,213.66 | $9,236.28 – $9,421.01 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $4,007.00 – $10,995.00 |