Perq plmt bile duct stent at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$8,325.00
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.
$16,650.00
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 $15,779.20 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 |
|---|---|---|---|
| carefirst | hmo | $943.00 | ↓ -89% |
| carefirst | ppo | $953.00 | ↓ -89% |
| innovation | fully insured | $3,508.00 | ↓ -58% |
| innovation | self insured | $4,227.00 | ↓ -49% |
| aetna | fannie-mae | $5,091.48 | ↓ -39% |
| aetna | medicare advantage | $5,834.36 | ↓ -30% |
| anthem | medicare advantage | $5,834.36 | ↓ -30% |
| united | medicare advantage | $5,834.36 | ↓ -30% |
| sentara health | medicare advantage | $5,951.05 | ↓ -29% |
| aetna | ppo | $5,955.00 | ↓ -28% |
| aetna | hmo | $5,955.00 | ↓ -28% |
| kaiser | medicare advantage | $6,067.73 | ↓ -27% |
| cigna | medicare advantage | $6,067.73 | ↓ -27% |
| humana | medicare advantage | $6,417.80 | ↓ -23% |
| anthem | medicaid advantage | $8,193.58 | ↓ -2% |
| united | medicaid advantage | $8,357.45 | ↑ +0% |
| sentara health | medicaid advantage | $8,439.39 | ↑ +1% |
| humana | medicaid advantage | $8,521.32 | ↑ +2% |
| cigna | exchange | $8,545.00 | ↑ +3% |
| aetna | medicaid advantage | $8,603.26 | ↑ +3% |
| sentara health | exchange | $8,674.84 | ↑ +4% |
| kaiser | medicaid advantage | $9,012.94 | ↑ +8% |
| cigna | hmo | $11,070.00 | ↑ +33% |
| cigna | ppo | $11,070.00 | ↑ +33% |
| sentara health | ppo | $11,413.16 | ↑ +37% |
| sentara health | hmo | $11,413.16 | ↑ +37% |
| united | exchange | $11,502.40 | ↑ +38% |
| united | options | $12,949.16 | ↑ +56% |
| united | nonoptions | $12,949.16 | ↑ +56% |
| kaiser | ppo | $12,987.00 | ↑ +56% |
| kaiser | hmo | $12,987.00 | ↑ +56% |
| anthem | exchange hmo | $13,689.35 | ↑ +64% |
| anthem | hmo | $15,779.20 | ↑ +90% |
| anthem | ppo | $15,779.20 | ↑ +90% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $8,325.00 | $943.00 – $6,417.80 |
| Inova Fairfax Hospital | Falls Church | $8,325.00 | $943.00 – $6,417.80 |
| Inova Loudoun Hospital | Leesburg | $8,325.00 | $943.00 – $6,417.80 |
| Inova Mount Vernon Hospital | Alexandria | $8,325.00 | $943.00 – $6,417.80 |
| Johnston Memorial Hospital | ABINGDON | $2,173.20 | $4,458.16 – $12,858.79 |
| Russell County Hospital | LEBANON | $2,173.20 | $5,898.53 – $12,858.79 |
| Sentara Martha Jefferson Hospital | Charlottesville | $7,433.50 | $3,304.00 – $13,397.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $7,868.50 | $778.00 – $6,193.46 |