Repair lip full thkns >one-half vert height/cmplx at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$1,856.50
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.
$3,713.00
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.
$1,481.28 with united vs $5,955.00 with aetna — 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 |
|---|---|---|---|
| united | medicare advantage | $1,481.28 | ↓ -20% |
| aetna | medicare advantage | $1,481.28 | ↓ -20% |
| anthem | medicare advantage | $1,481.28 | ↓ -20% |
| sentara health | medicare advantage | $1,510.91 | ↓ -19% |
| cigna | medicare advantage | $1,540.53 | ↓ -17% |
| kaiser | medicare advantage | $1,540.53 | ↓ -17% |
| humana | medicare advantage | $1,629.41 | ↓ -12% |
| sentara health | exchange | $1,847.42 | ↓ -0% |
| anthem | medicaid advantage | $2,047.61 | ↑ +10% |
| united | medicaid advantage | $2,088.56 | ↑ +12% |
| sentara health | medicaid advantage | $2,109.04 | ↑ +14% |
| humana | medicaid advantage | $2,129.51 | ↑ +15% |
| aetna | medicaid advantage | $2,149.99 | ↑ +16% |
| kaiser | medicaid advantage | $2,252.37 | ↑ +21% |
| sentara health | ppo | $2,430.58 | ↑ +31% |
| sentara health | hmo | $2,430.58 | ↑ +31% |
| carefirst | hmo | $2,485.00 | ↑ +34% |
| carefirst | ppo | $2,510.00 | ↑ +35% |
| united | exchange | $2,538.64 | ↑ +37% |
| united | nonoptions | $2,857.22 | ↑ +54% |
| united | options | $2,857.22 | ↑ +54% |
| kaiser | ppo | $2,896.14 | ↑ +56% |
| kaiser | hmo | $2,896.14 | ↑ +56% |
| anthem | exchange hmo | $3,475.58 | ↑ +87% |
| innovation | fully insured | $3,508.00 | ↑ +89% |
| anthem | hmo | $4,006.17 | ↑ +116% |
| anthem | ppo | $4,006.17 | ↑ +116% |
| innovation | self insured | $4,227.00 | ↑ +128% |
| cigna | exchange | $4,391.00 | ↑ +137% |
| aetna | fannie-mae | $5,091.48 | ↑ +174% |
| cigna | hmo | $5,689.00 | ↑ +206% |
| cigna | ppo | $5,689.00 | ↑ +206% |
| aetna | hmo | $5,955.00 | ↑ +221% |
| aetna | ppo | $5,955.00 | ↑ +221% |
Visitor-reported prices
Comments
Repair lip full thkns >one-half vert height/cmplx at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,856.50 | $1,481.28 – $3,508.00 |
| Inova Fairfax Hospital | Falls Church | $1,856.50 | $1,481.28 – $3,508.00 |
| Inova Loudoun Hospital | Leesburg | $1,856.50 | $1,481.28 – $3,508.00 |
| Inova Mount Vernon Hospital | Alexandria | $1,856.50 | $1,481.28 – $3,508.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,249.50 | $1,544.13 – $3,895.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,781.50 | $1,544.13 – $3,988.00 |
| Sentara Halifax Regional Hospital | South Boston | $2,328.00 | not published |
| Sentara Leigh Hospital | Norfolk | $1,781.50 | $1,544.13 – $5,220.00 |