Revasc intra lithotrip-stent at Inova Fair Oaks Hospital

3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 12, 2026

$18,060.00

Cash price

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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.

$36,120.00

Gross charge

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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.

$3,689.00 with innovation vs $48,564.44 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 →

Payer
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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
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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 $3,689.00 ↓ -80%
innovation self insured $4,448.00 ↓ -75%
aetna fannie-mae $5,360.06 ↓ -70%
aetna hmo $6,269.00 ↓ -65%
aetna ppo $6,269.00 ↓ -65%
cigna exchange $8,122.00 ↓ -55%
anthem medicaid advantage $9,454.30 ↓ -48%
united medicaid advantage $9,643.39 ↓ -47%
sentara health medicaid advantage $9,737.93 ↓ -46%
humana medicaid advantage $9,832.47 ↓ -46%
aetna medicaid advantage $9,927.02 ↓ -45%
kaiser medicaid advantage $10,399.73 ↓ -42%
cigna ppo $10,523.00 ↓ -42%
cigna hmo $10,523.00 ↓ -42%
carefirst hmo $11,913.00 ↓ -34%
carefirst ppo $12,029.00 ↓ -33%
sentara health exchange $15,261.30 ↓ -15%
anthem medicare advantage $17,956.72 ↓ -1%
aetna medicare advantage $17,956.72 ↓ -1%
united medicare advantage $17,956.72 ↓ -1%
sentara health medicare advantage $18,315.85 ↑ +1%
cigna medicare advantage $18,674.99 ↑ +3%
kaiser medicare advantage $18,674.99 ↑ +3%
humana medicare advantage $19,752.39 ↑ +9%
sentara health ppo $20,078.71 ↑ +11%
sentara health hmo $20,078.71 ↑ +11%
united exchange $24,622.00 ↑ +36%
united options $27,718.33 ↑ +53%
united nonoptions $27,718.33 ↑ +53%
kaiser ppo $28,173.60 ↑ +56%
kaiser hmo $28,173.60 ↑ +56%
anthem exchange hmo $42,132.41 ↑ +133%
anthem hmo $48,564.44 ↑ +169%
anthem ppo $48,564.44 ↑ +169%

Visitor-reported prices

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Revasc intra lithotrip-stent at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $18,060.00 $3,689.00 – $11,913.00
Inova Fairfax Hospital Falls Church $18,060.00 $3,689.00 – $11,913.00
Inova Loudoun Hospital Leesburg $18,060.00 $3,689.00 – $11,913.00
Inova Mount Vernon Hospital Alexandria $18,060.00 $3,689.00 – $11,913.00
Johnston Memorial Hospital ABINGDON $8,623.20 $8,354.86 – $38,991.26
Russell County Hospital LEBANON $8,623.20 $8,354.96 – $38,991.26
Sentara Martha Jefferson Hospital Charlottesville $13,166.50 $3,338.00 – $29,725.00
Sentara Northern Virginia Medical Center Woodbridge $14,755.00 $3,988.00 – $18,735.48

All Virginia hospitals for this procedure →