Rmvl icd gen w/rplc icd gen mlt lead sys at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$34,798.50
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.
$69,597.00
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.
$3,508.00 with innovation vs $116,597.00 with united — 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 | $3,508.00 | ↓ -90% |
| innovation | self insured | $4,227.00 | ↓ -88% |
| aetna | fannie-mae | $5,091.48 | ↓ -85% |
| aetna | hmo | $5,955.00 | ↓ -83% |
| aetna | ppo | $5,955.00 | ↓ -83% |
| carefirst | hmo | $11,913.00 | ↓ -66% |
| carefirst | ppo | $12,029.00 | ↓ -65% |
| sentara health | exchange | $30,522.60 | ↓ -12% |
| anthem | medicare advantage | $32,061.58 | ↓ -8% |
| aetna | medicare advantage | $32,061.58 | ↓ -8% |
| united | medicare advantage | $32,061.58 | ↓ -8% |
| anthem | medicaid advantage | $32,251.00 | ↓ -7% |
| sentara health | medicare advantage | $32,702.81 | ↓ -6% |
| united | medicaid advantage | $32,896.02 | ↓ -5% |
| sentara health | medicaid advantage | $33,218.53 | ↓ -5% |
| kaiser | medicare advantage | $33,344.04 | ↓ -4% |
| cigna | medicare advantage | $33,344.04 | ↓ -4% |
| humana | medicaid advantage | $33,541.04 | ↓ -4% |
| aetna | medicaid advantage | $33,863.55 | ↓ -3% |
| humana | medicare advantage | $35,267.74 | ↑ +1% |
| kaiser | medicaid advantage | $35,476.10 | ↑ +2% |
| cigna | exchange | $37,155.00 | ↑ +7% |
| sentara health | ppo | $40,157.42 | ↑ +15% |
| sentara health | hmo | $40,157.42 | ↑ +15% |
| cigna | hmo | $48,137.00 | ↑ +38% |
| cigna | ppo | $48,137.00 | ↑ +38% |
| kaiser | ppo | $54,285.66 | ↑ +56% |
| kaiser | hmo | $54,285.66 | ↑ +56% |
| anthem | exchange hmo | $75,227.08 | ↑ +116% |
| anthem | ppo | $86,711.42 | ↑ +149% |
| anthem | hmo | $86,711.42 | ↑ +149% |
| united | exchange | $102,576.00 | ↑ +195% |
| united | nonoptions | $116,597.00 | ↑ +235% |
| united | options | $116,597.00 | ↑ +235% |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen mlt lead sys at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $34,798.50 | $3,508.00 – $33,541.04 |
| Inova Fairfax Hospital | Falls Church | $34,798.50 | $3,508.00 – $33,541.04 |
| Inova Loudoun Hospital | Leesburg | $34,798.50 | $3,508.00 – $33,541.04 |
| Inova Mount Vernon Hospital | Alexandria | $34,798.50 | $3,508.00 – $33,541.04 |
| Johnston Memorial Hospital | ABINGDON | $12,081.60 | $28,500.53 – $66,763.89 |
| Russell County Hospital | LEBANON | $12,081.60 | $28,500.86 – $66,763.89 |
| Sentara Martha Jefferson Hospital | Charlottesville | $49,527.50 | $3,304.00 – $32,080.35 |
| Sentara Northern Virginia Medical Center | Woodbridge | $20,539.50 | $3,988.00 – $32,156.92 |