Transcath biopsy at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$3,144.50
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.
$6,289.00
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.
$2,067.00 with cigna vs $14,619.87 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 |
|---|---|---|---|
| cigna | exchange | $2,067.00 | ↓ -34% |
| cigna | hmo | $2,678.00 | ↓ -15% |
| cigna | ppo | $2,678.00 | ↓ -15% |
| innovation | fully insured | $3,689.00 | ↑ +17% |
| innovation | self insured | $4,448.00 | ↑ +41% |
| kaiser | ppo | $4,905.42 | ↑ +56% |
| kaiser | hmo | $4,905.42 | ↑ +56% |
| aetna | fannie-mae | $5,360.06 | ↑ +70% |
| united | medicare advantage | $5,405.70 | ↑ +72% |
| anthem | medicare advantage | $5,405.70 | ↑ +72% |
| aetna | medicare advantage | $5,405.70 | ↑ +72% |
| sentara health | medicare advantage | $5,513.81 | ↑ +75% |
| anthem | medicaid advantage | $5,519.42 | ↑ +76% |
| cigna | medicare advantage | $5,621.93 | ↑ +79% |
| kaiser | medicare advantage | $5,621.93 | ↑ +79% |
| united | medicaid advantage | $5,629.81 | ↑ +79% |
| sentara health | medicaid advantage | $5,685.00 | ↑ +81% |
| humana | medicaid advantage | $5,740.20 | ↑ +83% |
| aetna | medicaid advantage | $5,795.39 | ↑ +84% |
| humana | medicare advantage | $5,946.27 | ↑ +89% |
| kaiser | medicaid advantage | $6,071.36 | ↑ +93% |
| aetna | hmo | $6,269.00 | ↑ +99% |
| aetna | ppo | $6,269.00 | ↑ +99% |
| carefirst | hmo | $8,272.00 | ↑ +163% |
| carefirst | ppo | $8,352.00 | ↑ +166% |
| sentara health | exchange | $8,674.84 | ↑ +176% |
| sentara health | ppo | $11,413.16 | ↑ +263% |
| sentara health | hmo | $11,413.16 | ↑ +263% |
| united | exchange | $11,502.40 | ↑ +266% |
| anthem | exchange hmo | $12,683.56 | ↑ +303% |
| united | options | $12,949.16 | ↑ +312% |
| united | nonoptions | $12,949.16 | ↑ +312% |
| anthem | ppo | $14,619.87 | ↑ +365% |
| anthem | hmo | $14,619.87 | ↑ +365% |
Visitor-reported prices
Comments
Transcath biopsy at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,144.50 | $2,067.00 – $8,272.00 |
| Inova Fairfax Hospital | Falls Church | $3,144.50 | $2,067.00 – $8,272.00 |
| Inova Loudoun Hospital | Leesburg | $3,144.50 | $2,067.00 – $8,272.00 |
| Inova Mount Vernon Hospital | Alexandria | $3,144.50 | $2,067.00 – $8,272.00 |
| Johnston Memorial Hospital | ABINGDON | $1,384.20 | $4,235.96 – $11,835.62 |
| Russell County Hospital | LEBANON | $1,384.20 | $4,877.62 – $11,835.62 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,277.00 | $1,010.00 – $13,397.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,166.00 | $2,603.00 – $6,310.00 |