X-ray exam of tear duct at Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
$219.00
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.
$438.00
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.
$167.33 with anthem vs $653.74 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 |
|---|---|---|---|
| anthem | medicaid advantage | $167.33 | ↓ -24% |
| united | medicaid advantage | $170.68 | ↓ -22% |
| sentara health | medicaid advantage | $172.35 | ↓ -21% |
| humana | medicaid advantage | $174.02 | ↓ -21% |
| aetna | medicaid advantage | $175.70 | ↓ -20% |
| kaiser | medicaid advantage | $184.06 | ↓ -16% |
| carefirst | hmo | $191.10 | ↓ -13% |
| cigna | exchange | $195.26 | ↓ -11% |
| carefirst | ppo | $207.33 | ↓ -5% |
| anthem | medicare advantage | $241.72 | ↑ +10% |
| united | medicare advantage | $241.72 | ↑ +10% |
| aetna | medicare advantage | $241.72 | ↑ +10% |
| sentara health | medicare advantage | $246.55 | ↑ +13% |
| sentara health | exchange | $247.07 | ↑ +13% |
| aetna | ppo | $248.74 | ↑ +14% |
| aetna | hmo | $248.74 | ↑ +14% |
| kaiser | medicare advantage | $251.39 | ↑ +15% |
| cigna | medicare advantage | $251.39 | ↑ +15% |
| aetna | fannie-mae | $261.05 | ↑ +19% |
| humana | medicare advantage | $265.89 | ↑ +21% |
| cigna | ppo | $282.86 | ↑ +29% |
| cigna | hmo | $282.86 | ↑ +29% |
| innovation | self insured | $288.64 | ↑ +32% |
| innovation | fully insured | $288.64 | ↑ +32% |
| sentara health | ppo | $325.06 | ↑ +48% |
| sentara health | hmo | $325.06 | ↑ +48% |
| kaiser | hmo | $341.64 | ↑ +56% |
| kaiser | ppo | $341.64 | ↑ +56% |
| united | options | $528.75 | ↑ +141% |
| united | exchange | $528.75 | ↑ +141% |
| united | nonoptions | $528.75 | ↑ +141% |
| anthem | exchange hmo | $567.15 | ↑ +159% |
| anthem | hmo | $653.74 | ↑ +199% |
| anthem | ppo | $653.74 | ↑ +199% |
Visitor-reported prices
Comments
X-ray exam of tear duct at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $219.00 | $167.33 – $288.64 |
| Inova Fairfax Hospital | Falls Church | $219.00 | $167.33 – $288.64 |
| Inova Loudoun Hospital | Leesburg | $219.00 | $167.33 – $288.64 |
| Inova Mount Vernon Hospital | Alexandria | $219.00 | $167.33 – $288.64 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $72.27 – $517.79 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $43.05 – $517.79 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $59.14 – $517.79 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $48.87 – $517.79 |