Tc-99m mebrofenin at RESTON HOSPITAL CENTER
8240 LEESBURG PIKE, VIENNA, VA · HCA Virginia · · NPI 1053363853
$861.36
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.
$861.36
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.
$51.34 with Cigna vs $775.22 with 4Most Health Network — 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 | IFP | $51.34 | ↓ -94% |
| Cigna | HMO | $82.37 | ↓ -90% |
| Cigna | PPO | $82.37 | ↓ -90% |
| Aetna | MGMCR | $129.20 | ↓ -85% |
| Lifeworks | MCR | $163.66 | ↓ -81% |
| Universal Healthcare Group | MCR | $189.50 | ↓ -78% |
| United | OptionsPPO | $241.18 | ↓ -72% |
| Aetna | Broad | $284.25 | ↓ -67% |
| United | AllPayerAppendix | $300.67 | ↓ -65% |
| CareFirst | HMO | $379.00 | ↓ -56% |
| CareFirst | RPN | $379.00 | ↓ -56% |
| United | GlobalBenefitPlan | $387.61 | ↓ -55% |
| Greenvbrier Sporting Club | COMM | $516.82 | ↓ -40% |
| Virginia Health Network | COMM | $611.57 | ↓ -29% |
| Virginia Health Network | ULTRA | $611.57 | ↓ -29% |
| Virginia Health Network | WC | $611.57 | ↓ -29% |
| CorVel | WorkersComp | $620.18 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $689.09 | ↓ -20% |
| 4Most Health Network | COMM | $775.22 | ↓ -10% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $12.88 | $18.19 – $187.21 |
| Inova Fairfax Hospital | Falls Church | $12.88 | $18.19 – $187.21 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $12.88 | $18.19 – $187.21 |
| Inova Loudoun Hospital | Leesburg | $12.88 | $18.19 – $187.21 |
| Inova Mount Vernon Hospital | Alexandria | $12.88 | $18.19 – $187.21 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,106.00 | $59.24 – $300.67 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $457.00 | $300.67 – $300.67 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $228.00 | $340.38 – $340.38 |