After cataract laser surgery at Sentara Northern Virginia Medical Center
2300 Opitz Boulevard, Woodbridge, VA · Sentara · · NPI 1548366404
$1,077.50
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.
?
What you pay up front if you don't use insurance.
$2,155.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$547.36 with Aetna vs $3,790.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $547.36 | ↓ -49% |
| Humana | Medicare Managed Care Plan | $552.72 | ↓ -49% |
| Bcbs | Anthem Medicare Managed Care Plan | $562.11 | ↓ -48% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $563.46 | ↓ -48% |
| Bcbs | Anthem Exchange | $1,103.90 | ↑ +2% |
| Bcbs | Anthem Hmo | $1,187.01 | ↑ +10% |
| Bcbs | Anthem Ppo | $1,268.02 | ↑ +18% |
| Unitedhealthcare | All Commercial Plans | $1,377.00 | ↑ +28% |
| Carefirst | Hmo | $1,723.00 | ↑ +60% |
| Carefirst | Ppo | $1,981.00 | ↑ +84% |
| Cigna | Connect Exchange | $3,486.00 | ↑ +224% |
| Cigna | Ppo/Pos | $3,790.00 | ↑ +252% |
Visitor-reported prices
Comments
After cataract laser surgery at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $251.55 | $484.66 – $1,169.84 |
| Russell County Hospital | LEBANON | $251.55 | $536.62 – $1,169.84 |
| Sentara Martha Jefferson Hospital | Charlottesville | $897.00 | $547.36 – $1,571.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $251.55 | $536.62 – $1,287.90 |
| Smyth County Community Hospital | MARION | $251.55 | $536.62 – $1,169.84 |
| Sentara Halifax Regional Hospital | South Boston | $937.00 | not published |
| Sentara Leigh Hospital | Norfolk | $1,077.50 | $547.36 – $4,564.00 |
| Sentara RMH Medical Center | Harrisonburg | $897.00 | not published |