Clsd tx fx radius/ulna dist w/manip 25605 at Sentara Northern Virginia Medical Center
2300 Opitz Boulevard, Woodbridge, VA · Sentara · · NPI 1548366404
$1,104.00
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.
?
What you pay up front if you don't use insurance.
$2,208.00
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.
$1,377.00 with Unitedhealthcare vs $4,335.00 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $1,377.00 | ↑ +25% |
| Aetna | Medicare Managed Care Plan | $1,600.27 | ↑ +45% |
| Humana | Medicare Managed Care Plan | $1,615.96 | ↑ +46% |
| Bcbs | Anthem Medicare Managed Care Plan | $1,643.42 | ↑ +49% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $1,647.34 | ↑ +49% |
| Carefirst | Hmo | $1,723.00 | ↑ +56% |
| Carefirst | Ppo | $1,981.00 | ↑ +79% |
| Bcbs | Anthem Exchange | $3,227.41 | ↑ +192% |
| Bcbs | Anthem Hmo | $3,470.38 | ↑ +214% |
| Bcbs | Anthem Ppo | $3,707.24 | ↑ +236% |
| Cigna | Connect Exchange | $3,988.00 | ↑ +261% |
| Cigna | Ppo/Pos | $4,335.00 | ↑ +293% |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna dist w/manip 25605 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,361.00 | $700.38 – $3,508.00 |
| Inova Fairfax Hospital | Falls Church | $3,361.00 | $700.38 – $3,508.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,361.00 | $700.38 – $3,508.00 |
| Inova Loudoun Hospital | Leesburg | $3,361.00 | $700.38 – $3,508.00 |
| Inova Mount Vernon Hospital | Alexandria | $3,361.00 | $700.38 – $3,508.00 |
| Johnston Memorial Hospital | ABINGDON | $378.15 | $382.23 – $3,420.19 |
| Russell County Hospital | LEBANON | $378.15 | $382.23 – $3,420.19 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,049.00 | $1,547.00 – $3,895.00 |