Consultation pathology during surgery at Sentara Northern Virginia Medical Center
2300 Opitz Boulevard, Woodbridge, VA · Sentara · · NPI 1548366404
$84.50
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.
$169.00
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.
$9.90 with Unitedhealthcare vs $172.17 with Carefirst — 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $9.90 | ↓ -88% |
| Carefirst | Ppo | $51.06 | ↓ -40% |
| Aetna | Medicare Managed Care Plan | $58.71 | ↓ -31% |
| Humana | Medicare Managed Care Plan | $59.28 | ↓ -30% |
| Bcbs | Anthem Medicare Managed Care Plan | $60.29 | ↓ -29% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $60.44 | ↓ -28% |
| Cigna | Connect Exchange | $79.44 | ↓ -6% |
| Cigna | Ppo/Pos | $86.35 | ↑ +2% |
| Bcbs | Anthem Exchange | $118.40 | ↑ +40% |
| Bcbs | Anthem Hmo | $127.32 | ↑ +51% |
| Bcbs | Anthem Ppo | $136.01 | ↑ +61% |
| Carefirst | Hmo | $172.17 | ↑ +104% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $52.05 | $15.37 – $125.48 |
| Russell County Hospital | LEBANON | $52.05 | $15.37 – $125.48 |
| Sentara Martha Jefferson Hospital | Charlottesville | $160.00 | $14.14 – $60.44 |
| Lonesome Pine Hospital | BIG STONE GAP | $52.05 | $8.54 – $138.14 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $142.00 | $33.84 – $151.30 |
| Smyth County Community Hospital | MARION | $52.05 | $15.37 – $125.48 |
| Sentara Halifax Regional Hospital | South Boston | $72.50 | $18.86 – $60.77 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $545.00 | $33.84 – $145.17 |