Tc-99m exametazime diag at Sentara Northern Virginia Medical Center
2300 Opitz Boulevard, Woodbridge, VA · Sentara · · NPI 1548366404
$543.50
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.
$1,087.00
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.
$946.26 with Aetna vs $1,749.10 with Bcbs — 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 | $946.26 | ↑ +74% |
| Humana | Medicare Managed Care Plan | $955.54 | ↑ +76% |
| Bcbs | Anthem Medicare Managed Care Plan | $971.78 | ↑ +79% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $974.10 | ↑ +79% |
| Bcbs | Anthem Exchange | $1,548.52 | ↑ +185% |
| Bcbs | Anthem Hmo | $1,660.84 | ↑ +206% |
| Bcbs | Anthem Ppo | $1,749.10 | ↑ +222% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $6,224.00 | $2,458.43 – $2,458.43 |
| Johnston Memorial Hospital | ABINGDON | $512.70 | $708.40 – $2,022.41 |
| Russell County Hospital | LEBANON | $512.70 | $708.40 – $2,022.41 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,132.00 | $946.26 – $974.10 |
| Lonesome Pine Hospital | BIG STONE GAP | $512.70 | $401.17 – $2,226.50 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $3,424.00 | $2,458.43 – $2,458.43 |
| Smyth County Community Hospital | MARION | $512.70 | $708.40 – $2,022.41 |
| Sentara Halifax Regional Hospital | South Boston | $546.00 | $1,572.59 – $1,572.59 |