Unlisted surgical path px at Sentara Northern Virginia Medical Center
2300 Opitz Boulevard, Woodbridge, VA · Sentara · · NPI 1548366404
$286.00
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.
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What you pay up front if you don't use insurance.
$572.00
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.
$6.04 with Unitedhealthcare vs $966.61 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 | $6.04 | ↓ -98% |
| Carefirst | Ppo | $47.05 | ↓ -84% |
| Aetna | Medicare Managed Care Plan | $51.86 | ↓ -82% |
| Humana | Medicare Managed Care Plan | $52.37 | ↓ -82% |
| Bcbs | Anthem Medicare Managed Care Plan | $53.26 | ↓ -81% |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $53.39 | ↓ -81% |
| Bcbs | Anthem Exchange | $104.59 | ↓ -63% |
| Bcbs | Anthem Hmo | $112.47 | ↓ -61% |
| Bcbs | Anthem Ppo | $120.14 | ↓ -58% |
| Cigna | Connect Exchange | $153.76 | ↓ -46% |
| Cigna | Ppo/Pos | $167.13 | ↓ -42% |
| Carefirst | Hmo | $966.61 | ↑ +238% |
Visitor-reported prices
Comments
Unlisted surgical path px at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $56.50 | $47.15 – $71.09 |
| Inova Fairfax Hospital | Falls Church | $56.50 | $47.15 – $71.09 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $56.50 | $47.15 – $71.09 |
| Inova Loudoun Hospital | Leesburg | $56.50 | $47.15 – $71.09 |
| Inova Mount Vernon Hospital | Alexandria | $56.50 | $47.15 – $71.09 |
| Sentara Martha Jefferson Hospital | Charlottesville | $82.50 | $6.07 – $53.39 |
| Sentara Leigh Hospital | Norfolk | $286.00 | $12.50 – $69.49 |
| Sentara RMH Medical Center | Harrisonburg | $47.38 | $51.86 – $53.39 |