Assay of estrogen at Inova Alexandria Hospital

4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 12, 2026

$440.50

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$881.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$41.29 with anthem vs $687.18 with kaiser — 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 →

Payer
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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
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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
anthem medicaid advantage $41.29 ↓ -91%
united medicaid advantage $42.12 ↓ -90%
sentara health medicaid advantage $42.53 ↓ -90%
humana medicaid advantage $42.94 ↓ -90%
aetna medicaid advantage $43.35 ↓ -90%
kaiser medicaid advantage $45.42 ↓ -90%
anthem hmo $87.88 ↓ -80%
united medicare advantage $87.88 ↓ -80%
united options $87.88 ↓ -80%
united nonoptions $87.88 ↓ -80%
united exchange $87.88 ↓ -80%
aetna medicare advantage $87.88 ↓ -80%
anthem ppo $87.88 ↓ -80%
anthem exchange hmo $87.88 ↓ -80%
anthem medicare advantage $87.88 ↓ -80%
sentara health medicare advantage $89.64 ↓ -80%
cigna medicare advantage $91.40 ↓ -79%
kaiser medicare advantage $91.40 ↓ -79%
humana medicare advantage $96.67 ↓ -78%
sentara health exchange $194.12 ↓ -56%
sentara health hmo $255.39 ↓ -42%
sentara health ppo $255.39 ↓ -42%
cigna hmo $357.00 ↓ -19%
cigna exchange $357.00 ↓ -19%
cigna ppo $357.00 ↓ -19%
carefirst hmo $407.65 ↓ -7%
carefirst ppo $453.55 ↑ +3%
aetna ppo $500.32 ↑ +14%
aetna hmo $500.32 ↑ +14%
aetna fannie-mae $525.08 ↑ +19%
innovation fully insured $554.24 ↑ +26%
innovation self insured $554.24 ↑ +26%
kaiser hmo $687.18 ↑ +56%
kaiser ppo $687.18 ↑ +56%

Visitor-reported prices

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Assay of estrogen at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $440.50 $41.29 – $554.24
Inova Fairfax Hospital Falls Church $440.50 $41.29 – $554.24
Inova Fair Oaks Hospital VA 22033-1709 $440.50 $41.29 – $554.24
Inova Loudoun Hospital Leesburg $440.50 $41.29 – $554.24
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $76.47 – $127.43
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $76.47 – $392.91
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $76.47 – $94.03
LEWISGALE HOSPITAL-PULASKI PULASKI not published $67.48 – $94.03

All Virginia hospitals for this procedure →