Bx bone trocar/ndl deep at Inova Alexandria Hospital

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

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

$1,944.50

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.

$3,889.00

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.

$1,620.24 with anthem vs $4,295.48 with anthem — 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 medicare advantage $1,620.24 ↓ -17%
united medicare advantage $1,620.24 ↓ -17%
aetna medicare advantage $1,620.24 ↓ -17%
sentara health medicare advantage $1,652.64 ↓ -15%
cigna medicare advantage $1,685.05 ↓ -13%
kaiser medicare advantage $1,685.05 ↓ -13%
humana medicare advantage $1,782.26 ↓ -8%
sentara health exchange $1,847.42 ↓ -5%
innovation fully insured $2,149.00 ↑ +11%
sentara health hmo $2,430.58 ↑ +25%
sentara health ppo $2,430.58 ↑ +25%
united exchange $2,538.64 ↑ +31%
innovation self insured $2,589.00 ↑ +33%
anthem medicaid advantage $2,626.58 ↑ +35%
united medicaid advantage $2,679.11 ↑ +38%
sentara health medicaid advantage $2,705.38 ↑ +39%
humana medicaid advantage $2,731.64 ↑ +40%
aetna medicaid advantage $2,757.91 ↑ +42%
cigna exchange $2,763.00 ↑ +42%
united options $2,857.22 ↑ +47%
united nonoptions $2,857.22 ↑ +47%
kaiser medicaid advantage $2,889.24 ↑ +49%
kaiser ppo $3,033.42 ↑ +56%
kaiser hmo $3,033.42 ↑ +56%
aetna fannie-mae $3,116.15 ↑ +60%
carefirst hmo $3,529.00 ↑ +81%
carefirst ppo $3,563.00 ↑ +83%
cigna ppo $3,580.00 ↑ +84%
cigna hmo $3,580.00 ↑ +84%
aetna hmo $3,645.00 ↑ +87%
aetna ppo $3,645.00 ↑ +87%
anthem exchange hmo $3,726.57 ↑ +92%
anthem ppo $4,295.48 ↑ +121%
anthem hmo $4,295.48 ↑ +121%

Visitor-reported prices

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Bx bone trocar/ndl deep at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $1,944.50 $1,620.24 – $3,529.00
Inova Fairfax Hospital Falls Church $1,944.50 $1,620.24 – $3,529.00
Inova Fair Oaks Hospital VA 22033-1709 $1,944.50 $1,620.24 – $3,529.00
Inova Loudoun Hospital Leesburg $1,944.50 $1,620.24 – $3,529.00
Johnston Memorial Hospital ABINGDON $488.25 $1,338.86 – $3,512.94
Russell County Hospital LEBANON $488.25 $1,611.44 – $3,512.94
Sentara Martha Jefferson Hospital Charlottesville $2,773.00 $1,571.00 – $3,276.00
Sentara Northern Virginia Medical Center Woodbridge $3,833.50 $1,643.67 – $3,486.00

All Virginia hospitals for this procedure →