Bx pleura pq ndl at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$1,103.00
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.
$2,206.00
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.
$1,454.03 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 →
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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 |
|---|---|---|---|
| anthem | medicaid advantage | $1,454.03 | ↑ +32% |
| united | medicaid advantage | $1,483.11 | ↑ +34% |
| sentara health | medicaid advantage | $1,497.65 | ↑ +36% |
| innovation | fully insured | $1,509.00 | ↑ +37% |
| humana | medicaid advantage | $1,512.19 | ↑ +37% |
| aetna | medicaid advantage | $1,526.73 | ↑ +38% |
| kaiser | medicaid advantage | $1,599.43 | ↑ +45% |
| united | medicare advantage | $1,620.24 | ↑ +47% |
| aetna | medicare advantage | $1,620.24 | ↑ +47% |
| anthem | medicare advantage | $1,620.24 | ↑ +47% |
| sentara health | medicare advantage | $1,652.64 | ↑ +50% |
| cigna | medicare advantage | $1,685.05 | ↑ +53% |
| kaiser | medicare advantage | $1,685.05 | ↑ +53% |
| kaiser | ppo | $1,720.68 | ↑ +56% |
| kaiser | hmo | $1,720.68 | ↑ +56% |
| humana | medicare advantage | $1,782.26 | ↑ +62% |
| innovation | self insured | $1,822.00 | ↑ +65% |
| sentara health | exchange | $1,847.42 | ↑ +67% |
| cigna | exchange | $2,067.00 | ↑ +87% |
| aetna | fannie-mae | $2,190.02 | ↑ +99% |
| sentara health | ppo | $2,430.58 | ↑ +120% |
| sentara health | hmo | $2,430.58 | ↑ +120% |
| united | exchange | $2,538.64 | ↑ +130% |
| aetna | ppo | $2,561.00 | ↑ +132% |
| aetna | hmo | $2,561.00 | ↑ +132% |
| cigna | hmo | $2,678.00 | ↑ +143% |
| cigna | ppo | $2,678.00 | ↑ +143% |
| united | nonoptions | $2,857.22 | ↑ +159% |
| united | options | $2,857.22 | ↑ +159% |
| carefirst | hmo | $3,529.00 | ↑ +220% |
| carefirst | ppo | $3,563.00 | ↑ +223% |
| anthem | exchange hmo | $3,726.57 | ↑ +238% |
| anthem | hmo | $4,295.48 | ↑ +289% |
| anthem | ppo | $4,295.48 | ↑ +289% |
Visitor-reported prices
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Bx pleura pq ndl at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | $1,103.00 | $1,454.03 – $3,529.00 |
| Inova Fairfax Hospital | Falls Church | $1,103.00 | $1,454.03 – $3,529.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,103.00 | $1,454.03 – $3,529.00 |
| Inova Loudoun Hospital | Leesburg | $1,103.00 | $1,454.03 – $3,529.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,079.50 | $1,010.00 – $3,276.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,132.50 | $1,643.67 – $2,603.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $388.35 | $1,323.49 – $3,512.94 |
| Sentara Halifax Regional Hospital | South Boston | $1,377.50 | $1,656.68 – $1,705.40 |