C-1 esterase, berinert at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$96.16
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.
$192.32
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.
$75.86 with anthem vs $7,588.24 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 →
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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 | ppo | $75.86 | ↓ -21% |
| aetna | medicare advantage | $75.86 | ↓ -21% |
| anthem | exchange hmo | $75.86 | ↓ -21% |
| anthem | hmo | $75.86 | ↓ -21% |
| united | medicare advantage | $75.86 | ↓ -21% |
| anthem | medicare advantage | $75.86 | ↓ -21% |
| sentara health | medicare advantage | $77.38 | ↓ -20% |
| kaiser | medicare advantage | $78.89 | ↓ -18% |
| cigna | medicare advantage | $78.89 | ↓ -18% |
| humana | medicare advantage | $83.44 | ↓ -13% |
| cigna | hmo | $105.92 | ↑ +10% |
| cigna | exchange | $105.92 | ↑ +10% |
| cigna | ppo | $105.92 | ↑ +10% |
| carefirst | ppo | $118.09 | ↑ +23% |
| carefirst | hmo | $118.09 | ↑ +23% |
| united | options | $125.17 | ↑ +30% |
| united | exchange | $125.17 | ↑ +30% |
| united | nonoptions | $125.17 | ↑ +30% |
| sentara health | exchange | $129.40 | ↑ +35% |
| kaiser | ppo | $150.01 | ↑ +56% |
| kaiser | hmo | $150.01 | ↑ +56% |
| sentara health | hmo | $170.25 | ↑ +77% |
| sentara health | ppo | $170.25 | ↑ +77% |
| anthem | medicaid advantage | $6,898.40 | ↑ +7074% |
| united | medicaid advantage | $7,036.37 | ↑ +7217% |
| sentara health | medicaid advantage | $7,105.35 | ↑ +7289% |
| humana | medicaid advantage | $7,174.34 | ↑ +7361% |
| aetna | medicaid advantage | $7,243.32 | ↑ +7433% |
| kaiser | medicaid advantage | $7,588.24 | ↑ +7791% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $3,781.75 | $27.21 – $6,096.19 |
| Russell County Hospital | LEBANON | $3,781.75 | $27.21 – $6,096.26 |
| Smyth County Community Hospital | MARION | $3,781.75 | $27.21 – $6,096.19 |
| St Mary's Hospital | Richmond | $20,247.43 | not published |
| Richmond Community Hospital | Richmond | $20,554.99 | not published |
| St Francis Medical Center | Midlothian | $23,323.00 | not published |
| Memorial Regional Hospital | Mechanicsville | $24,604.48 | not published |
| Southside Regional Medical Center | Petersburg | $19,350.40 | not published |