Contrast x-ray of knee joint at Inova Alexandria Hospital

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

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

$623.50

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.

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

$1,247.00

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.

$167.33 with anthem vs $972.66 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 $167.33 ↓ -73%
united medicaid advantage $170.68 ↓ -73%
sentara health medicaid advantage $172.35 ↓ -72%
humana medicaid advantage $174.02 ↓ -72%
aetna medicaid advantage $175.70 ↓ -72%
kaiser medicaid advantage $184.06 ↓ -70%
aetna medicare advantage $357.13 ↓ -43%
united medicare advantage $357.13 ↓ -43%
anthem medicare advantage $357.13 ↓ -43%
sentara health medicare advantage $364.27 ↓ -42%
cigna medicare advantage $371.42 ↓ -40%
kaiser medicare advantage $371.42 ↓ -40%
humana medicare advantage $392.84 ↓ -37%
carefirst hmo $474.79 ↓ -24%
carefirst ppo $515.13 ↓ -17%
cigna exchange $555.91 ↓ -11%
sentara health exchange $703.42 ↑ +13%
aetna ppo $708.17 ↑ +14%
aetna hmo $708.17 ↑ +14%
aetna fannie-mae $743.21 ↑ +19%
cigna ppo $805.31 ↑ +29%
cigna hmo $805.31 ↑ +29%
anthem exchange hmo $821.41 ↑ +32%
innovation fully insured $821.77 ↑ +32%
innovation self insured $821.77 ↑ +32%
united exchange $846.20 ↑ +36%
united options $846.20 ↑ +36%
united nonoptions $846.20 ↑ +36%
sentara health ppo $925.46 ↑ +48%
sentara health hmo $925.46 ↑ +48%
anthem hmo $946.81 ↑ +52%
anthem ppo $946.81 ↑ +52%
kaiser hmo $972.66 ↑ +56%
kaiser ppo $972.66 ↑ +56%

Visitor-reported prices

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Contrast x-ray of knee joint at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $623.50 $167.33 – $821.77
Inova Fairfax Hospital Falls Church $623.50 $167.33 – $821.77
Inova Fair Oaks Hospital VA 22033-1709 $623.50 $167.33 – $821.77
Inova Loudoun Hospital Leesburg $623.50 $167.33 – $821.77
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $162.99 – $828.27
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $97.07 – $828.27
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $133.37 – $828.27
LEWISGALE HOSPITAL-PULASKI PULASKI not published $110.20 – $828.27

All Virginia hospitals for this procedure →