Dactinomycin 0.5 mg intravenous solution at Inova Alexandria Hospital

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

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

$427.22

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.

Full explanation →

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

$854.43

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.

Full explanation →

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

$328.34 with united vs $1,543.15 with sentara health — same scan, same building. Share

Negotiated rates by payer
?

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
united medicare advantage $328.34 ↓ -23%
anthem exchange hmo $328.34 ↓ -23%
anthem ppo $328.34 ↓ -23%
anthem medicare advantage $328.34 ↓ -23%
anthem hmo $328.34 ↓ -23%
aetna medicare advantage $328.34 ↓ -23%
sentara health medicare advantage $334.90 ↓ -22%
cigna medicare advantage $341.47 ↓ -20%
kaiser medicare advantage $341.47 ↓ -20%
humana medicare advantage $361.17 ↓ -15%
cigna hmo $458.43 ↑ +7%
cigna ppo $458.43 ↑ +7%
cigna exchange $458.43 ↑ +7%
carefirst ppo $471.54 ↑ +10%
carefirst hmo $471.54 ↑ +10%
united options $499.82 ↑ +17%
united exchange $499.82 ↑ +17%
united nonoptions $499.82 ↑ +17%
kaiser ppo $653.99 ↑ +53%
kaiser hmo $653.99 ↑ +53%
sentara health exchange $1,172.91 ↑ +175%
anthem medicaid advantage $1,377.23 ↑ +222%
united medicaid advantage $1,404.77 ↑ +229%
sentara health medicaid advantage $1,418.55 ↑ +232%
humana medicaid advantage $1,432.32 ↑ +235%
aetna medicaid advantage $1,446.09 ↑ +238%
kaiser medicaid advantage $1,514.95 ↑ +255%
sentara health ppo $1,543.15 ↑ +261%
sentara health hmo $1,543.15 ↑ +261%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Dactinomycin 0.5 mg intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $427.22 $328.34 – $471.54
Inova Fairfax Hospital Falls Church $427.22 $328.34 – $471.54
Inova Fair Oaks Hospital VA 22033-1709 $427.22 $328.34 – $471.54
Inova Loudoun Hospital Leesburg $427.22 $328.34 – $471.54
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $10,361.00 $245.48 – $816.17
LEWISGALE MEDICAL CENTER ROANOKE $14,506.00 $245.48 – $923.97
HENRICO DOCTORS HOSPITAL RICHMOND $10,361.00 $245.48 – $816.17
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $245.48 – $816.17

All Virginia hospitals for this procedure →