Echo guide for heart biopsy at Inova Alexandria Hospital

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

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

$576.50

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.

$1,153.00

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.

$155.87 with anthem vs $899.34 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 $155.87 ↓ -73%
united medicaid advantage $158.99 ↓ -72%
sentara health medicaid advantage $160.55 ↓ -72%
humana medicaid advantage $162.10 ↓ -72%
aetna medicaid advantage $163.66 ↓ -72%
kaiser medicaid advantage $171.46 ↓ -70%
carefirst hmo $342.35 ↓ -41%
carefirst ppo $371.44 ↓ -36%
cigna exchange $514.01 ↓ -11%
united exchange $645.95 ↑ +12%
sentara health exchange $650.39 ↑ +13%
aetna ppo $654.79 ↑ +14%
aetna hmo $654.79 ↑ +14%
aetna fannie-mae $687.19 ↑ +19%
cigna ppo $744.61 ↑ +29%
cigna hmo $744.61 ↑ +29%
innovation fully insured $759.83 ↑ +32%
innovation self insured $759.83 ↑ +32%
united options $792.19 ↑ +37%
united nonoptions $792.19 ↑ +37%
sentara health hmo $855.70 ↑ +48%
sentara health ppo $855.70 ↑ +48%
kaiser hmo $899.34 ↑ +56%
kaiser ppo $899.34 ↑ +56%

Visitor-reported prices

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Echo guide for heart biopsy at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $576.50 $155.87 – $759.83
Inova Fairfax Hospital Falls Church $576.50 $155.87 – $759.83
Inova Fair Oaks Hospital VA 22033-1709 $576.50 $155.87 – $759.83
Inova Loudoun Hospital Leesburg $576.50 $155.87 – $759.83
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $177.41 – $177.41
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $105.66 – $105.66
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $145.17 – $145.17
LEWISGALE HOSPITAL-PULASKI PULASKI not published $119.95 – $119.95

All Virginia hospitals for this procedure →