Excision of gum lesion 41825 at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$5,134.00
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.
$10,268.00
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.
$1,509.00 with innovation vs $8,597.84 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 |
|---|---|---|---|
| innovation | fully insured | $1,509.00 | ↓ -71% |
| innovation | self insured | $1,822.00 | ↓ -65% |
| sentara health | exchange | $1,847.42 | ↓ -64% |
| aetna | fannie-mae | $2,190.02 | ↓ -57% |
| sentara health | hmo | $2,430.58 | ↓ -53% |
| sentara health | ppo | $2,430.58 | ↓ -53% |
| united | exchange | $2,538.64 | ↓ -51% |
| aetna | hmo | $2,561.00 | ↓ -50% |
| aetna | ppo | $2,561.00 | ↓ -50% |
| anthem | medicaid advantage | $2,786.56 | ↓ -46% |
| united | medicaid advantage | $2,842.29 | ↓ -45% |
| united | options | $2,857.22 | ↓ -44% |
| united | nonoptions | $2,857.22 | ↓ -44% |
| sentara health | medicaid advantage | $2,870.16 | ↓ -44% |
| humana | medicaid advantage | $2,898.02 | ↓ -44% |
| aetna | medicaid advantage | $2,925.89 | ↓ -43% |
| kaiser | medicaid advantage | $3,065.22 | ↓ -40% |
| anthem | medicare advantage | $3,243.07 | ↓ -37% |
| aetna | medicare advantage | $3,243.07 | ↓ -37% |
| united | medicare advantage | $3,243.07 | ↓ -37% |
| sentara health | medicare advantage | $3,307.93 | ↓ -36% |
| kaiser | medicare advantage | $3,372.79 | ↓ -34% |
| cigna | medicare advantage | $3,372.79 | ↓ -34% |
| humana | medicare advantage | $3,567.38 | ↓ -31% |
| carefirst | hmo | $4,413.00 | ↓ -14% |
| carefirst | ppo | $4,455.00 | ↓ -13% |
| cigna | exchange | $4,692.48 | ↓ -9% |
| cigna | ppo | $6,631.07 | ↑ +29% |
| cigna | hmo | $6,631.07 | ↑ +29% |
| anthem | exchange hmo | $7,459.10 | ↑ +45% |
| kaiser | ppo | $8,009.04 | ↑ +56% |
| kaiser | hmo | $8,009.04 | ↑ +56% |
| anthem | ppo | $8,597.84 | ↑ +67% |
| anthem | hmo | $8,597.84 | ↑ +67% |
Visitor-reported prices
Comments
Excision of gum lesion 41825 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | $5,134.00 | $1,509.00 – $4,413.00 |
| Inova Fairfax Hospital | Falls Church | $5,134.00 | $1,509.00 – $4,413.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $5,134.00 | $1,509.00 – $4,413.00 |
| Inova Loudoun Hospital | Leesburg | $5,134.00 | $1,509.00 – $4,413.00 |
| Maryview Hospital | Portsmouth | $13,565.38 | $3,234.84 – $3,299.54 |
| St Mary's Hospital | Richmond | $19,338.60 | $3,326.30 – $3,392.83 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $2,004.00 – $3,388.50 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $2,464.00 – $3,988.00 |