Fees w/laryngeal sense test at Inova Alexandria Hospital

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

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

$433.50

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.

$867.00

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.

$106.23 with anthem vs $839.98 with carefirst — 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 hmo $106.23 ↓ -75%
anthem ppo $106.23 ↓ -75%
anthem exchange hmo $106.23 ↓ -75%
sentara health exchange $120.48 ↓ -72%
sentara health ppo $158.52 ↓ -63%
sentara health hmo $158.52 ↓ -63%
anthem medicaid advantage $266.70 ↓ -38%
united medicaid advantage $272.03 ↓ -37%
sentara health medicaid advantage $274.70 ↓ -37%
humana medicaid advantage $277.37 ↓ -36%
aetna medicaid advantage $280.04 ↓ -35%
kaiser medicaid advantage $293.37 ↓ -32%
cigna exchange $386.51 ↓ -11%
united exchange $463.05 ↑ +7%
aetna hmo $492.37 ↑ +14%
aetna ppo $492.37 ↑ +14%
aetna fannie-mae $516.73 ↑ +19%
innovation self insured $545.43 ↑ +26%
innovation fully insured $545.43 ↑ +26%
cigna hmo $559.91 ↑ +29%
cigna ppo $559.91 ↑ +29%
united options $582.98 ↑ +34%
united nonoptions $582.98 ↑ +34%
kaiser ppo $676.26 ↑ +56%
kaiser hmo $676.26 ↑ +56%
carefirst hmo $798.22 ↑ +84%
carefirst ppo $839.98 ↑ +94%

Visitor-reported prices

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Fees w/laryngeal sense test at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $433.50 $106.23 – $798.22
Inova Fairfax Hospital Falls Church $433.50 $106.23 – $798.22
Inova Fair Oaks Hospital VA 22033-1709 $433.50 $106.23 – $798.22
Inova Loudoun Hospital Leesburg $433.50 $106.23 – $798.22
RESTON HOSPITAL CENTER VIENNA $1,013.16 $251.51 – $823.74
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $655.56 $214.60 – $249.13
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $188.05 – $241.07
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $188.05 – $314.32

All Virginia hospitals for this procedure →