Inj., omadacycline, 1 mg at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$5.96
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.
?
What you pay up front if you don't use insurance.
$11.91
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.02 with anthem vs $302.51 with kaiser — 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 →
?
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 |
|---|---|---|---|
| anthem | ppo | $4.02 | ↓ -33% |
| aetna | medicare advantage | $4.02 | ↓ -33% |
| anthem | exchange hmo | $4.02 | ↓ -33% |
| anthem | hmo | $4.02 | ↓ -33% |
| united | medicare advantage | $4.02 | ↓ -33% |
| anthem | medicare advantage | $4.02 | ↓ -33% |
| sentara health | medicare advantage | $4.10 | ↓ -31% |
| kaiser | medicare advantage | $4.18 | ↓ -30% |
| cigna | medicare advantage | $4.18 | ↓ -30% |
| humana | medicare advantage | $4.42 | ↓ -26% |
| cigna | hmo | $5.61 | ↓ -6% |
| cigna | exchange | $5.61 | ↓ -6% |
| cigna | ppo | $5.61 | ↓ -6% |
| carefirst | ppo | $6.24 | ↑ +5% |
| carefirst | hmo | $6.24 | ↑ +5% |
| united | options | $6.62 | ↑ +11% |
| united | exchange | $6.62 | ↑ +11% |
| united | nonoptions | $6.62 | ↑ +11% |
| sentara health | exchange | $7.16 | ↑ +20% |
| kaiser | ppo | $9.02 | ↑ +51% |
| kaiser | hmo | $9.02 | ↑ +51% |
| sentara health | hmo | $9.42 | ↑ +58% |
| sentara health | ppo | $9.42 | ↑ +58% |
| anthem | medicaid advantage | $275.01 | ↑ +4514% |
| united | medicaid advantage | $280.51 | ↑ +4607% |
| sentara health | medicaid advantage | $283.26 | ↑ +4653% |
| humana | medicaid advantage | $286.01 | ↑ +4699% |
| aetna | medicaid advantage | $288.76 | ↑ +4745% |
| kaiser | medicaid advantage | $302.51 | ↑ +4976% |
Visitor-reported prices
Comments
Inj., omadacycline, 1 mg at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Richmond Community Hospital | Richmond | $3,295.16 | not published |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $4.10 – $4.22 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $4.10 – $5.31 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $3.51 – $10.97 |
| Sentara Halifax Regional Hospital | South Boston | not published | $4.22 – $4.34 |
| Sentara Leigh Hospital | Norfolk | not published | $4.10 – $4.22 |
| Sentara RMH Medical Center | Harrisonburg | not published | $4.10 – $4.22 |
| Sentara CarePlex Hospital | Hampton | not published | $4.10 – $4.22 |