Injection for arthrography wrist (both sides) at Inova Alexandria Hospital

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

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

$527.00

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.

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

$1,054.00

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.

$240.84 with cigna vs $2,561.00 with aetna — 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
cigna exchange $240.84 ↓ -54%
cigna hmo $340.34 ↓ -35%
cigna ppo $340.34 ↓ -35%
kaiser ppo $411.06 ↓ -22%
kaiser hmo $411.06 ↓ -22%
anthem medicaid advantage $497.88 ↓ -6%
united medicaid advantage $507.84 ↓ -4%
sentara health medicaid advantage $512.82 ↓ -3%
humana medicaid advantage $517.80 ↓ -2%
aetna medicaid advantage $522.77 ↓ -1%
kaiser medicaid advantage $547.67 ↑ +4%
sentara health exchange $883.55 ↑ +68%
carefirst hmo $943.00 ↑ +79%
carefirst ppo $953.00 ↑ +81%
united exchange $1,127.36 ↑ +114%
sentara health ppo $1,162.45 ↑ +121%
sentara health hmo $1,162.45 ↑ +121%
united nonoptions $1,269.99 ↑ +141%
united options $1,269.99 ↑ +141%
innovation fully insured $1,509.00 ↑ +186%
innovation self insured $1,822.00 ↑ +246%
aetna fannie-mae $2,190.02 ↑ +316%
aetna ppo $2,561.00 ↑ +386%
aetna hmo $2,561.00 ↑ +386%

Visitor-reported prices

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Injection for arthrography wrist (both sides) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $527.00 $240.84 – $1,509.00
Inova Fairfax Hospital Falls Church $527.00 $240.84 – $1,509.00
Inova Fair Oaks Hospital VA 22033-1709 $527.00 $240.84 – $1,509.00
Inova Loudoun Hospital Leesburg $527.00 $240.84 – $1,509.00
Johnston Memorial Hospital ABINGDON $60.75 $37.67 – $461.99
Russell County Hospital LEBANON $60.75 $405.00 – $461.99
Sentara Martha Jefferson Hospital Charlottesville $358.00 $511.00 – $2,004.00
Sentara Northern Virginia Medical Center Woodbridge $399.00 $484.00 – $3,988.00

All Virginia hospitals for this procedure →