Insitu hybridization (fish) at Inova Alexandria Hospital

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

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

$481.00

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.

Full explanation →

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

$962.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$171.36 with united vs $923.28 with carefirst — 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 →

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
united medicare advantage $171.36 ↓ -64%
anthem medicare advantage $171.36 ↓ -64%
aetna medicare advantage $171.36 ↓ -64%
sentara health medicare advantage $174.79 ↓ -64%
cigna medicare advantage $178.21 ↓ -63%
kaiser medicare advantage $178.21 ↓ -63%
humana medicare advantage $188.50 ↓ -61%
anthem medicaid advantage $231.10 ↓ -52%
united medicaid advantage $235.72 ↓ -51%
sentara health medicaid advantage $238.03 ↓ -51%
humana medicaid advantage $240.34 ↓ -50%
aetna medicaid advantage $242.66 ↓ -50%
kaiser medicaid advantage $254.21 ↓ -47%
united exchange $297.45 ↓ -38%
united nonoptions $297.45 ↓ -38%
united options $297.45 ↓ -38%
anthem exchange hmo $394.14 ↓ -18%
anthem hmo $454.31 ↓ -6%
anthem ppo $454.31 ↓ -6%
sentara health exchange $507.53 ↑ +6%
aetna hmo $546.32 ↑ +14%
aetna ppo $546.32 ↑ +14%
aetna fannie-mae $573.35 ↑ +19%
innovation self insured $605.19 ↑ +26%
innovation fully insured $605.19 ↑ +26%
sentara health ppo $667.74 ↑ +39%
sentara health hmo $667.74 ↑ +39%
kaiser ppo $750.36 ↑ +56%
kaiser hmo $750.36 ↑ +56%
carefirst hmo $829.85 ↑ +73%
cigna exchange $896.20 ↑ +86%
cigna hmo $896.20 ↑ +86%
cigna ppo $896.20 ↑ +86%
carefirst ppo $923.28 ↑ +92%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Insitu hybridization (fish) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $481.00 $171.36 – $829.85
Inova Fairfax Hospital Falls Church $481.00 $171.36 – $829.85
Inova Fair Oaks Hospital VA 22033-1709 $481.00 $171.36 – $829.85
Inova Loudoun Hospital Leesburg $481.00 $171.36 – $829.85
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $291.26 – $1,644.16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $291.26 – $1,302.22
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $291.26 – $1,239.02
LEWISGALE HOSPITAL-PULASKI PULASKI not published $291.26 – $1,249.51

All Virginia hospitals for this procedure →