Laparoscopy lymphadenectomy at Inova Alexandria Hospital

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

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

not published by hospital

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.

not published by hospital

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.

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

$4,588.00 with innovation vs $27,601.66 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.

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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.

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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.

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Negotiated rate vs. cash
innovation fully insured $4,588.00
anthem medicaid advantage $5,425.74
innovation self insured $5,534.00
united medicaid advantage $5,534.25
sentara health medicaid advantage $5,588.51
humana medicaid advantage $5,642.77
aetna medicaid advantage $5,697.03
kaiser medicaid advantage $5,968.31
aetna fannie-mae $6,667.96
aetna hmo $7,799.00
aetna ppo $7,799.00
cigna exchange $8,545.00
sentara health exchange $8,674.84
anthem medicare advantage $10,411.22
united medicare advantage $10,411.22
aetna medicare advantage $10,411.22
sentara health medicare advantage $10,619.44
kaiser medicare advantage $10,827.67
cigna medicare advantage $10,827.67
cigna hmo $11,070.00
cigna ppo $11,070.00
sentara health ppo $11,413.16
sentara health hmo $11,413.16
humana medicare advantage $11,452.34
united exchange $11,502.40
united nonoptions $12,949.16
united options $12,949.16
carefirst hmo $16,441.00
carefirst ppo $16,600.00
anthem exchange hmo $23,945.96
anthem ppo $27,601.66
anthem hmo $27,601.66

Visitor-reported prices

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Laparoscopy lymphadenectomy at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria not published $4,588.00 – $16,441.00
St Mary's Hospital Richmond $24,340.91 $10,664.59 – $10,877.88
St Francis Medical Center Midlothian $35,877.43 $10,371.37 – $10,371.37
Southside Regional Medical Center Petersburg $34,545.54 $10,371.37 – $10,578.79
Inova Fairfax Hospital Falls Church not published $4,588.00 – $16,441.00
Inova Fair Oaks Hospital VA 22033-1709 not published $4,588.00 – $16,441.00
Inova Loudoun Hospital Leesburg not published $4,588.00 – $16,441.00
Sentara Martha Jefferson Hospital Charlottesville not published $6,716.00 – $13,397.00

All Virginia hospitals for this procedure →