Manipulation chest wall demonstration/evaluation subsequent at Inova Alexandria Hospital

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

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

$134.50

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.

$269.00

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.

$83.08 with carefirst vs $1,030.00 with united — 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
carefirst hmo $83.08 ↓ -38%
anthem medicaid advantage $83.53 ↓ -38%
united medicaid advantage $85.20 ↓ -37%
sentara health medicaid advantage $86.04 ↓ -36%
humana medicaid advantage $86.87 ↓ -35%
carefirst ppo $87.42 ↓ -35%
aetna medicaid advantage $87.71 ↓ -35%
kaiser medicaid advantage $91.88 ↓ -32%
cigna exchange $119.92 ↓ -11%
anthem medicare advantage $128.90 ↓ -4%
united medicare advantage $128.90 ↓ -4%
aetna medicare advantage $128.90 ↓ -4%
sentara health medicare advantage $131.48 ↓ -2%
kaiser medicare advantage $134.06 ↓ -0%
cigna medicare advantage $134.06 ↓ -0%
humana medicare advantage $141.79 ↑ +5%
aetna hmo $152.77 ↑ +14%
aetna ppo $152.77 ↑ +14%
aetna fannie-mae $160.32 ↑ +19%
innovation fully insured $169.23 ↑ +26%
innovation self insured $169.23 ↑ +26%
cigna hmo $173.72 ↑ +29%
cigna ppo $173.72 ↑ +29%
kaiser ppo $209.82 ↑ +56%
kaiser hmo $209.82 ↑ +56%
anthem exchange hmo $296.48 ↑ +120%
anthem hmo $341.74 ↑ +154%
anthem ppo $341.74 ↑ +154%
sentara health exchange $401.61 ↑ +199%
sentara health hmo $528.39 ↑ +293%
sentara health ppo $528.39 ↑ +293%
united exchange $802.00 ↑ +496%
united options $1,030.00 ↑ +666%
united nonoptions $1,030.00 ↑ +666%

Visitor-reported prices

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Manipulation chest wall demonstration/evaluation subsequent at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $134.50 $83.08 – $169.23
Inova Fairfax Hospital Falls Church $134.50 $83.08 – $169.23
Inova Fair Oaks Hospital VA 22033-1709 $134.50 $83.08 – $169.23
Inova Loudoun Hospital Leesburg $134.50 $83.08 – $169.23
RESTON HOSPITAL CENTER VIENNA $205.16 $85.73 – $85.73
STONESPRINGS HOSPITAL CENTER Dulles $201.43 $85.73 – $85.73

All Virginia hospitals for this procedure →