Microdissection laser at Inova Alexandria Hospital

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

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

$306.50

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.

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

$613.00

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.

$74.75 with united vs $478.14 with kaiser — 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
united options $74.75 ↓ -76%
united exchange $74.75 ↓ -76%
united nonoptions $74.75 ↓ -76%
sentara health exchange $173.18 ↓ -43%
sentara health ppo $227.84 ↓ -26%
sentara health hmo $227.84 ↓ -26%
anthem medicaid advantage $231.10 ↓ -25%
united medicaid advantage $235.72 ↓ -23%
sentara health medicaid advantage $238.03 ↓ -22%
humana medicaid advantage $240.34 ↓ -22%
aetna medicaid advantage $242.66 ↓ -21%
kaiser medicaid advantage $254.21 ↓ -17%
cigna hmo $291.88 ↓ -5%
cigna ppo $291.88 ↓ -5%
cigna exchange $291.88 ↓ -5%
carefirst hmo $337.15 ↑ +10%
aetna ppo $348.12 ↑ +14%
aetna hmo $348.12 ↑ +14%
carefirst ppo $355.54 ↑ +16%
aetna fannie-mae $365.35 ↑ +19%
innovation fully insured $385.64 ↑ +26%
innovation self insured $385.64 ↑ +26%
kaiser hmo $478.14 ↑ +56%
kaiser ppo $478.14 ↑ +56%

Visitor-reported prices

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Microdissection laser at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Mount Vernon Hospital Alexandria $306.50 $74.75 – $385.64
Inova Fairfax Hospital Falls Church $306.50 $74.75 – $385.64
Inova Fair Oaks Hospital VA 22033-1709 $306.50 $74.75 – $385.64
Inova Loudoun Hospital Leesburg $306.50 $74.75 – $385.64
LEWISGALE MEDICAL CENTER ROANOKE $301.00 $78.86 – $442.72
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $78.86 – $445.16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $78.86 – $352.58
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $78.86 – $335.47

All Virginia hospitals for this procedure →