Myelography neck spine at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$784.50
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.
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What you pay up front if you don't use insurance.
$1,569.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$699.46 with cigna vs $2,094.55 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.
Full explanation →
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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 ?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 |
|---|---|---|---|
| cigna | exchange | $699.46 | ↓ -11% |
| united | medicare advantage | $790.06 | ↑ +1% |
| anthem | medicare advantage | $790.06 | ↑ +1% |
| aetna | medicare advantage | $790.06 | ↑ +1% |
| anthem | medicaid advantage | $801.76 | ↑ +2% |
| sentara health | medicare advantage | $805.86 | ↑ +3% |
| united | medicaid advantage | $817.80 | ↑ +4% |
| kaiser | medicare advantage | $821.66 | ↑ +5% |
| cigna | medicare advantage | $821.66 | ↑ +5% |
| sentara health | medicaid advantage | $825.81 | ↑ +5% |
| humana | medicaid advantage | $833.83 | ↑ +6% |
| aetna | medicaid advantage | $841.85 | ↑ +7% |
| carefirst | hmo | $847.90 | ↑ +8% |
| humana | medicare advantage | $869.07 | ↑ +11% |
| kaiser | medicaid advantage | $881.94 | ↑ +12% |
| sentara health | exchange | $885.06 | ↑ +13% |
| aetna | ppo | $891.04 | ↑ +14% |
| aetna | hmo | $891.04 | ↑ +14% |
| carefirst | ppo | $919.94 | ↑ +17% |
| aetna | fannie-mae | $935.12 | ↑ +19% |
| cigna | hmo | $1,013.26 | ↑ +29% |
| cigna | ppo | $1,013.26 | ↑ +29% |
| innovation | self insured | $1,033.97 | ↑ +32% |
| innovation | fully insured | $1,033.97 | ↑ +32% |
| sentara health | ppo | $1,164.43 | ↑ +48% |
| sentara health | hmo | $1,164.43 | ↑ +48% |
| kaiser | hmo | $1,223.82 | ↑ +56% |
| kaiser | ppo | $1,223.82 | ↑ +56% |
| united | options | $1,644.01 | ↑ +110% |
| united | exchange | $1,644.01 | ↑ +110% |
| united | nonoptions | $1,644.01 | ↑ +110% |
| anthem | exchange hmo | $1,817.14 | ↑ +132% |
| anthem | hmo | $2,094.55 | ↑ +167% |
| anthem | ppo | $2,094.55 | ↑ +167% |
Visitor-reported prices
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Myelography neck spine at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | $784.50 | $699.46 – $1,033.97 |
| Inova Fairfax Hospital | Falls Church | $784.50 | $699.46 – $1,033.97 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $784.50 | $699.46 – $1,033.97 |
| Inova Loudoun Hospital | Leesburg | $784.50 | $699.46 – $1,033.97 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $2,673.00 | $181.74 – $1,609.16 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $4,231.00 | $196.48 – $1,609.16 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $222.10 – $1,609.16 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $132.28 – $1,609.16 |