Ot evaluation moderate complexity patient/family at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$212.50
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.
$425.00
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.
$113.16 with anthem vs $582.98 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 →
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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 |
|---|---|---|---|
| anthem | ppo | $113.16 | ↓ -47% |
| anthem | hmo | $113.16 | ↓ -47% |
| anthem | exchange hmo | $113.16 | ↓ -47% |
| sentara health | exchange | $120.48 | ↓ -43% |
| sentara health | ppo | $158.52 | ↓ -25% |
| sentara health | hmo | $158.52 | ↓ -25% |
| carefirst | hmo | $168.00 | ↓ -21% |
| carefirst | ppo | $171.60 | ↓ -19% |
| cigna | exchange | $189.47 | ↓ -11% |
| aetna | ppo | $241.36 | ↑ +14% |
| aetna | hmo | $241.36 | ↑ +14% |
| aetna | fannie-mae | $253.30 | ↑ +19% |
| innovation | self insured | $267.37 | ↑ +26% |
| innovation | fully insured | $267.37 | ↑ +26% |
| cigna | ppo | $274.47 | ↑ +29% |
| cigna | hmo | $274.47 | ↑ +29% |
| kaiser | ppo | $331.50 | ↑ +56% |
| kaiser | hmo | $331.50 | ↑ +56% |
| anthem | medicaid advantage | $367.55 | ↑ +73% |
| united | medicaid advantage | $374.90 | ↑ +76% |
| sentara health | medicaid advantage | $378.58 | ↑ +78% |
| humana | medicaid advantage | $382.25 | ↑ +80% |
| aetna | medicaid advantage | $385.93 | ↑ +82% |
| kaiser | medicaid advantage | $404.31 | ↑ +90% |
| united | exchange | $463.05 | ↑ +118% |
| united | options | $582.98 | ↑ +174% |
| united | nonoptions | $582.98 | ↑ +174% |
Visitor-reported prices
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Ot evaluation moderate complexity patient/family at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | $212.50 | $113.16 – $382.25 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $1,306.00 | $84.65 – $96.60 |
| Inova Fairfax Hospital | Falls Church | $212.50 | $113.16 – $382.25 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $212.50 | $113.16 – $382.25 |
| Inova Loudoun Hospital | Leesburg | $212.50 | $113.16 – $382.25 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $734.00 | $74.69 – $95.52 |
| TRICITIES HOSPITAL | HOPEWELL | $997.00 | $84.65 – $120.51 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $710.64 | $89.27 – $99.59 |