Prcrd drg 6+yr without anomly at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$849.50
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.
$1,699.00
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.
$776.44 with cigna vs $10,186.00 with aetna — 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 | $776.44 | ↓ -9% |
| carefirst | hmo | $943.00 | ↑ +11% |
| carefirst | ppo | $953.00 | ↑ +12% |
| cigna | ppo | $1,097.21 | ↑ +29% |
| cigna | hmo | $1,097.21 | ↑ +29% |
| kaiser | hmo | $1,325.22 | ↑ +56% |
| kaiser | ppo | $1,325.22 | ↑ +56% |
| anthem | medicaid advantage | $1,454.03 | ↑ +71% |
| united | medicaid advantage | $1,483.11 | ↑ +75% |
| sentara health | medicaid advantage | $1,497.65 | ↑ +76% |
| humana | medicaid advantage | $1,512.19 | ↑ +78% |
| aetna | medicaid advantage | $1,526.73 | ↑ +80% |
| kaiser | medicaid advantage | $1,599.43 | ↑ +88% |
| sentara health | exchange | $4,016.13 | ↑ +373% |
| united | exchange | $4,563.52 | ↑ +437% |
| united | options | $5,136.61 | ↑ +505% |
| united | nonoptions | $5,136.61 | ↑ +505% |
| sentara health | ppo | $5,283.87 | ↑ +522% |
| sentara health | hmo | $5,283.87 | ↑ +522% |
| innovation | fully insured | $8,206.00 | ↑ +866% |
| aetna | fannie-mae | $8,708.87 | ↑ +925% |
| innovation | self insured | $9,898.00 | ↑ +1065% |
| aetna | hmo | $10,186.00 | ↑ +1099% |
| aetna | ppo | $10,186.00 | ↑ +1099% |
Visitor-reported prices
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Prcrd drg 6+yr without anomly at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | $849.50 | $776.44 – $8,206.00 |
| Inova Fairfax Hospital | Falls Church | $849.50 | $776.44 – $8,206.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $849.50 | $776.44 – $8,206.00 |
| Inova Loudoun Hospital | Leesburg | $849.50 | $776.44 – $8,206.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,464.00 | $1,547.00 – $1,547.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,640.50 | $778.00 – $3,988.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $913.65 | $1,323.49 – $1,349.19 |
| Sentara Halifax Regional Hospital | South Boston | $1,943.00 | not published |