Repair pm/icd lead sgl at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$1,499.00
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.
$2,998.00
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.
$2,188.26 with anthem vs $26,963.00 with cigna — 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 | medicaid advantage | $2,188.26 | ↑ +46% |
| united | medicaid advantage | $2,232.03 | ↑ +49% |
| sentara health | medicaid advantage | $2,253.91 | ↑ +50% |
| humana | medicaid advantage | $2,275.79 | ↑ +52% |
| aetna | medicaid advantage | $2,297.67 | ↑ +53% |
| kaiser | ppo | $2,338.44 | ↑ +56% |
| kaiser | hmo | $2,338.44 | ↑ +56% |
| kaiser | medicaid advantage | $2,407.09 | ↑ +61% |
| anthem | medicare advantage | $3,639.30 | ↑ +143% |
| united | medicare advantage | $3,639.30 | ↑ +143% |
| aetna | medicare advantage | $3,639.30 | ↑ +143% |
| sentara health | medicare advantage | $3,712.09 | ↑ +148% |
| cigna | medicare advantage | $3,784.87 | ↑ +152% |
| kaiser | medicare advantage | $3,784.87 | ↑ +152% |
| humana | medicare advantage | $4,003.23 | ↑ +167% |
| carefirst | hmo | $4,413.00 | ↑ +194% |
| carefirst | ppo | $4,455.00 | ↑ +197% |
| united | exchange | $7,764.64 | ↑ +418% |
| anthem | exchange hmo | $8,370.44 | ↑ +458% |
| united | options | $8,740.58 | ↑ +483% |
| united | nonoptions | $8,740.58 | ↑ +483% |
| anthem | hmo | $9,648.31 | ↑ +544% |
| anthem | ppo | $9,648.31 | ↑ +544% |
| sentara health | exchange | $10,843.55 | ↑ +623% |
| innovation | fully insured | $12,868.00 | ↑ +758% |
| sentara health | ppo | $14,266.45 | ↑ +852% |
| sentara health | hmo | $14,266.45 | ↑ +852% |
| aetna | fannie-mae | $14,868.40 | ↑ +892% |
| innovation | self insured | $15,519.00 | ↑ +935% |
| aetna | ppo | $17,390.00 | ↑ +1060% |
| aetna | hmo | $17,390.00 | ↑ +1060% |
| cigna | exchange | $20,812.00 | ↑ +1288% |
| cigna | hmo | $26,963.00 | ↑ +1699% |
| cigna | ppo | $26,963.00 | ↑ +1699% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | $1,499.00 | $2,188.26 – $12,868.00 |
| Inova Fairfax Hospital | Falls Church | $1,499.00 | $2,188.26 – $12,868.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,499.00 | $2,188.26 – $12,868.00 |
| Inova Loudoun Hospital | Leesburg | $1,499.00 | $2,188.26 – $12,868.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,739.00 | $3,338.00 – $8,246.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,948.50 | $3,231.00 – $3,988.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $2,481.00 | $370.85 – $8,750.63 |
| Sentara Halifax Regional Hospital | South Boston | $2,308.50 | not published |