Revise/replace knee joint at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
not published by hospital
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.
not published by hospital
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.
$3,275.00 with innovation vs $34,111.81 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 |
|---|---|---|---|
| innovation | fully insured | $3,275.00 | — |
| innovation | self insured | $4,492.00 | — |
| aetna | fannie-mae | $5,409.47 | — |
| aetna | hmo | $6,327.00 | — |
| aetna | ppo | $6,327.00 | — |
| sentara health | exchange | $8,674.84 | — |
| sentara health | ppo | $11,413.16 | — |
| sentara health | hmo | $11,413.16 | — |
| anthem | medicaid advantage | $13,575.50 | — |
| united | medicaid advantage | $13,847.01 | — |
| sentara health | medicaid advantage | $13,982.77 | — |
| humana | medicaid advantage | $14,118.52 | — |
| aetna | medicaid advantage | $14,254.28 | — |
| kaiser | medicaid advantage | $14,933.05 | — |
| carefirst | hmo | $16,441.00 | — |
| carefirst | ppo | $16,600.00 | — |
| united | exchange | $24,622.00 | — |
| united | options | $27,718.33 | — |
| united | nonoptions | $27,718.33 | — |
| anthem | exchange hmo | $29,593.87 | — |
| anthem | hmo | $34,111.81 | — |
| anthem | ppo | $34,111.81 | — |
Visitor-reported prices
Comments
Revise/replace knee joint at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | not published | $3,275.00 – $16,441.00 |
| Southampton Medical Center | Franklin | $29,033.08 | $13,415.89 – $13,684.21 |
| Memorial Regional Hospital | Mechanicsville | $30,701.17 | $12,880.66 – $13,138.27 |
| Inova Fairfax Hospital | Falls Church | not published | $3,725.00 – $16,441.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | not published | $3,275.00 – $16,441.00 |
| Inova Loudoun Hospital | Leesburg | not published | $3,275.00 – $16,441.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $4,339.00 – $29,725.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $3,988.00 – $15,406.00 |