Revision of collar bone at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$9,884.00
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.
$19,768.00
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.
$4,817.00 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 | $4,817.00 | ↓ -51% |
| innovation | self insured | $5,809.00 | ↓ -41% |
| cigna | exchange | $6,440.00 | ↓ -35% |
| aetna | fannie-mae | $7,003.02 | ↓ -29% |
| kaiser | hmo | $7,709.52 | ↓ -22% |
| kaiser | ppo | $7,709.52 | ↓ -22% |
| aetna | ppo | $8,191.00 | ↓ -17% |
| aetna | hmo | $8,191.00 | ↓ -17% |
| cigna | hmo | $8,343.00 | ↓ -16% |
| cigna | ppo | $8,343.00 | ↓ -16% |
| sentara health | exchange | $8,674.84 | ↓ -12% |
| carefirst | hmo | $9,927.00 | ↑ +0% |
| carefirst | ppo | $10,024.00 | ↑ +1% |
| sentara health | hmo | $11,413.16 | ↑ +15% |
| sentara health | ppo | $11,413.16 | ↑ +15% |
| united | exchange | $11,502.40 | ↑ +16% |
| united | medicare advantage | $12,866.82 | ↑ +30% |
| aetna | medicare advantage | $12,866.82 | ↑ +30% |
| anthem | medicare advantage | $12,866.82 | ↑ +30% |
| united | options | $12,949.16 | ↑ +31% |
| united | nonoptions | $12,949.16 | ↑ +31% |
| sentara health | medicare advantage | $13,124.16 | ↑ +33% |
| cigna | medicare advantage | $13,381.49 | ↑ +35% |
| kaiser | medicare advantage | $13,381.49 | ↑ +35% |
| anthem | medicaid advantage | $13,668.74 | ↑ +38% |
| united | medicaid advantage | $13,942.11 | ↑ +41% |
| sentara health | medicaid advantage | $14,078.80 | ↑ +42% |
| humana | medicare advantage | $14,153.50 | ↑ +43% |
| humana | medicaid advantage | $14,215.49 | ↑ +44% |
| aetna | medicaid advantage | $14,352.18 | ↑ +45% |
| kaiser | medicaid advantage | $15,035.61 | ↑ +52% |
| anthem | exchange hmo | $29,593.87 | ↑ +199% |
| anthem | hmo | $34,111.81 | ↑ +245% |
| anthem | ppo | $34,111.81 | ↑ +245% |
Visitor-reported prices
Comments
Revision of collar bone at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | $9,884.00 | $4,817.00 – $14,153.50 |
| Inova Fairfax Hospital | Falls Church | $9,884.00 | $1,720.68 – $14,153.50 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $9,884.00 | $4,817.00 – $14,153.50 |
| Inova Loudoun Hospital | Leesburg | $9,884.00 | $4,817.00 – $14,153.50 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $5,418.00 – $13,397.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $7,778.00 – $13,121.51 |
| Sentara Halifax Regional Hospital | South Boston | not published | $12,878.18 – $13,256.95 |
| Sentara Leigh Hospital | Norfolk | not published | $10,181.00 – $13,152.83 |