healthcosts.net
Transcath mv repair addl prosthesis at Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
$1,816.50
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.
$3,633.00
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.
$883.55 with sentara health vs $23,094.84 with kaiser — 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 |
|---|---|---|---|
| sentara health | exchange | $883.55 | ↓ -51% |
| carefirst | hmo | $943.00 | ↓ -48% |
| carefirst | ppo | $953.00 | ↓ -48% |
| united | exchange | $1,127.36 | ↓ -38% |
| sentara health | hmo | $1,162.45 | ↓ -36% |
| sentara health | ppo | $1,162.45 | ↓ -36% |
| united | nonoptions | $1,269.99 | ↓ -30% |
| united | options | $1,269.99 | ↓ -30% |
| cigna | exchange | $1,660.28 | ↓ -9% |
| aetna | ppo | $2,063.18 | ↑ +14% |
| aetna | hmo | $2,063.18 | ↑ +14% |
| aetna | fannie-mae | $2,165.27 | ↑ +19% |
| innovation | fully insured | $2,285.52 | ↑ +26% |
| innovation | self insured | $2,285.52 | ↑ +26% |
| cigna | ppo | $2,346.19 | ↑ +29% |
| cigna | hmo | $2,346.19 | ↑ +29% |
| kaiser | hmo | $2,833.74 | ↑ +56% |
| kaiser | ppo | $2,833.74 | ↑ +56% |
| anthem | medicaid advantage | $20,995.31 | ↑ +1056% |
| united | medicaid advantage | $21,415.22 | ↑ +1079% |
| sentara health | medicaid advantage | $21,625.17 | ↑ +1090% |
| humana | medicaid advantage | $21,835.12 | ↑ +1102% |
| aetna | medicaid advantage | $22,045.08 | ↑ +1114% |
| kaiser | medicaid advantage | $23,094.84 | ↑ +1171% |
Visitor-reported prices
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Transcath mv repair addl prosthesis at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Mount Vernon Hospital | Alexandria | $1,816.50 | $883.55 – $21,835.12 |
| Inova Fairfax Hospital | Falls Church | $1,816.50 | $883.55 – $21,835.12 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,816.50 | $883.55 – $21,835.12 |
| Inova Loudoun Hospital | Leesburg | $1,816.50 | $883.55 – $21,835.12 |