Chemotherapy injection 96542 at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$460.50
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.
$921.00
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.
$74.35 with anthem vs $1,496.59 with united — 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 | $74.35 | ↓ -84% |
| united | medicaid advantage | $75.84 | ↓ -84% |
| sentara health | medicaid advantage | $76.58 | ↓ -83% |
| humana | medicaid advantage | $77.32 | ↓ -83% |
| aetna | medicaid advantage | $78.07 | ↓ -83% |
| kaiser | medicaid advantage | $81.79 | ↓ -82% |
| anthem | medicare advantage | $331.69 | ↓ -28% |
| united | medicare advantage | $331.69 | ↓ -28% |
| aetna | medicare advantage | $331.69 | ↓ -28% |
| sentara health | medicare advantage | $338.32 | ↓ -27% |
| kaiser | medicare advantage | $344.96 | ↓ -25% |
| cigna | medicare advantage | $344.96 | ↓ -25% |
| humana | medicare advantage | $364.86 | ↓ -21% |
| cigna | exchange | $410.58 | ↓ -11% |
| carefirst | hmo | $506.55 | ↑ +10% |
| sentara health | exchange | $519.53 | ↑ +13% |
| aetna | hmo | $523.04 | ↑ +14% |
| aetna | ppo | $523.04 | ↑ +14% |
| carefirst | ppo | $534.18 | ↑ +16% |
| aetna | fannie-mae | $548.92 | ↑ +19% |
| innovation | fully insured | $579.40 | ↑ +26% |
| innovation | self insured | $579.40 | ↑ +26% |
| cigna | ppo | $594.78 | ↑ +29% |
| cigna | hmo | $594.78 | ↑ +29% |
| sentara health | ppo | $683.52 | ↑ +48% |
| sentara health | hmo | $683.52 | ↑ +48% |
| kaiser | hmo | $718.38 | ↑ +56% |
| kaiser | ppo | $718.38 | ↑ +56% |
| anthem | exchange hmo | $769.52 | ↑ +67% |
| anthem | hmo | $887.02 | ↑ +93% |
| anthem | ppo | $887.02 | ↑ +93% |
| united | exchange | $1,186.50 | ↑ +158% |
| united | nonoptions | $1,496.59 | ↑ +225% |
| united | options | $1,496.59 | ↑ +225% |
Visitor-reported prices
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Chemotherapy injection 96542 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $460.50 | $74.35 – $579.40 |
| Inova Fairfax Hospital | Falls Church | $460.50 | $74.35 – $579.40 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $460.50 | $74.35 – $579.40 |
| Inova Loudoun Hospital | Leesburg | $460.50 | $74.35 – $579.40 |
| Johnston Memorial Hospital | ABINGDON | $46.95 | $65.43 – $702.56 |
| Russell County Hospital | LEBANON | $46.95 | $65.43 – $702.56 |
| Lonesome Pine Hospital | BIG STONE GAP | $46.95 | $36.35 – $702.56 |
| Smyth County Community Hospital | MARION | $46.95 | $65.43 – $702.56 |