Clsd tx fx radius/ulna w/manip 25565 at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$1,668.00
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.
?
What you pay up front if you don't use insurance.
$3,336.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$700.38 with anthem vs $4,279.90 with anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $700.38 | ↓ -58% |
| united | medicaid advantage | $714.39 | ↓ -57% |
| sentara health | medicaid advantage | $721.39 | ↓ -57% |
| humana | medicaid advantage | $728.40 | ↓ -56% |
| aetna | medicaid advantage | $735.40 | ↓ -56% |
| kaiser | medicaid advantage | $770.42 | ↓ -54% |
| sentara health | exchange | $883.55 | ↓ -47% |
| united | exchange | $1,127.36 | ↓ -32% |
| sentara health | hmo | $1,162.45 | ↓ -30% |
| sentara health | ppo | $1,162.45 | ↓ -30% |
| united | nonoptions | $1,269.99 | ↓ -24% |
| united | options | $1,269.99 | ↓ -24% |
| kaiser | ppo | $1,301.04 | ↓ -22% |
| kaiser | hmo | $1,301.04 | ↓ -22% |
| united | medicare advantage | $1,600.41 | ↓ -4% |
| aetna | medicare advantage | $1,600.41 | ↓ -4% |
| anthem | medicare advantage | $1,600.41 | ↓ -4% |
| sentara health | medicare advantage | $1,632.42 | ↓ -2% |
| cigna | medicare advantage | $1,664.43 | ↓ -0% |
| kaiser | medicare advantage | $1,664.43 | ↓ -0% |
| humana | medicare advantage | $1,760.45 | ↑ +6% |
| innovation | fully insured | $2,149.00 | ↑ +29% |
| carefirst | hmo | $2,485.00 | ↑ +49% |
| carefirst | ppo | $2,510.00 | ↑ +50% |
| innovation | self insured | $2,589.00 | ↑ +55% |
| cigna | exchange | $2,763.00 | ↑ +66% |
| aetna | fannie-mae | $3,116.15 | ↑ +87% |
| cigna | ppo | $3,580.00 | ↑ +115% |
| cigna | hmo | $3,580.00 | ↑ +115% |
| aetna | ppo | $3,645.00 | ↑ +119% |
| aetna | hmo | $3,645.00 | ↑ +119% |
| anthem | exchange hmo | $3,712.92 | ↑ +123% |
| anthem | hmo | $4,279.90 | ↑ +157% |
| anthem | ppo | $4,279.90 | ↑ +157% |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna w/manip 25565 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,668.00 | $700.38 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | $1,668.00 | $700.38 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,668.00 | $700.38 – $2,485.00 |
| Inova Loudoun Hospital | Leesburg | $1,668.00 | $700.38 – $2,485.00 |
| Johnston Memorial Hospital | ABINGDON | $275.25 | $393.59 – $3,420.19 |
| Russell County Hospital | LEBANON | $275.25 | $393.59 – $3,420.19 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,349.50 | $511.00 – $1,647.34 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,514.00 | $484.00 – $3,486.00 |