Clsd tx/metacarpal fx/sng/w manip 26605 at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$768.50
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.
$1,537.00
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.
$239.88 with united vs $3,645.00 with aetna — 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 |
|---|---|---|---|
| united | medicare advantage | $239.88 | ↓ -69% |
| anthem | medicare advantage | $239.88 | ↓ -69% |
| aetna | medicare advantage | $239.88 | ↓ -69% |
| sentara health | medicare advantage | $244.68 | ↓ -68% |
| cigna | medicare advantage | $249.48 | ↓ -68% |
| kaiser | medicare advantage | $249.48 | ↓ -68% |
| humana | medicare advantage | $263.87 | ↓ -66% |
| anthem | exchange hmo | $556.52 | ↓ -28% |
| anthem | hmo | $641.51 | ↓ -17% |
| anthem | ppo | $641.51 | ↓ -17% |
| anthem | medicaid advantage | $700.38 | ↓ -9% |
| united | medicaid advantage | $714.39 | ↓ -7% |
| sentara health | medicaid advantage | $721.39 | ↓ -6% |
| humana | medicaid advantage | $728.40 | ↓ -5% |
| aetna | medicaid advantage | $735.40 | ↓ -4% |
| kaiser | medicaid advantage | $770.42 | ↑ +0% |
| sentara health | exchange | $883.55 | ↑ +15% |
| united | exchange | $1,127.36 | ↑ +47% |
| sentara health | hmo | $1,162.45 | ↑ +51% |
| sentara health | ppo | $1,162.45 | ↑ +51% |
| kaiser | ppo | $1,198.86 | ↑ +56% |
| kaiser | hmo | $1,198.86 | ↑ +56% |
| united | nonoptions | $1,269.99 | ↑ +65% |
| united | options | $1,269.99 | ↑ +65% |
| innovation | fully insured | $2,149.00 | ↑ +180% |
| carefirst | hmo | $2,485.00 | ↑ +223% |
| carefirst | ppo | $2,510.00 | ↑ +227% |
| innovation | self insured | $2,589.00 | ↑ +237% |
| cigna | exchange | $2,763.00 | ↑ +260% |
| aetna | fannie-mae | $3,116.15 | ↑ +305% |
| cigna | hmo | $3,580.00 | ↑ +366% |
| cigna | ppo | $3,580.00 | ↑ +366% |
| aetna | ppo | $3,645.00 | ↑ +374% |
| aetna | hmo | $3,645.00 | ↑ +374% |
Visitor-reported prices
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Clsd tx/metacarpal fx/sng/w manip 26605 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $768.50 | $239.88 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | $768.50 | $239.88 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $768.50 | $239.88 – $2,485.00 |
| Inova Loudoun Hospital | Leesburg | $768.50 | $239.88 – $2,485.00 |
| Johnston Memorial Hospital | ABINGDON | $283.95 | $214.47 – $618.93 |
| Russell County Hospital | LEBANON | $283.95 | $214.47 – $618.94 |
| Sentara Martha Jefferson Hospital | Charlottesville | $409.00 | $245.48 – $1,571.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $599.00 | $245.48 – $3,486.00 |