Complx repair enel addl 5cm/< 13153 at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$386.00
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.
$772.00
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.
$352.80 with cigna vs $5,955.00 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 |
|---|---|---|---|
| cigna | exchange | $352.80 | ↓ -9% |
| cigna | hmo | $498.56 | ↑ +29% |
| cigna | ppo | $498.56 | ↑ +29% |
| kaiser | ppo | $602.16 | ↑ +56% |
| kaiser | hmo | $602.16 | ↑ +56% |
| sentara health | exchange | $883.55 | ↑ +129% |
| carefirst | hmo | $943.00 | ↑ +144% |
| carefirst | ppo | $953.00 | ↑ +147% |
| united | exchange | $1,127.36 | ↑ +192% |
| sentara health | ppo | $1,162.45 | ↑ +201% |
| sentara health | hmo | $1,162.45 | ↑ +201% |
| united | options | $1,269.99 | ↑ +229% |
| united | nonoptions | $1,269.99 | ↑ +229% |
| anthem | medicaid advantage | $1,785.28 | ↑ +363% |
| united | medicaid advantage | $1,820.99 | ↑ +372% |
| sentara health | medicaid advantage | $1,838.84 | ↑ +376% |
| humana | medicaid advantage | $1,856.69 | ↑ +381% |
| aetna | medicaid advantage | $1,874.54 | ↑ +386% |
| kaiser | medicaid advantage | $1,963.81 | ↑ +409% |
| innovation | fully insured | $3,508.00 | ↑ +809% |
| innovation | self insured | $4,227.00 | ↑ +995% |
| aetna | fannie-mae | $5,091.48 | ↑ +1219% |
| aetna | hmo | $5,955.00 | ↑ +1443% |
| aetna | ppo | $5,955.00 | ↑ +1443% |
Visitor-reported prices
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Complx repair enel addl 5cm/< 13153 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $386.00 | $352.80 – $3,508.00 |
| Inova Fairfax Hospital | Falls Church | $386.00 | $352.80 – $3,508.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $386.00 | $352.80 – $3,508.00 |
| Inova Loudoun Hospital | Leesburg | $386.00 | $352.80 – $3,508.00 |
| Johnston Memorial Hospital | ABINGDON | $417.00 | $136.94 – $1,656.55 |
| Russell County Hospital | LEBANON | $417.00 | $136.94 – $1,656.57 |
| Sentara Martha Jefferson Hospital | Charlottesville | $848.00 | $511.00 – $3,304.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,340.00 | $484.00 – $2,603.00 |