Conversion ext bil drg cath at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$4,143.00
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.
$8,286.00
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.
$943.00 with carefirst vs $11,070.00 with cigna — 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 |
|---|---|---|---|
| carefirst | hmo | $943.00 | ↓ -77% |
| carefirst | ppo | $953.00 | ↓ -77% |
| innovation | fully insured | $2,149.00 | ↓ -48% |
| innovation | self insured | $2,589.00 | ↓ -38% |
| aetna | fannie-mae | $3,116.15 | ↓ -25% |
| anthem | medicaid advantage | $3,306.05 | ↓ -20% |
| united | medicaid advantage | $3,372.17 | ↓ -19% |
| sentara health | medicaid advantage | $3,405.23 | ↓ -18% |
| humana | medicaid advantage | $3,438.29 | ↓ -17% |
| aetna | medicaid advantage | $3,471.35 | ↓ -16% |
| aetna | medicare advantage | $3,529.06 | ↓ -15% |
| united | medicare advantage | $3,529.06 | ↓ -15% |
| anthem | medicare advantage | $3,529.06 | ↓ -15% |
| sentara health | medicare advantage | $3,599.64 | ↓ -13% |
| kaiser | medicaid advantage | $3,636.66 | ↓ -12% |
| aetna | ppo | $3,645.00 | ↓ -12% |
| aetna | hmo | $3,645.00 | ↓ -12% |
| cigna | medicare advantage | $3,670.22 | ↓ -11% |
| kaiser | medicare advantage | $3,670.22 | ↓ -11% |
| humana | medicare advantage | $3,881.97 | ↓ -6% |
| sentara health | exchange | $5,622.58 | ↑ +36% |
| kaiser | ppo | $6,463.08 | ↑ +56% |
| kaiser | hmo | $6,463.08 | ↑ +56% |
| sentara health | ppo | $7,397.42 | ↑ +79% |
| sentara health | hmo | $7,397.42 | ↑ +79% |
| united | exchange | $7,764.64 | ↑ +87% |
| anthem | exchange hmo | $8,187.34 | ↑ +98% |
| cigna | exchange | $8,545.00 | ↑ +106% |
| united | nonoptions | $8,740.58 | ↑ +111% |
| united | options | $8,740.58 | ↑ +111% |
| anthem | hmo | $9,437.58 | ↑ +128% |
| anthem | ppo | $9,437.58 | ↑ +128% |
| cigna | hmo | $11,070.00 | ↑ +167% |
| cigna | ppo | $11,070.00 | ↑ +167% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,143.00 | $943.00 – $3,670.22 |
| Inova Fairfax Hospital | Falls Church | $4,143.00 | $943.00 – $3,670.22 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,143.00 | $943.00 – $3,670.22 |
| Inova Loudoun Hospital | Leesburg | $4,143.00 | $943.00 – $3,670.22 |
| Johnston Memorial Hospital | ABINGDON | $1,105.80 | $2,891.36 – $7,615.49 |
| Russell County Hospital | LEBANON | $1,105.80 | $2,921.63 – $7,615.49 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,931.00 | $2,670.00 – $8,246.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,797.50 | $778.00 – $3,988.00 |