Debridement (>20 cm) charge pt at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$363.50
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.
$727.00
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.
$195.22 with carefirst vs $2,561.00 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 |
|---|---|---|---|
| carefirst | hmo | $195.22 | ↓ -46% |
| carefirst | ppo | $199.40 | ↓ -45% |
| cigna | exchange | $324.10 | ↓ -11% |
| united | exchange | $463.05 | ↑ +27% |
| cigna | ppo | $469.50 | ↑ +29% |
| cigna | hmo | $469.50 | ↑ +29% |
| kaiser | ppo | $567.06 | ↑ +56% |
| kaiser | hmo | $567.06 | ↑ +56% |
| united | options | $582.98 | ↑ +60% |
| united | nonoptions | $582.98 | ↑ +60% |
| sentara health | exchange | $883.55 | ↑ +143% |
| sentara health | ppo | $1,162.45 | ↑ +220% |
| sentara health | hmo | $1,162.45 | ↑ +220% |
| anthem | medicaid advantage | $1,471.79 | ↑ +305% |
| united | medicaid advantage | $1,501.23 | ↑ +313% |
| innovation | fully insured | $1,509.00 | ↑ +315% |
| sentara health | medicaid advantage | $1,515.94 | ↑ +317% |
| humana | medicaid advantage | $1,530.66 | ↑ +321% |
| aetna | medicaid advantage | $1,545.38 | ↑ +325% |
| kaiser | medicaid advantage | $1,618.97 | ↑ +345% |
| innovation | self insured | $1,822.00 | ↑ +401% |
| aetna | fannie-mae | $2,190.02 | ↑ +502% |
| aetna | ppo | $2,561.00 | ↑ +605% |
| aetna | hmo | $2,561.00 | ↑ +605% |
Visitor-reported prices
Comments
Debridement (>20 cm) charge pt at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $363.50 | $195.22 – $1,545.38 |
| Inova Fairfax Hospital | Falls Church | $363.50 | $195.22 – $1,545.38 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $363.50 | $195.22 – $1,545.38 |
| Inova Loudoun Hospital | Leesburg | $363.50 | $195.22 – $1,545.38 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $283.00 | $49.76 – $53.24 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $46.67 – $49.94 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $49.76 – $67.18 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $49.76 – $53.24 |