Ercp remove forgn body duct 43275 at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$2,720.00
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.
$5,440.00
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.
$1,896.99 with aetna 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 |
|---|---|---|---|
| aetna | medicare advantage | $1,896.99 | ↓ -30% |
| anthem | medicare advantage | $1,896.99 | ↓ -30% |
| united | medicare advantage | $1,896.99 | ↓ -30% |
| sentara health | medicare advantage | $1,934.93 | ↓ -29% |
| kaiser | medicare advantage | $1,972.87 | ↓ -27% |
| cigna | medicare advantage | $1,972.87 | ↓ -27% |
| humana | medicare advantage | $2,086.69 | ↓ -23% |
| united | exchange | $2,538.64 | ↓ -7% |
| united | options | $2,857.22 | ↑ +5% |
| united | nonoptions | $2,857.22 | ↑ +5% |
| innovation | fully insured | $3,508.00 | ↑ +29% |
| sentara health | exchange | $3,855.49 | ↑ +42% |
| anthem | medicaid advantage | $3,876.98 | ↑ +43% |
| united | medicaid advantage | $3,954.52 | ↑ +45% |
| sentara health | medicaid advantage | $3,993.29 | ↑ +47% |
| humana | medicaid advantage | $4,032.06 | ↑ +48% |
| aetna | medicaid advantage | $4,070.83 | ↑ +50% |
| innovation | self insured | $4,227.00 | ↑ +55% |
| kaiser | ppo | $4,243.20 | ↑ +56% |
| kaiser | hmo | $4,243.20 | ↑ +56% |
| kaiser | medicaid advantage | $4,264.68 | ↑ +57% |
| anthem | exchange hmo | $4,400.97 | ↑ +62% |
| carefirst | hmo | $4,413.00 | ↑ +62% |
| carefirst | ppo | $4,455.00 | ↑ +64% |
| sentara health | hmo | $5,072.52 | ↑ +86% |
| sentara health | ppo | $5,072.52 | ↑ +86% |
| anthem | ppo | $5,073.02 | ↑ +87% |
| anthem | hmo | $5,073.02 | ↑ +87% |
| aetna | fannie-mae | $5,091.48 | ↑ +87% |
| aetna | ppo | $5,955.00 | ↑ +119% |
| aetna | hmo | $5,955.00 | ↑ +119% |
| cigna | exchange | $8,545.00 | ↑ +214% |
| cigna | hmo | $11,070.00 | ↑ +307% |
| cigna | ppo | $11,070.00 | ↑ +307% |
Visitor-reported prices
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Ercp remove forgn body duct 43275 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $2,720.00 | $1,896.99 – $4,413.00 |
| Inova Fairfax Hospital | Falls Church | $2,720.00 | $1,896.99 – $4,413.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $2,720.00 | $1,896.99 – $4,413.00 |
| Inova Loudoun Hospital | Leesburg | $2,720.00 | $1,896.99 – $4,413.00 |
| St Mary's Hospital | Richmond | $18,463.71 | $3,868.08 – $3,945.44 |
| Mary Immaculate Hospital | Newport News | $12,675.41 | $1,872.25 – $1,909.69 |
| St Francis Medical Center | Midlothian | $14,782.27 | $1,872.25 – $1,872.25 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $1,909.69 – $6,716.00 |