Expl lap celiotomy w/wo bx 49000 at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$4,185.00
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.
$8,370.00
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 $9,437.58 with anthem — 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 | $3,689.00 | ↓ -12% |
| cigna | exchange | $3,825.09 | ↓ -9% |
| innovation | self insured | $4,448.00 | ↑ +6% |
| aetna | fannie-mae | $5,360.06 | ↑ +28% |
| cigna | hmo | $5,405.35 | ↑ +29% |
| cigna | ppo | $5,405.35 | ↑ +29% |
| anthem | medicaid advantage | $5,425.74 | ↑ +30% |
| united | medicaid advantage | $5,534.25 | ↑ +32% |
| sentara health | medicaid advantage | $5,588.51 | ↑ +34% |
| sentara health | exchange | $5,622.58 | ↑ +34% |
| humana | medicaid advantage | $5,642.77 | ↑ +35% |
| aetna | medicaid advantage | $5,697.03 | ↑ +36% |
| kaiser | medicaid advantage | $5,968.31 | ↑ +43% |
| aetna | hmo | $6,269.00 | ↑ +50% |
| aetna | ppo | $6,269.00 | ↑ +50% |
| kaiser | ppo | $6,528.60 | ↑ +56% |
| kaiser | hmo | $6,528.60 | ↑ +56% |
| sentara health | ppo | $7,397.42 | ↑ +77% |
| sentara health | hmo | $7,397.42 | ↑ +77% |
| united | exchange | $7,764.64 | ↑ +86% |
| anthem | exchange hmo | $8,187.34 | ↑ +96% |
| united | nonoptions | $8,740.58 | ↑ +109% |
| united | options | $8,740.58 | ↑ +109% |
| anthem | ppo | $9,437.58 | ↑ +126% |
| anthem | hmo | $9,437.58 | ↑ +126% |
Visitor-reported prices
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Expl lap celiotomy w/wo bx 49000 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,185.00 | $943.00 – $5,968.31 |
| Inova Fairfax Hospital | Falls Church | $4,185.00 | $943.00 – $5,968.31 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,185.00 | $943.00 – $5,968.31 |
| Inova Loudoun Hospital | Leesburg | $4,185.00 | $943.00 – $5,968.31 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $3,338.00 – $8,246.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $778.00 – $8,137.00 |
| Sentara Leigh Hospital | Norfolk | not published | $5,220.00 – $16,996.00 |
| Sentara CarePlex Hospital | Hampton | not published | $16,996.00 – $16,996.00 |