Injection, siltuximab at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$219.98
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.
$439.95
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.
$165.83 with anthem vs $7,588.24 with kaiser — 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 |
|---|---|---|---|
| anthem | ppo | $165.83 | ↓ -25% |
| aetna | medicare advantage | $165.83 | ↓ -25% |
| anthem | exchange hmo | $165.83 | ↓ -25% |
| anthem | hmo | $165.83 | ↓ -25% |
| united | medicare advantage | $165.83 | ↓ -25% |
| anthem | medicare advantage | $165.83 | ↓ -25% |
| sentara health | medicare advantage | $169.15 | ↓ -23% |
| kaiser | medicare advantage | $172.46 | ↓ -22% |
| cigna | medicare advantage | $172.46 | ↓ -22% |
| humana | medicare advantage | $182.41 | ↓ -17% |
| cigna | exchange | $231.53 | ↑ +5% |
| cigna | hmo | $231.53 | ↑ +5% |
| cigna | ppo | $231.53 | ↑ +5% |
| sentara health | exchange | $245.24 | ↑ +11% |
| carefirst | ppo | $252.10 | ↑ +15% |
| carefirst | hmo | $252.10 | ↑ +15% |
| united | options | $267.23 | ↑ +21% |
| united | exchange | $267.23 | ↑ +21% |
| united | nonoptions | $267.23 | ↑ +21% |
| sentara health | ppo | $322.65 | ↑ +47% |
| sentara health | hmo | $322.65 | ↑ +47% |
| kaiser | hmo | $341.34 | ↑ +55% |
| kaiser | ppo | $341.34 | ↑ +55% |
| anthem | medicaid advantage | $6,898.40 | ↑ +3036% |
| united | medicaid advantage | $7,036.37 | ↑ +3099% |
| sentara health | medicaid advantage | $7,105.35 | ↑ +3130% |
| humana | medicaid advantage | $7,174.34 | ↑ +3161% |
| aetna | medicaid advantage | $7,243.32 | ↑ +3193% |
| kaiser | medicaid advantage | $7,588.24 | ↑ +3350% |
Visitor-reported prices
Comments
Injection, siltuximab at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $162.32 – $174.12 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $169.15 – $209.51 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $147.97 – $447.00 |
| Sentara Halifax Regional Hospital | South Boston | not published | $177.56 – $182.78 |
| Sentara Leigh Hospital | Norfolk | not published | $169.15 – $174.12 |
| Sentara RMH Medical Center | Harrisonburg | not published | $162.32 – $174.12 |
| Sentara CarePlex Hospital | Hampton | not published | $169.15 – $174.12 |
| Sentara Norfolk General Hospital | Norfolk | not published | $169.15 – $174.12 |