Repair upper arm/elbow tendon/muscle ea at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$54,898.00
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.
$109,796.00
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.
$3,508.00 with innovation vs $42,820.44 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 |
|---|---|---|---|
| innovation | fully insured | $3,508.00 | ↓ -94% |
| innovation | self insured | $4,227.00 | ↓ -92% |
| cigna | exchange | $4,391.00 | ↓ -92% |
| aetna | fannie-mae | $5,091.48 | ↓ -91% |
| cigna | hmo | $5,689.00 | ↓ -90% |
| cigna | ppo | $5,689.00 | ↓ -90% |
| aetna | hmo | $5,955.00 | ↓ -89% |
| aetna | ppo | $5,955.00 | ↓ -89% |
| anthem | medicaid advantage | $6,944.50 | ↓ -87% |
| united | medicaid advantage | $7,083.39 | ↓ -87% |
| anthem | medicare advantage | $7,143.73 | ↓ -87% |
| united | medicare advantage | $7,143.73 | ↓ -87% |
| aetna | medicare advantage | $7,143.73 | ↓ -87% |
| sentara health | medicaid advantage | $7,152.84 | ↓ -87% |
| humana | medicaid advantage | $7,222.28 | ↓ -87% |
| sentara health | exchange | $7,229.04 | ↓ -87% |
| sentara health | medicare advantage | $7,286.60 | ↓ -87% |
| aetna | medicaid advantage | $7,291.73 | ↓ -87% |
| cigna | medicare advantage | $7,429.48 | ↓ -86% |
| kaiser | medicare advantage | $7,429.48 | ↓ -86% |
| kaiser | medicaid advantage | $7,638.95 | ↓ -86% |
| humana | medicare advantage | $7,858.10 | ↓ -86% |
| carefirst | hmo | $8,272.00 | ↓ -85% |
| carefirst | ppo | $8,352.00 | ↓ -85% |
| sentara health | ppo | $9,510.97 | ↓ -83% |
| sentara health | hmo | $9,510.97 | ↓ -83% |
| united | exchange | $9,971.52 | ↓ -82% |
| united | nonoptions | $11,224.94 | ↓ -80% |
| united | options | $11,224.94 | ↓ -80% |
| anthem | exchange hmo | $16,573.29 | ↓ -70% |
| anthem | hmo | $19,104.10 | ↓ -65% |
| anthem | ppo | $19,104.10 | ↓ -65% |
| kaiser | ppo | $42,820.44 | ↓ -22% |
| kaiser | hmo | $42,820.44 | ↓ -22% |
Visitor-reported prices
Comments
Repair upper arm/elbow tendon/muscle ea at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $54,898.00 | $3,508.00 – $8,272.00 |
| Inova Fairfax Hospital | Falls Church | $54,898.00 | $3,508.00 – $8,272.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $54,898.00 | $3,508.00 – $8,272.00 |
| Inova Loudoun Hospital | Leesburg | $54,898.00 | $3,508.00 – $8,272.00 |
| Maryview Hospital | Portsmouth | $26,135.56 | $7,079.78 – $7,079.78 |
| St Francis Medical Center | Midlothian | $21,738.05 | $7,079.78 – $7,079.78 |
| Southside Regional Medical Center | Petersburg | $20,046.12 | $7,079.78 – $7,079.78 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $3,304.00 – $10,995.00 |