Surgical pathology level 6 gross & microscopic examination at Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
$492.50
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.
$985.00
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.
$231.10 with anthem vs $2,184.60 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 |
|---|---|---|---|
| anthem | medicaid advantage | $231.10 | ↓ -53% |
| united | medicaid advantage | $235.72 | ↓ -52% |
| sentara health | medicaid advantage | $238.03 | ↓ -52% |
| humana | medicaid advantage | $240.34 | ↓ -51% |
| aetna | medicaid advantage | $242.66 | ↓ -51% |
| kaiser | medicaid advantage | $254.21 | ↓ -48% |
| carefirst | hmo | $340.93 | ↓ -31% |
| carefirst | ppo | $379.31 | ↓ -23% |
| aetna | ppo | $559.38 | ↑ +14% |
| aetna | hmo | $559.38 | ↑ +14% |
| aetna | fannie-mae | $587.06 | ↑ +19% |
| innovation | self insured | $619.66 | ↑ +26% |
| innovation | fully insured | $619.66 | ↑ +26% |
| sentara health | exchange | $647.73 | ↑ +32% |
| united | exchange | $669.29 | ↑ +36% |
| united | nonoptions | $669.29 | ↑ +36% |
| united | options | $669.29 | ↑ +36% |
| kaiser | ppo | $768.30 | ↑ +56% |
| kaiser | hmo | $768.30 | ↑ +56% |
| united | medicare advantage | $816.90 | ↑ +66% |
| anthem | medicare advantage | $816.90 | ↑ +66% |
| aetna | medicare advantage | $816.90 | ↑ +66% |
| sentara health | medicare advantage | $833.24 | ↑ +69% |
| cigna | medicare advantage | $849.58 | ↑ +73% |
| kaiser | medicare advantage | $849.58 | ↑ +73% |
| sentara health | ppo | $852.19 | ↑ +73% |
| sentara health | hmo | $852.19 | ↑ +73% |
| humana | medicare advantage | $898.59 | ↑ +82% |
| cigna | hmo | $1,215.63 | ↑ +147% |
| cigna | exchange | $1,215.63 | ↑ +147% |
| cigna | ppo | $1,215.63 | ↑ +147% |
| anthem | exchange hmo | $1,895.20 | ↑ +285% |
| anthem | ppo | $2,184.60 | ↑ +344% |
| anthem | hmo | $2,184.60 | ↑ +344% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $492.50 | $231.10 – $849.58 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $316.00 | $656.15 – $3,703.97 |
| Inova Fairfax Hospital | Falls Church | $492.50 | $231.10 – $849.58 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $492.50 | $231.10 – $849.58 |
| Inova Loudoun Hospital | Leesburg | $492.50 | $231.10 – $849.58 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,727.00 | $656.15 – $2,933.65 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $1,779.00 | $656.15 – $2,791.26 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $4,510.00 | $656.15 – $2,814.88 |