69/100
#674 nationally
Inova Alexandria Hospital
4320 Seminary Rd, Alexandria, VA 22304 · (703) 504-3167
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Inova Alexandria Hospital billed $3.78 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.8x
- volume-weighted across all its priced work
- Procedures priced
- 127
- inpatient and outpatient combined
- Rank in VA
- #17
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 64% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 73% of U.S. hospitals.
Better than 78% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,065 | $19,564 | $2,529 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
390 | $49,744 | $15,620 | -24% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
265 | $41,400 | $12,001 | -34% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
242 | $5,858 | $1,749 | -50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
213 | $38,095 | $10,582 | -12% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
163 | $32,967 | $4,781 | +20% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
161 | $17,661 | $3,033 | -30% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
140 | $35,274 | $5,349 | about average |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
109 | $43,625 | $13,303 | -21% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
104 | $68,812 | $17,437 | -17% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$174,157 | $36,005 | +20% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$32,967 | $4,781 | +20% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
$35,545 | $7,861 | about average |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$88,857 | $20,304 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$19,564 | $2,529 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$35,274 | $5,349 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$23,084 | $3,244 | about average |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$43,785 | $8,636 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$7,789 | $3,435 | -64% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$25,218 | $11,630 | -62% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$6,380 | $2,632 | -62% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$11,992 | $4,941 | -60% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
$34,322 | $13,806 | -57% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay |
$30,306 | $12,663 | -56% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
$47,087 | $16,884 | -52% |
|
Headaches without Major Complications
MS-DRG 103 · Inpatient stay |
$22,611 | $7,284 | -51% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.