SPOTSYLVANIA REGIONAL MEDICAL CENTER
4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.08 – $118.36 | 16 |
| 17-hydroxypregnenolone CPT 84143 | $719.28 | $719.28 | $22.65 – $92.23 | 16 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.71 – $51.74 | 16 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $7.96 – $8.78 | 14 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $6.46 – $7.13 | 14 |
| 1 pc ost pou w built-in conv HCPCS A5057 | $11.00 | $11.00 | $13.27 – $14.64 | 14 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.67 – $145.22 | 16 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $155.93 – $155.93 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $198.11 – $198.11 | 1 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $352.04 – $352.04 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $582.66 – $582.66 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $24.07 – $24.07 | 1 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,967.22 – $2,170.02 | 14 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $8.46 – $8.46 | 1 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $5.09 – $5.09 | 1 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $11.08 – $45.08 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $372.60 | $372.60 | $19.19 – $76.74 | 3 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $57.18 – $58.95 | 2 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $61.30 – $63.20 | 2 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $65.03 – $67.04 | 2 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $52.20 – $53.81 | 2 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $57.18 – $58.95 | 2 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $57.18 – $58.95 | 2 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $65.03 – $67.04 | 2 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $76.79 – $79.16 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $42.08 – $118.64 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $11.93 – $48.57 | 16 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,500.52 – $1,528.60 | 2 |
| Abd aorta w/runoff s&i CPT 75630 | $11,121.76 | $11,121.76 | $173.12 – $6,438.74 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $5,626.40 | $5,626.40 | $165.00 – $401.74 | 2 |
| Abdominal CT scan (with contrast) CPT 74160 | $5,241.60 | $5,241.60 | $150.29 – $401.74 | 2 |
| Abdominal CT scan (without contrast) CPT 74150 | $3,693.04 | $3,693.04 | $140.75 – $245.18 | 2 |
| Abdominal MRI (with and without contrast) CPT 74183 | $11,849.39 | $11,849.39 | $260.87 – $828.27 | 2 |
| Abdominal MRI (with contrast) CPT 74182 | $10,374.62 | $10,374.62 | $203.59 – $828.27 | 2 |
| Abdominal MRI (without contrast) CPT 74181 | $10,812.80 | $10,812.80 | $171.07 – $517.79 | 2 |
| Abdominal pad HCPCS L1270 | not published | not published | $100.13 – $110.46 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,920.32 | $2,920.32 | $96.30 – $479.81 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | not published | not published | $70.49 – $364.19 | 3 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $188.88 – $208.35 | 14 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $318.17 – $350.97 | 14 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $159.32 – $175.75 | 14 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $103.60 – $114.28 | 14 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $94.70 – $104.46 | 14 |
| Abl1 gene CPT 81170 | not published | not published | $300.00 – $1,212.78 | 15 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.77 – $23.32 | 4 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $3,664.21 – $4,041.97 | 14 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $781.83 – $862.43 | 14 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,250.29 – $1,379.19 | 14 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $2,458.62 – $2,712.09 | 14 |
| Above knee leather socket HCPCS L5642 | not published | not published | $738.99 – $815.18 | 14 |
| Above knee manual lock HCPCS L5925 | not published | not published | $399.02 – $440.16 | 14 |
| Above knee wood socket HCPCS L5644 | not published | not published | $701.40 – $773.71 | 14 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $4.21 – $4.64 | 14 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $4.50 – $4.96 | 14 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.65 – $1.82 | 14 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $2.75 – $3.04 | 14 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $8.76 – $9.66 | 14 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $545.40 | $545.40 | $0.05 – $0.16 | 4 |
| Acetaminophen level CPT 80143 | $608.04 | $608.04 | $18.51 – $75.38 | 16 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $18.49 – $67.81 | 4 |
| Acetone qualitative CPT 82009 | $222.00 | $222.00 | $4.49 – $18.30 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | $150.12 | $150.12 | $11.97 – $48.69 | 16 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.20 – $49.68 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $294.52 | $294.52 | $0.44 – $0.98 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.19 – $22.42 | 4 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $130.44 – $192.60 | 14 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $102.73 – $151.96 | 14 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $14.80 – $16.31 | 14 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.36 – $351.53 | 16 |
| Acth stimulation panel CPT 80406 | not published | not published | $77.72 – $316.39 | 16 |
| Acute hepatitis panel CPT 80074 | $605.88 | $605.88 | $47.30 – $192.56 | 16 |
| Acute venous thrombus image CPT 78456 | not published | not published | $118.20 – $2,938.37 | 3 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.04 – $0.32 | 4 |
| #acylcarnitineprfl CPT 82017 | $1,481.76 | $1,481.76 | $16.75 – $68.22 | 16 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.37 – $66.67 | 16 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $480.00 – $529.49 | 14 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $215.11 – $237.28 | 14 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $647.98 – $714.78 | 14 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $400.02 – $441.26 | 14 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $429.30 – $473.56 | 14 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $357.30 – $394.13 | 14 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $847.44 – $934.81 | 14 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $431.97 – $476.50 | 14 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $590.69 – $651.59 | 14 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.38 – $1.40 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.90 – $48.45 | 16 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $12.78 – $52.05 | 16 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.61 – $87.94 | 16 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $4.06 – $4.48 | 14 |
| Adh-sendout CPT 84588 | $1,699.92 | $1,699.92 | $33.71 – $137.19 | 16 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.24 – $1.40 | 2 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $27.52 – $28.37 | 2 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $18.16 – $18.72 | 2 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $21.00 – $21.00 | 1 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $15.50 – $15.98 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $39.88 – $111.80 | 4 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $87.62 – $2,938.37 | 3 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.71 – $0.77 | 3 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $80.96 – $86.63 | 12 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,374.27 – $7,800.06 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.