88334 ap bill cytologic exam each additional site at SPOTSYLVANIA REGIONAL MEDICAL CENTER

4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

$372.60

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.

Full explanation →

What you pay up front if you don't use insurance.

$372.60

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$19.19 with United vs $372.60 with United Behavioral Health — same scan, same building. Share

Negotiated rates by payer
?

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
United AllPayerAppendix $19.19 ↓ -95%
Aetna MGMCR $55.89 ↓ -85%
Bright Health COMM $60.21 ↓ -84%
Lifeworks MCR $70.79 ↓ -81%
Anthem HIX $72.88 ↓ -80%
Cigna HMO $76.74 ↓ -79%
Cigna PPO $76.74 ↓ -79%
Cigna IFP $94.18 ↓ -75%
Anthem PPO $100.25 ↓ -73%
Anthem HMO $100.25 ↓ -73%
Anthem HPN $100.25 ↓ -73%
United OptionsPPO $104.33 ↓ -72%
Virginia Health Network ULTRA $130.41 ↓ -65%
United GlobalBenefitPlan $167.67 ↓ -55%
Kaiser COMM $219.83 ↓ -41%
Greenvbrier Sporting Club COMM $223.56 ↓ -40%
Virginia Health Network COMM $242.19 ↓ -35%
Virginia Health Network WC $242.19 ↓ -35%
Multiplan MPI $264.55 ↓ -29%
Multiplan PHCS $264.55 ↓ -29%
CorVel WorkersComp $268.27 ↓ -28%
OccuNet Workers Comp WorkersComp $298.08 ↓ -20%
Three Rivers Provider Network WorkersComp $335.34 ↓ -10%
4Most Health Nework COMM $335.34 ↓ -10%
Three Rivers Provider Network COMM $335.34 ↓ -10%
United Behavioral Health VACCN $372.60 ↑ +0%
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Aetna Broad not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

88334 ap bill cytologic exam each additional site at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $89.00 $19.19 – $108.33
Inova Alexandria Hospital Alexandria $68.00 $19.38 – $143.36
Inova Fairfax Hospital Falls Church $68.00 $19.38 – $143.36
Inova Fair Oaks Hospital VA 22033-1709 $68.00 $19.38 – $143.36
Inova Loudoun Hospital Leesburg $68.00 $19.38 – $143.36
Inova Mount Vernon Hospital Alexandria $68.00 $19.38 – $143.36
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $377.00 $19.19 – $85.80
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $185.00 $19.19 – $81.63

All Virginia hospitals for this procedure →