Abdominal CT scan (without contrast) 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

$3,693.04

Cash price

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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.

$3,693.04

Gross charge

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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.

$140.75 with Anthem vs $3,323.74 with Three Rivers Provider Network — 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 →

Payer
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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
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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 HIX $140.75 ↓ -96%
Anthem PPO $193.63 ↓ -95%
Anthem HMO $193.63 ↓ -95%
Anthem HPN $193.63 ↓ -95%
United AllPayerAppendix $245.18 ↓ -93%
Lifeworks MCR $701.68 ↓ -81%
Cigna IFP $982.35 ↓ -73%
United OptionsPPO $1,034.05 ↓ -72%
Cigna HMO $1,244.55 ↓ -66%
Cigna PPO $1,244.55 ↓ -66%
Virginia Health Network ULTRA $1,292.56 ↓ -65%
United GlobalBenefitPlan $1,661.87 ↓ -55%
Aetna Broad $1,819.00 ↓ -51%
Kaiser COMM $2,178.89 ↓ -41%
Greenvbrier Sporting Club COMM $2,215.82 ↓ -40%
Virginia Health Network COMM $2,400.48 ↓ -35%
Virginia Health Network WC $2,400.48 ↓ -35%
Multiplan MPI $2,622.06 ↓ -29%
Multiplan PHCS $2,622.06 ↓ -29%
CorVel WorkersComp $2,658.99 ↓ -28%
OccuNet Workers Comp WorkersComp $2,954.43 ↓ -20%
4Most Health Nework COMM $3,323.74 ↓ -10%
Three Rivers Provider Network COMM $3,323.74 ↓ -10%
Three Rivers Provider Network WorkersComp $3,323.74 ↓ -10%
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital

Visitor-reported prices

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Abdominal CT scan (without contrast) at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $5,311.00 $245.18 – $282.44
Inova Alexandria Hospital Alexandria $651.50 $106.34 – $1,432.00
Inova Fairfax Hospital Falls Church $651.50 $106.34 – $1,432.00
Inova Fair Oaks Hospital VA 22033-1709 $651.50 $106.34 – $1,432.00
Inova Loudoun Hospital Leesburg $651.50 $106.34 – $1,432.00
Inova Mount Vernon Hospital Alexandria $651.50 $106.34 – $1,432.00
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $3,675.00 $231.12 – $245.18
LEWISGALE HOSPITAL-PULASKI PULASKI $10,047.00 $190.96 – $245.18

All Virginia hospitals for this procedure →