Acute hepatitis panel 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

$605.88

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.

$605.88

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.

$47.30 with Humana Military vs $545.29 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
Humana Military TRCR $47.30 ↓ -92%
Humana MCR $47.63 ↓ -92%
Sentara Health MCR $47.63 ↓ -92%
Johns Hopkins UniformedServicesFamilyHealthPlan $47.63 ↓ -92%
United VACCN $47.63 ↓ -92%
United Behavioral Health VACCN $47.63 ↓ -92%
United AllPayerAppendix $47.63 ↓ -92%
Devoted MCR $47.63 ↓ -92%
United MGMCR $47.87 ↓ -92%
Aetna MGMCR $48.17 ↓ -92%
Virginia Premier Health MGMCR $48.58 ↓ -92%
Anthem MGMCR $49.06 ↓ -92%
Evernorth Behavioral Health MCR $49.54 ↓ -92%
Cigna HealthSpring MCR $49.54 ↓ -92%
Clear Spring Health Plan MCR $50.01 ↓ -92%
Align Senior Care MGMCR $50.96 ↓ -92%
Bright Health COMM $101.93 ↓ -83%
Lifeworks MCR $115.12 ↓ -81%
United OptionsPPO $169.65 ↓ -72%
Anthem HIX $180.90 ↓ -70%
Cigna PPO $192.56 ↓ -68%
Cigna HMO $192.56 ↓ -68%
Virginia Health Network ULTRA $212.06 ↓ -65%
Cigna IFP $236.32 ↓ -61%
Anthem HPN $248.82 ↓ -59%
Anthem PPO $248.82 ↓ -59%
Anthem HMO $248.82 ↓ -59%
United GlobalBenefitPlan $272.65 ↓ -55%
Kaiser COMM $357.47 ↓ -41%
Greenvbrier Sporting Club COMM $363.53 ↓ -40%
Virginia Health Network WC $393.82 ↓ -35%
Virginia Health Network COMM $393.82 ↓ -35%
Multiplan PHCS $430.17 ↓ -29%
Multiplan MPI $430.17 ↓ -29%
CorVel WorkersComp $436.23 ↓ -28%
OccuNet Workers Comp WorkersComp $484.70 ↓ -20%
4Most Health Nework COMM $545.29 ↓ -10%
Three Rivers Provider Network COMM $545.29 ↓ -10%
Three Rivers Provider Network WorkersComp $545.29 ↓ -10%
Aetna Broad not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Acute hepatitis panel at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $856.00 $41.45 – $69.06
Inova Alexandria Hospital Alexandria $449.00 $10.76 – $564.93
Inova Fairfax Hospital Falls Church $449.00 $10.76 – $564.93
Inova Fair Oaks Hospital VA 22033-1709 $449.00 $10.76 – $564.93
Inova Loudoun Hospital Leesburg $449.00 $10.76 – $564.93
Inova Mount Vernon Hospital Alexandria $449.00 $10.76 – $564.93
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,118.00 $41.45 – $212.95
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $1,074.00 $41.45 – $50.96

All Virginia hospitals for this procedure →