#acylcarnitineprfl 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

$1,481.76

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.

$1,481.76

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.

$16.75 with Humana Military vs $1,333.58 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 $16.75 ↓ -99%
Humana MCR $16.87 ↓ -99%
Sentara Health MCR $16.87 ↓ -99%
Johns Hopkins UniformedServicesFamilyHealthPlan $16.87 ↓ -99%
United VACCN $16.87 ↓ -99%
United Behavioral Health VACCN $16.87 ↓ -99%
United AllPayerAppendix $16.87 ↓ -99%
Devoted MCR $16.87 ↓ -99%
United MGMCR $16.95 ↓ -99%
Aetna MGMCR $17.06 ↓ -99%
Virginia Premier Health MGMCR $17.21 ↓ -99%
Anthem MGMCR $17.38 ↓ -99%
Evernorth Behavioral Health MCR $17.54 ↓ -99%
Cigna HealthSpring MCR $17.54 ↓ -99%
Clear Spring Health Plan MCR $17.71 ↓ -99%
Align Senior Care MGMCR $18.05 ↓ -99%
Bright Health COMM $36.10 ↓ -98%
Anthem HIX $64.07 ↓ -96%
Cigna HMO $68.22 ↓ -95%
Cigna PPO $68.22 ↓ -95%
Cigna IFP $83.72 ↓ -94%
Anthem HPN $88.13 ↓ -94%
Anthem PPO $88.13 ↓ -94%
Anthem HMO $88.13 ↓ -94%
Lifeworks MCR $281.53 ↓ -81%
United OptionsPPO $414.89 ↓ -72%
Virginia Health Network ULTRA $518.62 ↓ -65%
United GlobalBenefitPlan $666.79 ↓ -55%
Kaiser COMM $874.24 ↓ -41%
Greenvbrier Sporting Club COMM $889.06 ↓ -40%
Virginia Health Network WC $963.14 ↓ -35%
Virginia Health Network COMM $963.14 ↓ -35%
Multiplan PHCS $1,052.05 ↓ -29%
Multiplan MPI $1,052.05 ↓ -29%
CorVel WorkersComp $1,066.87 ↓ -28%
OccuNet Workers Comp WorkersComp $1,185.41 ↓ -20%
4Most Health Nework COMM $1,333.58 ↓ -10%
Three Rivers Provider Network COMM $1,333.58 ↓ -10%
Three Rivers Provider Network WorkersComp $1,333.58 ↓ -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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#acylcarnitineprfl at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $285.00 $14.35 – $358.59
Inova Fairfax Hospital Falls Church $285.00 $14.35 – $358.59
Inova Fair Oaks Hospital VA 22033-1709 $285.00 $14.35 – $358.59
Inova Loudoun Hospital Leesburg $285.00 $14.35 – $358.59
Inova Mount Vernon Hospital Alexandria $285.00 $14.35 – $358.59
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $697.00 $14.68 – $18.05
LEWISGALE HOSPITAL-PULASKI PULASKI $703.00 $12.95 – $18.05
LEWISGALE MEDICAL CENTER ROANOKE $567.00 $14.68 – $24.46

All Virginia hospitals for this procedure →