Administration vaccine influenza virus 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

not published by hospital

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.

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

not published by hospital

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.

$9.77 with Bright Health vs $54.43 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
Bright Health COMM $9.77
Lifeworks MCR $11.49
Cigna IFP $16.09
United OptionsPPO $16.93
Cigna PPO $20.38
Cigna HMO $20.38
United VACCN $21.00
Virginia Health Network ULTRA $21.17
Aetna Broad $21.17
United GlobalBenefitPlan $27.22
Kaiser COMM $35.68
Greenvbrier Sporting Club COMM $36.29
Virginia Health Network WC $39.31
Virginia Health Network COMM $39.31
Multiplan PHCS $42.94
Multiplan MPI $42.94
CorVel WorkersComp $43.55
OccuNet Workers Comp WorkersComp $48.38
Three Rivers Provider Network COMM $54.43
4Most Health Nework COMM $54.43
Three Rivers Provider Network WorkersComp $54.43

Visitor-reported prices

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Administration vaccine influenza virus at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $22.00 $19.62 – $50.75
Inova Fairfax Hospital Falls Church $22.00 $19.62 – $50.75
Inova Fair Oaks Hospital VA 22033-1709 $22.00 $19.62 – $50.75
Inova Loudoun Hospital Leesburg $22.00 $19.62 – $50.75
Inova Mount Vernon Hospital Alexandria $22.00 $19.62 – $50.75
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $177.00 $21.00 – $21.00
TRICITIES HOSPITAL HOPEWELL $177.00 $21.00 – $21.00
HENRICO DOCTORS HOSPITAL RICHMOND $177.00 $21.00 – $21.00

All Virginia hospitals for this procedure →