Alkaline phosphatase 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

$488.16

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.

$488.16

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.

$5.14 with Humana Military vs $439.34 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 $5.14 ↓ -99%
Humana MCR $5.18 ↓ -99%
Sentara Health MCR $5.18 ↓ -99%
Johns Hopkins UniformedServicesFamilyHealthPlan $5.18 ↓ -99%
United VACCN $5.18 ↓ -99%
United Behavioral Health VACCN $5.18 ↓ -99%
United AllPayerAppendix $5.18 ↓ -99%
Devoted MCR $5.18 ↓ -99%
United MGMCR $5.21 ↓ -99%
Aetna MGMCR $5.24 ↓ -99%
Virginia Premier Health MGMCR $5.28 ↓ -99%
Anthem MGMCR $5.34 ↓ -99%
Evernorth Behavioral Health MCR $5.39 ↓ -99%
Cigna HealthSpring MCR $5.39 ↓ -99%
Clear Spring Health Plan MCR $5.44 ↓ -99%
Align Senior Care MGMCR $5.54 ↓ -99%
Bright Health COMM $11.09 ↓ -98%
Anthem HIX $19.67 ↓ -96%
Cigna HMO $20.96 ↓ -96%
Cigna PPO $20.96 ↓ -96%
Cigna IFP $25.72 ↓ -95%
Anthem HPN $27.06 ↓ -94%
Anthem PPO $27.06 ↓ -94%
Anthem HMO $27.06 ↓ -94%
Lifeworks MCR $92.75 ↓ -81%
United OptionsPPO $136.68 ↓ -72%
Virginia Health Network ULTRA $170.86 ↓ -65%
United GlobalBenefitPlan $219.67 ↓ -55%
Kaiser COMM $288.01 ↓ -41%
Greenvbrier Sporting Club COMM $292.90 ↓ -40%
Virginia Health Network WC $317.30 ↓ -35%
Virginia Health Network COMM $317.30 ↓ -35%
Multiplan PHCS $346.59 ↓ -29%
Multiplan MPI $346.59 ↓ -29%
CorVel WorkersComp $351.48 ↓ -28%
OccuNet Workers Comp WorkersComp $390.53 ↓ -20%
4Most Health Nework COMM $439.34 ↓ -10%
Three Rivers Provider Network COMM $439.34 ↓ -10%
Three Rivers Provider Network WorkersComp $439.34 ↓ -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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Alkaline phosphatase at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $380.00 $4.50 – $7.51
Inova Alexandria Hospital Alexandria $64.50 $5.18 – $81.15
Inova Fairfax Hospital Falls Church $64.50 $5.18 – $81.15
Inova Fair Oaks Hospital VA 22033-1709 $64.50 $5.18 – $81.15
Inova Loudoun Hospital Leesburg $64.50 $5.18 – $81.15
Inova Mount Vernon Hospital Alexandria $64.50 $5.18 – $81.15
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $313.00 $4.50 – $23.16
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $294.00 $4.50 – $5.54

All Virginia hospitals for this procedure →