Apc gene known fam variants 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.

Full explanation →

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.

$280.00 with United Behavioral Health vs $1,462.72 with Anthem — 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
United Behavioral Health VACCN $280.00
Sentara Health MCR $280.00
Johns Hopkins UniformedServicesFamilyHealthPlan $280.00
Humana MCR $280.00
United AllPayerAppendix $280.00
United VACCN $280.00
Devoted MCR $280.00
United MGMCR $281.40
Aetna MGMCR $283.19
Virginia Premier Health MGMCR $285.60
Anthem MGMCR $288.40
Cigna HealthSpring MCR $291.20
Evernorth Behavioral Health MCR $291.20
Clear Spring Health Plan MCR $294.00
Align Senior Care MGMCR $299.60
Bright Health COMM $599.20
Anthem HIX $1,063.44
Cigna PPO $1,131.93
Cigna HMO $1,131.93
Cigna IFP $1,389.19
Anthem HMO $1,462.72
Anthem HPN $1,462.72
Anthem PPO $1,462.72
Aetna Broad not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

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Apc gene known fam variants at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $1,377.50 $190.07 – $3,181.78
Inova Fairfax Hospital Falls Church $1,377.50 $190.07 – $3,181.78
Inova Fair Oaks Hospital VA 22033-1709 $1,377.50 $190.07 – $3,181.78
Inova Loudoun Hospital Leesburg $1,377.50 $190.07 – $3,181.78
Inova Mount Vernon Hospital Alexandria $1,377.50 $190.07 – $3,181.78
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $280.00 – $406.00
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $280.00 – $1,251.88
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $280.00 – $299.60

All Virginia hospitals for this procedure →