Bivalirudin 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

$7,567.56

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.

$7,567.56

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.

$0.15 with Humana Military vs $7,567.56 with United Behavioral Health — 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 $0.15 ↓ -100%
Johns Hopkins UniformedServicesFamilyHealthPlan $0.15 ↓ -100%
Cigna IFP $0.16 ↓ -100%
Cigna HMO $0.22 ↓ -100%
Cigna PPO $0.22 ↓ -100%
United AllPayerAppendix $0.42 ↓ -100%
Aetna MGMCR $1,135.13 ↓ -85%
United OptionsPPO $2,118.92 ↓ -72%
Virginia Health Network ULTRA $2,648.65 ↓ -65%
United GlobalBenefitPlan $3,405.40 ↓ -55%
Kaiser COMM $4,464.86 ↓ -41%
Greenvbrier Sporting Club COMM $4,540.54 ↓ -40%
Virginia Health Network COMM $4,918.91 ↓ -35%
Virginia Health Network WC $4,918.91 ↓ -35%
Multiplan MPI $5,372.97 ↓ -29%
Multiplan PHCS $5,372.97 ↓ -29%
CorVel WorkersComp $5,448.64 ↓ -28%
OccuNet Workers Comp WorkersComp $6,054.05 ↓ -20%
Three Rivers Provider Network COMM $6,810.80 ↓ -10%
4Most Health Nework COMM $6,810.80 ↓ -10%
Three Rivers Provider Network WorkersComp $6,810.80 ↓ -10%
United Behavioral Health VACCN $7,567.56 ↑ +0%

Visitor-reported prices

visitor-reported
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Bivalirudin at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $696.00 $0.13 – $0.42
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $8,523.00 $0.13 – $0.42
LEWISGALE HOSPITAL-PULASKI PULASKI $1,451.00 $0.11 – $0.42
TRICITIES HOSPITAL HOPEWELL $8,523.00 $0.13 – $0.42
RESTON HOSPITAL CENTER VIENNA $9,486.58 $0.14 – $0.42
STONESPRINGS HOSPITAL CENTER Dulles $9,061.47 $0.11 – $0.42
HENRICO DOCTORS HOSPITAL RICHMOND $7,272.00 $0.13 – $0.42
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $0.13 – $0.42

All Virginia hospitals for this procedure →