Blood smear microscopic w manual differential wbc count 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

$72.36

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.

$72.36

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.

$3.77 with Humana Military vs $65.12 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 $3.77 ↓ -95%
Humana MCR $3.80 ↓ -95%
Sentara Health MCR $3.80 ↓ -95%
Johns Hopkins UniformedServicesFamilyHealthPlan $3.80 ↓ -95%
United VACCN $3.80 ↓ -95%
United Behavioral Health VACCN $3.80 ↓ -95%
United AllPayerAppendix $3.80 ↓ -95%
Devoted MCR $3.80 ↓ -95%
United MGMCR $3.82 ↓ -95%
Aetna MGMCR $3.84 ↓ -95%
Virginia Premier Health MGMCR $3.88 ↓ -95%
Anthem MGMCR $3.91 ↓ -95%
Evernorth Behavioral Health MCR $3.95 ↓ -95%
Cigna HealthSpring MCR $3.95 ↓ -95%
Clear Spring Health Plan MCR $3.99 ↓ -94%
Align Senior Care MGMCR $4.07 ↓ -94%
Bright Health COMM $8.13 ↓ -89%
Lifeworks MCR $13.75 ↓ -81%
Anthem HIX $14.43 ↓ -80%
Cigna PPO $15.37 ↓ -79%
Cigna HMO $15.37 ↓ -79%
Cigna IFP $18.86 ↓ -74%
Anthem PPO $19.85 ↓ -73%
Anthem HPN $19.85 ↓ -73%
Anthem HMO $19.85 ↓ -73%
United OptionsPPO $20.26 ↓ -72%
Virginia Health Network ULTRA $25.33 ↓ -65%
United GlobalBenefitPlan $32.56 ↓ -55%
Kaiser COMM $42.69 ↓ -41%
Greenvbrier Sporting Club COMM $43.42 ↓ -40%
Virginia Health Network WC $47.03 ↓ -35%
Virginia Health Network COMM $47.03 ↓ -35%
Multiplan PHCS $51.38 ↓ -29%
Multiplan MPI $51.38 ↓ -29%
CorVel WorkersComp $52.10 ↓ -28%
OccuNet Workers Comp WorkersComp $57.89 ↓ -20%
4Most Health Nework COMM $65.12 ↓ -10%
Three Rivers Provider Network COMM $65.12 ↓ -10%
Three Rivers Provider Network WorkersComp $65.12 ↓ -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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Blood smear microscopic w manual differential wbc count at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $290.00 $3.31 – $5.51
Inova Alexandria Hospital Alexandria $43.50 $3.80 – $54.73
Inova Fairfax Hospital Falls Church $43.50 $3.80 – $54.73
Inova Fair Oaks Hospital VA 22033-1709 $43.50 $3.80 – $54.73
Inova Loudoun Hospital Leesburg $43.50 $3.80 – $54.73
Inova Mount Vernon Hospital Alexandria $43.50 $3.80 – $54.73
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $291.00 $3.31 – $16.99
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $106.00 $3.31 – $4.07

All Virginia hospitals for this procedure →