Borrelia burgdorferi (lyme disease) antibody nonspecific 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

$747.36

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.

$747.36

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.

$16.92 with Humana Military vs $672.62 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 $16.92 ↓ -98%
Humana MCR $17.03 ↓ -98%
Sentara Health MCR $17.03 ↓ -98%
Johns Hopkins UniformedServicesFamilyHealthPlan $17.03 ↓ -98%
United VACCN $17.03 ↓ -98%
United Behavioral Health VACCN $17.03 ↓ -98%
United AllPayerAppendix $17.03 ↓ -98%
Devoted MCR $17.03 ↓ -98%
United MGMCR $17.12 ↓ -98%
Aetna MGMCR $17.22 ↓ -98%
Virginia Premier Health MGMCR $17.37 ↓ -98%
Anthem MGMCR $17.54 ↓ -98%
Evernorth Behavioral Health MCR $17.71 ↓ -98%
Cigna HealthSpring MCR $17.71 ↓ -98%
Clear Spring Health Plan MCR $17.88 ↓ -98%
Align Senior Care MGMCR $18.22 ↓ -98%
Bright Health COMM $36.44 ↓ -95%
Anthem HIX $64.68 ↓ -91%
Cigna HMO $68.85 ↓ -91%
Cigna PPO $68.85 ↓ -91%
Cigna IFP $84.50 ↓ -89%
Anthem HPN $88.96 ↓ -88%
Anthem PPO $88.96 ↓ -88%
Anthem HMO $88.96 ↓ -88%
Lifeworks MCR $142.00 ↓ -81%
United OptionsPPO $209.26 ↓ -72%
Virginia Health Network ULTRA $261.58 ↓ -65%
United GlobalBenefitPlan $336.31 ↓ -55%
Kaiser COMM $440.94 ↓ -41%
Greenvbrier Sporting Club COMM $448.42 ↓ -40%
Virginia Health Network WC $485.78 ↓ -35%
Virginia Health Network COMM $485.78 ↓ -35%
Multiplan PHCS $530.63 ↓ -29%
Multiplan MPI $530.63 ↓ -29%
CorVel WorkersComp $538.10 ↓ -28%
OccuNet Workers Comp WorkersComp $597.89 ↓ -20%
4Most Health Nework COMM $672.62 ↓ -10%
Three Rivers Provider Network COMM $672.62 ↓ -10%
Three Rivers Provider Network WorkersComp $672.62 ↓ -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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Borrelia burgdorferi (lyme disease) antibody nonspecific at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $89.00 $13.38 – $111.98
Inova Fairfax Hospital Falls Church $89.00 $13.38 – $111.98
Inova Fair Oaks Hospital VA 22033-1709 $89.00 $13.38 – $111.98
Inova Loudoun Hospital Leesburg $89.00 $13.38 – $111.98
Inova Mount Vernon Hospital Alexandria $89.00 $13.38 – $111.98
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $597.00 $14.82 – $76.14
TRICITIES HOSPITAL HOPEWELL $597.00 $14.82 – $73.12
RESTON HOSPITAL CENTER VIENNA $923.10 $17.03 – $96.63

All Virginia hospitals for this procedure →