Buprenorphine 8 mg-naloxone 2 mg sublingual tablet 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

$101.52

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.

$101.52

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.

$15.23 with Aetna vs $101.52 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
Aetna MGMCR $15.23 ↓ -85%
United AllPayerAppendix $24.86 ↓ -76%
Cigna IFP $27.00 ↓ -73%
United OptionsPPO $28.43 ↓ -72%
Cigna HMO $34.21 ↓ -66%
Cigna PPO $34.21 ↓ -66%
Virginia Health Network ULTRA $35.53 ↓ -65%
United GlobalBenefitPlan $45.68 ↓ -55%
Kaiser COMM $59.90 ↓ -41%
Greenvbrier Sporting Club COMM $60.91 ↓ -40%
Virginia Health Network WC $65.99 ↓ -35%
Virginia Health Network COMM $65.99 ↓ -35%
Multiplan PHCS $72.08 ↓ -29%
Multiplan MPI $72.08 ↓ -29%
CorVel WorkersComp $73.09 ↓ -28%
OccuNet Workers Comp WorkersComp $81.22 ↓ -20%
4Most Health Nework COMM $91.37 ↓ -10%
Three Rivers Provider Network WorkersComp $91.37 ↓ -10%
Three Rivers Provider Network COMM $91.37 ↓ -10%
United Behavioral Health VACCN $101.52 ↑ +0%

Visitor-reported prices

visitor-reported
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Buprenorphine 8 mg-naloxone 2 mg sublingual tablet at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $58.00 $24.86 – $24.86
LEWISGALE HOSPITAL-PULASKI PULASKI $45.00 $24.86 – $24.86
TRICITIES HOSPITAL HOPEWELL $58.00 $24.86 – $24.86
STONESPRINGS HOSPITAL CENTER Dulles $45.96 $24.86 – $24.86
HENRICO DOCTORS HOSPITAL RICHMOND $56.00 $24.86 – $24.86
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $24.86 – $24.86
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $24.86 – $24.86
LEWISGALE MEDICAL CENTER ROANOKE not published $28.14 – $28.14

All Virginia hospitals for this procedure →