Calcitonin (salmon) 200 unit/ml injection solution 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

$347.76

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.

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What you pay up front if you don't use insurance.

$347.76

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.

$52.16 with Aetna vs $3,797.98 with United — 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 $52.16 ↓ -85%
Bright Health COMM $56.20 ↓ -84%
Lifeworks MCR $66.07 ↓ -81%
United OptionsPPO $97.37 ↓ -72%
Virginia Health Network ULTRA $121.72 ↓ -65%
Aetna Broad $121.72 ↓ -65%
United GlobalBenefitPlan $156.49 ↓ -55%
Kaiser COMM $205.18 ↓ -41%
Greenvbrier Sporting Club COMM $208.66 ↓ -40%
Virginia Health Network WC $226.04 ↓ -35%
Virginia Health Network COMM $226.04 ↓ -35%
Multiplan MPI $246.91 ↓ -29%
Multiplan PHCS $246.91 ↓ -29%
CorVel WorkersComp $250.39 ↓ -28%
OccuNet Workers Comp WorkersComp $278.21 ↓ -20%
Three Rivers Provider Network COMM $312.98 ↓ -10%
4Most Health Nework COMM $312.98 ↓ -10%
Three Rivers Provider Network WorkersComp $312.98 ↓ -10%
United Behavioral Health VACCN $347.76 ↑ +0%
Cigna IFP $1,606.50 ↑ +362%
Cigna HMO $2,233.80 ↑ +542%
Cigna PPO $2,233.80 ↑ +542%
United AllPayerAppendix $3,797.98 ↑ +992%

Visitor-reported prices

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Calcitonin (salmon) 200 unit/ml injection solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $891.00 $3,797.98 – $3,797.98
Inova Alexandria Hospital Alexandria $601.71 $484.97 – $533.47
Inova Fairfax Hospital Falls Church $601.71 $484.97 – $533.47
Inova Fair Oaks Hospital VA 22033-1709 $601.71 $484.97 – $533.47
Inova Loudoun Hospital Leesburg $601.71 $484.97 – $533.47
Inova Mount Vernon Hospital Alexandria $601.71 $484.97 – $533.47
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $17,559.00 $1,606.50 – $3,797.98
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $650.00 $3,797.98 – $3,797.98

All Virginia hospitals for this procedure →