Cell count w differential body fluid 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

not published by hospital

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.

not published by hospital

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.

$5.56 with Humana Military vs $453.92 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 $5.56
Humana MCR $5.60
Sentara Health MCR $5.60
Johns Hopkins UniformedServicesFamilyHealthPlan $5.60
United VACCN $5.60
United Behavioral Health VACCN $5.60
United AllPayerAppendix $5.60
Devoted MCR $5.60
United MGMCR $5.63
Aetna MGMCR $5.66
Virginia Premier Health MGMCR $5.71
Anthem MGMCR $5.77
Evernorth Behavioral Health MCR $5.82
Cigna HealthSpring MCR $5.82
Clear Spring Health Plan MCR $5.88
Align Senior Care MGMCR $5.99
Bright Health COMM $11.98
Anthem HIX $21.27
Cigna HMO $22.63
Cigna PPO $22.63
Cigna IFP $27.77
Anthem HPN $29.25
Anthem PPO $29.25
Anthem HMO $29.25
Lifeworks MCR $95.83
United OptionsPPO $141.22
Virginia Health Network ULTRA $176.53
United GlobalBenefitPlan $226.96
Kaiser COMM $297.57
Greenvbrier Sporting Club COMM $302.62
Virginia Health Network WC $327.83
Virginia Health Network COMM $327.83
Multiplan PHCS $358.10
Multiplan MPI $358.10
CorVel WorkersComp $363.14
OccuNet Workers Comp WorkersComp $403.49
4Most Health Nework COMM $453.92
Three Rivers Provider Network COMM $453.92
Three Rivers Provider Network WorkersComp $453.92
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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Cell count w differential body fluid at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $115.00 $5.60 – $144.69
Inova Fairfax Hospital Falls Church $115.00 $5.60 – $144.69
Inova Fair Oaks Hospital VA 22033-1709 $115.00 $5.60 – $144.69
Inova Loudoun Hospital Leesburg $115.00 $5.60 – $144.69
Inova Mount Vernon Hospital Alexandria $115.00 $5.60 – $144.69
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $4.87 – $8.12
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $4.87 – $25.04
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $4.87 – $5.99

All Virginia hospitals for this procedure →