Chest apical lordotic proj 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

$958.88

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.

$958.88

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.

$32.80 with Anthem vs $862.99 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
Anthem HIX $32.80 ↓ -97%
Anthem PPO $45.13 ↓ -95%
Anthem HMO $45.13 ↓ -95%
Anthem HPN $45.13 ↓ -95%
Cigna HMO $178.79 ↓ -81%
Cigna PPO $178.79 ↓ -81%
United AllPayerAppendix $182.03 ↓ -81%
Lifeworks MCR $182.19 ↓ -81%
Cigna IFP $219.42 ↓ -77%
United OptionsPPO $268.49 ↓ -72%
Virginia Health Network ULTRA $335.61 ↓ -65%
United GlobalBenefitPlan $431.50 ↓ -55%
Kaiser COMM $565.74 ↓ -41%
Greenvbrier Sporting Club COMM $575.33 ↓ -40%
Virginia Health Network COMM $623.27 ↓ -35%
Virginia Health Network WC $623.27 ↓ -35%
Multiplan PHCS $680.80 ↓ -29%
Multiplan MPI $680.80 ↓ -29%
CorVel WorkersComp $690.39 ↓ -28%
OccuNet Workers Comp WorkersComp $767.10 ↓ -20%
Three Rivers Provider Network COMM $862.99 ↓ -10%
4Most Health Nework COMM $862.99 ↓ -10%
Three Rivers Provider Network WorkersComp $862.99 ↓ -10%
Optima Health POS not published by hospital
Optima Health PPO not published by hospital
Aetna Broad not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

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Chest apical lordotic proj at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $254.50 $80.04 – $335.43
Inova Fairfax Hospital Falls Church $254.50 $80.04 – $335.43
Inova Fair Oaks Hospital VA 22033-1709 $254.50 $80.04 – $335.43
Inova Loudoun Hospital Leesburg $254.50 $80.04 – $335.43
Inova Mount Vernon Hospital Alexandria $254.50 $80.04 – $335.43
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $1,781.00 $53.86 – $182.03
LEWISGALE HOSPITAL-PULASKI PULASKI $1,678.00 $44.50 – $182.03
LEWISGALE MEDICAL CENTER ROANOKE $1,156.00 $58.23 – $182.03

All Virginia hospitals for this procedure →