Chloride 24 hour urine 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

$127.44

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.

$127.44

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.

$5.71 with Humana Military vs $114.70 with 4Most Health Nework — 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 $5.71 ↓ -96%
Johns Hopkins UniformedServicesFamilyHealthPlan $5.75 ↓ -95%
United VACCN $5.75 ↓ -95%
Devoted MCR $5.75 ↓ -95%
Sentara Health MCR $5.75 ↓ -95%
United Behavioral Health VACCN $5.75 ↓ -95%
Humana MCR $5.75 ↓ -95%
United AllPayerAppendix $5.75 ↓ -95%
United MGMCR $5.78 ↓ -95%
Aetna MGMCR $5.82 ↓ -95%
Virginia Premier Health MGMCR $5.87 ↓ -95%
Anthem MGMCR $5.92 ↓ -95%
Evernorth Behavioral Health MCR $5.98 ↓ -95%
Cigna HealthSpring MCR $5.98 ↓ -95%
Clear Spring Health Plan MCR $6.04 ↓ -95%
Align Senior Care MGMCR $6.15 ↓ -95%
Bright Health COMM $12.31 ↓ -90%
Anthem HIX $21.84 ↓ -83%
Cigna HMO $23.26 ↓ -82%
Cigna PPO $23.26 ↓ -82%
Lifeworks MCR $24.21 ↓ -81%
Cigna IFP $28.54 ↓ -78%
Anthem HPN $30.04 ↓ -76%
Anthem HMO $30.04 ↓ -76%
Anthem PPO $30.04 ↓ -76%
United OptionsPPO $35.68 ↓ -72%
Virginia Health Network ULTRA $44.60 ↓ -65%
United GlobalBenefitPlan $57.35 ↓ -55%
Kaiser COMM $75.19 ↓ -41%
Greenvbrier Sporting Club COMM $76.46 ↓ -40%
Virginia Health Network WC $82.84 ↓ -35%
Virginia Health Network COMM $82.84 ↓ -35%
Multiplan MPI $90.48 ↓ -29%
Multiplan PHCS $90.48 ↓ -29%
CorVel WorkersComp $91.76 ↓ -28%
OccuNet Workers Comp WorkersComp $101.95 ↓ -20%
Three Rivers Provider Network COMM $114.70 ↓ -10%
Three Rivers Provider Network WorkersComp $114.70 ↓ -10%
4Most Health Nework COMM $114.70 ↓ -10%
Optima Health PPO not published by hospital
Aetna Broad not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital

Visitor-reported prices

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Chloride 24 hour urine at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $261.00 $5.01 – $8.34
Inova Alexandria Hospital Alexandria $53.50 $5.75 – $67.31
Inova Fairfax Hospital Falls Church $53.50 $5.75 – $67.31
Inova Fair Oaks Hospital VA 22033-1709 $53.50 $5.75 – $67.31
Inova Loudoun Hospital Leesburg $53.50 $5.75 – $67.31
Inova Mount Vernon Hospital Alexandria $53.50 $5.75 – $67.31
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $212.00 $5.01 – $25.71
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $380.00 $5.01 – $6.15

All Virginia hospitals for this procedure →