Cine/video x-rays 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

$393.12

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.

$393.12

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.

$48.49 with Anthem vs $741.97 with Cigna — 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 $48.49 ↓ -88%
Anthem HMO $66.72 ↓ -83%
Anthem HPN $66.72 ↓ -83%
Anthem PPO $66.72 ↓ -83%
Lifeworks MCR $74.69 ↓ -81%
United OptionsPPO $110.07 ↓ -72%
Virginia Health Network ULTRA $137.59 ↓ -65%
United GlobalBenefitPlan $176.90 ↓ -55%
Kaiser COMM $231.94 ↓ -41%
Greenvbrier Sporting Club COMM $235.87 ↓ -40%
United AllPayerAppendix $245.18 ↓ -38%
Virginia Health Network COMM $255.53 ↓ -35%
Virginia Health Network WC $255.53 ↓ -35%
Multiplan MPI $279.12 ↓ -29%
Multiplan PHCS $279.12 ↓ -29%
CorVel WorkersComp $283.05 ↓ -28%
OccuNet Workers Comp WorkersComp $314.50 ↓ -20%
Three Rivers Provider Network WorkersComp $353.81 ↓ -10%
Three Rivers Provider Network COMM $353.81 ↓ -10%
4Most Health Nework COMM $353.81 ↓ -10%
Cigna PPO $604.56 ↑ +54%
Cigna HMO $604.56 ↑ +54%
Cigna IFP $741.97 ↑ +89%
Aetna Broad not published by hospital
Optima Health PPO 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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Cine/video x-rays at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $499.00 $57.96 – $642.04
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $97.31 – $245.18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $79.63 – $245.18
LEWISGALE HOSPITAL-PULASKI PULASKI not published $65.80 – $245.18
LEWISGALE MEDICAL CENTER ROANOKE not published $86.09 – $245.18
TRICITIES HOSPITAL HOPEWELL not published $52.04 – $642.04
RESTON HOSPITAL CENTER VIENNA not published $71.81 – $569.28
STONESPRINGS HOSPITAL CENTER Dulles not published $72.52 – $569.28

All Virginia hospitals for this procedure →