Collection of venous blood by venipuncture 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

$65.40

Cash price

?

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.

$65.40

Gross charge

?

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.

$3.00 with United vs $2,550.00 with Lifeworks — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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
United AllPayerAppendix $3.00 ↓ -95%
Humana Military TRCR $8.82 ↓ -87%
Johns Hopkins UniformedServicesFamilyHealthPlan $8.83 ↓ -86%
Humana MCR $9.34 ↓ -86%
United Behavioral Health VACCN $9.34 ↓ -86%
Devoted MCR $9.34 ↓ -86%
United VACCN $9.34 ↓ -86%
Sentara Health MCR $9.34 ↓ -86%
United MGMCR $9.39 ↓ -86%
Aetna MGMCR $9.45 ↓ -86%
Virginia Premier Health MGMCR $9.53 ↓ -85%
Anthem MGMCR $9.62 ↓ -85%
Cigna HealthSpring MCR $9.71 ↓ -85%
Evernorth Behavioral Health MCR $9.71 ↓ -85%
Clear Spring Health Plan MCR $9.81 ↓ -85%
Align Senior Care MGMCR $9.99 ↓ -85%
Anthem HIX $11.39 ↓ -83%
Anthem HPN $15.67 ↓ -76%
Anthem HMO $15.67 ↓ -76%
Anthem PPO $15.67 ↓ -76%
United OptionsPPO $18.31 ↓ -72%
Bright Health COMM $18.90 ↓ -71%
Aetna Broad $22.89 ↓ -65%
Virginia Health Network ULTRA $22.89 ↓ -65%
United GlobalBenefitPlan $29.43 ↓ -55%
Cigna HMO $35.70 ↓ -45%
Cigna PPO $35.70 ↓ -45%
Kaiser COMM $38.59 ↓ -41%
Greenvbrier Sporting Club COMM $39.24 ↓ -40%
Virginia Health Network COMM $42.51 ↓ -35%
Virginia Health Network WC $42.51 ↓ -35%
Cigna IFP $43.81 ↓ -33%
Multiplan PHCS $46.43 ↓ -29%
Multiplan MPI $46.43 ↓ -29%
CorVel WorkersComp $47.09 ↓ -28%
OccuNet Workers Comp WorkersComp $52.32 ↓ -20%
4Most Health Nework COMM $58.86 ↓ -10%
Three Rivers Provider Network WorkersComp $58.86 ↓ -10%
Three Rivers Provider Network COMM $58.86 ↓ -10%
Lifeworks MCR $2,550.00 ↑ +3799%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Collection of venous blood by venipuncture at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $81.00 $3.00 – $12.80
Inova Alexandria Hospital Alexandria $10.50 $3.00 – $13.59
Inova Fairfax Hospital Falls Church $10.50 $3.00 – $13.59
Inova Fair Oaks Hospital VA 22033-1709 $10.50 $3.00 – $13.59
Inova Loudoun Hospital Leesburg $10.50 $3.00 – $13.59
Inova Mount Vernon Hospital Alexandria $10.50 $3.00 – $13.59
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $9.00 $3.00 – $37.91
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $82.00 $3.00 – $9.99

All Virginia hospitals for this procedure →