Cortisol total am 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.

$16.19 with Humana Military vs $506.41 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 $16.19
Humana MCR $16.30
Sentara Health MCR $16.30
Johns Hopkins UniformedServicesFamilyHealthPlan $16.30
United VACCN $16.30
United Behavioral Health VACCN $16.30
United AllPayerAppendix $16.30
Devoted MCR $16.30
United MGMCR $16.38
Aetna MGMCR $16.49
Virginia Premier Health MGMCR $16.63
Anthem MGMCR $16.79
Evernorth Behavioral Health MCR $16.95
Cigna HealthSpring MCR $16.95
Clear Spring Health Plan MCR $17.12
Align Senior Care MGMCR $17.44
Bright Health COMM $34.88
Anthem HIX $61.91
Cigna HMO $65.92
Cigna PPO $65.92
Cigna IFP $80.90
Anthem HPN $85.15
Anthem PPO $85.15
Anthem HMO $85.15
Lifeworks MCR $106.91
United OptionsPPO $157.55
Virginia Health Network ULTRA $196.94
United GlobalBenefitPlan $253.21
Kaiser COMM $331.98
Greenvbrier Sporting Club COMM $337.61
Virginia Health Network WC $365.74
Virginia Health Network COMM $365.74
Multiplan PHCS $399.50
Multiplan MPI $399.50
CorVel WorkersComp $405.13
OccuNet Workers Comp WorkersComp $450.14
4Most Health Nework COMM $506.41
Three Rivers Provider Network COMM $506.41
Three Rivers Provider Network WorkersComp $506.41
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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Cortisol total am at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $477.00 $14.19 – $23.64
Inova Alexandria Hospital Alexandria $163.00 $15.74 – $205.09
Inova Fairfax Hospital Falls Church $163.00 $15.74 – $205.09
Inova Fair Oaks Hospital VA 22033-1709 $163.00 $15.74 – $205.09
Inova Loudoun Hospital Leesburg $163.00 $15.74 – $205.09
Inova Mount Vernon Hospital Alexandria $163.00 $15.74 – $205.09
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $324.00 $14.19 – $17.44
LEWISGALE MEDICAL CENTER ROANOKE $406.00 $14.19 – $23.64

All Virginia hospitals for this procedure →