Crystal identification light microscopy 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

$66.96

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.

$66.96

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.

$7.27 with Humana Military vs $60.26 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 $7.27 ↓ -89%
Humana MCR $7.33 ↓ -89%
Sentara Health MCR $7.33 ↓ -89%
Johns Hopkins UniformedServicesFamilyHealthPlan $7.33 ↓ -89%
United VACCN $7.33 ↓ -89%
United Behavioral Health VACCN $7.33 ↓ -89%
United AllPayerAppendix $7.33 ↓ -89%
Devoted MCR $7.33 ↓ -89%
United MGMCR $7.37 ↓ -89%
Aetna MGMCR $7.41 ↓ -89%
Virginia Premier Health MGMCR $7.48 ↓ -89%
Anthem MGMCR $7.55 ↓ -89%
Evernorth Behavioral Health MCR $7.62 ↓ -89%
Cigna HealthSpring MCR $7.62 ↓ -89%
Clear Spring Health Plan MCR $7.70 ↓ -89%
Align Senior Care MGMCR $7.84 ↓ -88%
Lifeworks MCR $12.72 ↓ -81%
Bright Health COMM $15.69 ↓ -77%
United OptionsPPO $18.75 ↓ -72%
Virginia Health Network ULTRA $23.44 ↓ -65%
Anthem HIX $27.84 ↓ -58%
Cigna PPO $29.60 ↓ -56%
Cigna HMO $29.60 ↓ -56%
United GlobalBenefitPlan $30.13 ↓ -55%
Cigna IFP $36.32 ↓ -46%
Anthem PPO $38.29 ↓ -43%
Anthem HMO $38.29 ↓ -43%
Anthem HPN $38.29 ↓ -43%
Kaiser COMM $39.51 ↓ -41%
Greenvbrier Sporting Club COMM $40.18 ↓ -40%
Virginia Health Network COMM $43.52 ↓ -35%
Virginia Health Network WC $43.52 ↓ -35%
Multiplan PHCS $47.54 ↓ -29%
Multiplan MPI $47.54 ↓ -29%
CorVel WorkersComp $48.21 ↓ -28%
OccuNet Workers Comp WorkersComp $53.57 ↓ -20%
4Most Health Nework COMM $60.26 ↓ -10%
Three Rivers Provider Network COMM $60.26 ↓ -10%
Three Rivers Provider Network WorkersComp $60.26 ↓ -10%
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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Crystal identification light microscopy at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $194.00 $6.38 – $10.63
Inova Alexandria Hospital Alexandria $95.00 $5.86 – $119.53
Inova Fairfax Hospital Falls Church $95.00 $5.86 – $119.53
Inova Fair Oaks Hospital VA 22033-1709 $95.00 $5.86 – $119.53
Inova Loudoun Hospital Leesburg $95.00 $5.86 – $119.53
Inova Mount Vernon Hospital Alexandria $95.00 $5.86 – $119.53
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $457.00 $6.38 – $32.77
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $168.00 $6.38 – $7.84

All Virginia hospitals for this procedure →