CT bone density axial 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

$2,864.16

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.

$2,864.16

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.

$29.28 with Anthem vs $2,577.74 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
Anthem HIX $29.28 ↓ -99%
Anthem PPO $40.29 ↓ -99%
Anthem HMO $40.29 ↓ -99%
Anthem HPN $40.29 ↓ -99%
United AllPayerAppendix $182.03 ↓ -94%
Lifeworks MCR $544.19 ↓ -81%
Cigna IFP $761.87 ↓ -73%
United OptionsPPO $801.96 ↓ -72%
Cigna HMO $965.22 ↓ -66%
Cigna PPO $965.22 ↓ -66%
Virginia Health Network ULTRA $1,002.46 ↓ -65%
United GlobalBenefitPlan $1,288.87 ↓ -55%
Kaiser COMM $1,689.85 ↓ -41%
Greenvbrier Sporting Club COMM $1,718.50 ↓ -40%
Aetna Broad $1,819.00 ↓ -36%
Virginia Health Network COMM $1,861.70 ↓ -35%
Virginia Health Network WC $1,861.70 ↓ -35%
Multiplan MPI $2,033.55 ↓ -29%
Multiplan PHCS $2,033.55 ↓ -29%
CorVel WorkersComp $2,062.20 ↓ -28%
OccuNet Workers Comp WorkersComp $2,291.33 ↓ -20%
4Most Health Nework COMM $2,577.74 ↓ -10%
Three Rivers Provider Network COMM $2,577.74 ↓ -10%
Three Rivers Provider Network WorkersComp $2,577.74 ↓ -10%
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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CT bone density axial at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $58.76 – $182.03
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $35.00 – $182.03
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $48.08 – $182.03
LEWISGALE HOSPITAL-PULASKI PULASKI not published $39.73 – $182.03
LEWISGALE MEDICAL CENTER ROANOKE not published $51.98 – $182.03
TRICITIES HOSPITAL HOPEWELL not published $31.42 – $182.03
RESTON HOSPITAL CENTER VIENNA not published $43.36 – $280.01
STONESPRINGS HOSPITAL CENTER Dulles not published $43.79 – $280.01

All Virginia hospitals for this procedure →