CT t-spine w /wo contrast 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

$6,377.28

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.

$6,377.28

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.

$150.29 with Anthem vs $5,739.55 with Three Rivers Provider Network — 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
Anthem HIX $150.29 ↓ -98%
Anthem HMO $206.76 ↓ -97%
Anthem HPN $206.76 ↓ -97%
Anthem PPO $206.76 ↓ -97%
United AllPayerAppendix $401.74 ↓ -94%
Lifeworks MCR $1,211.68 ↓ -81%
Cigna IFP $1,696.36 ↓ -73%
United OptionsPPO $1,785.64 ↓ -72%
Aetna Broad $1,819.00 ↓ -71%
Cigna HMO $2,149.14 ↓ -66%
Cigna PPO $2,149.14 ↓ -66%
Virginia Health Network ULTRA $2,232.05 ↓ -65%
United GlobalBenefitPlan $2,869.78 ↓ -55%
Kaiser COMM $3,762.60 ↓ -41%
Greenvbrier Sporting Club COMM $3,826.37 ↓ -40%
Virginia Health Network WC $4,145.23 ↓ -35%
Virginia Health Network COMM $4,145.23 ↓ -35%
Multiplan MPI $4,527.87 ↓ -29%
Multiplan PHCS $4,527.87 ↓ -29%
CorVel WorkersComp $4,591.64 ↓ -28%
OccuNet Workers Comp WorkersComp $5,101.82 ↓ -20%
Three Rivers Provider Network COMM $5,739.55 ↓ -10%
4Most Health Nework COMM $5,739.55 ↓ -10%
Three Rivers Provider Network WorkersComp $5,739.55 ↓ -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

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

CT t-spine w /wo contrast at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $919.50 $178.02 – $1,508.95
Inova Fairfax Hospital Falls Church $919.50 $178.02 – $1,508.95
Inova Fair Oaks Hospital VA 22033-1709 $919.50 $178.02 – $1,508.95
Inova Loudoun Hospital Leesburg $919.50 $178.02 – $1,508.95
Inova Mount Vernon Hospital Alexandria $919.50 $178.02 – $1,508.95
LEWISGALE HOSPITAL-PULASKI PULASKI $10,992.00 $203.91 – $401.74
LEWISGALE MEDICAL CENTER ROANOKE $10,549.00 $266.79 – $401.74
TRICITIES HOSPITAL HOPEWELL $6,498.00 $161.28 – $401.74

All Virginia hospitals for this procedure →