CT thorax low dose for lung screening without 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

$1,118.00

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.

$1,118.00

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.

$127.08 with Anthem vs $1,819.00 with Aetna — 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 $127.08 ↓ -89%
Anthem PPO $174.83 ↓ -84%
Anthem HMO $174.83 ↓ -84%
Anthem HPN $174.83 ↓ -84%
United AllPayerAppendix $182.03 ↓ -84%
Lifeworks MCR $212.42 ↓ -81%
Cigna IFP $297.39 ↓ -73%
United OptionsPPO $313.04 ↓ -72%
Cigna HMO $376.77 ↓ -66%
Cigna PPO $376.77 ↓ -66%
Virginia Health Network ULTRA $391.30 ↓ -65%
United GlobalBenefitPlan $503.10 ↓ -55%
Kaiser COMM $659.62 ↓ -41%
Greenvbrier Sporting Club COMM $670.80 ↓ -40%
Virginia Health Network COMM $726.70 ↓ -35%
Virginia Health Network WC $726.70 ↓ -35%
Multiplan MPI $793.78 ↓ -29%
Multiplan PHCS $793.78 ↓ -29%
CorVel WorkersComp $804.96 ↓ -28%
OccuNet Workers Comp WorkersComp $894.40 ↓ -20%
4Most Health Nework COMM $1,006.20 ↓ -10%
Three Rivers Provider Network COMM $1,006.20 ↓ -10%
Three Rivers Provider Network WorkersComp $1,006.20 ↓ -10%
Aetna Broad $1,819.00 ↑ +63%
Optima Health POS not published by hospital
Optima Health PPO not published by hospital
Optima Health HMO 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 thorax low dose for lung screening without contrast at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $545.00 $182.03 – $255.02
Inova Alexandria Hospital Alexandria $418.50 $106.34 – $1,432.00
Inova Fairfax Hospital Falls Church $418.50 $106.34 – $1,432.00
Inova Fair Oaks Hospital VA 22033-1709 $418.50 $106.34 – $1,432.00
Inova Loudoun Hospital Leesburg $418.50 $106.34 – $1,432.00
Inova Mount Vernon Hospital Alexandria $418.50 $106.34 – $1,432.00
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $281.00 $151.89 – $182.03
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $183.00 $182.03 – $208.67

All Virginia hospitals for this procedure →