Cta upper extremity w &/or without contrast left 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.

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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.

$211.79 with Anthem vs $3,100.97 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 $211.79
Anthem PPO $291.37
Anthem HMO $291.37
Anthem HPN $291.37
United AllPayerAppendix $401.74
Lifeworks MCR $654.65
Cigna IFP $916.51
United OptionsPPO $964.75
Cigna HMO $1,161.14
Cigna PPO $1,161.14
Virginia Health Network ULTRA $1,205.93
United GlobalBenefitPlan $1,550.48
Aetna Broad $1,819.00
Kaiser COMM $2,032.86
Greenvbrier Sporting Club COMM $2,067.31
Virginia Health Network COMM $2,239.59
Virginia Health Network WC $2,239.59
Multiplan MPI $2,446.32
Multiplan PHCS $2,446.32
CorVel WorkersComp $2,480.77
OccuNet Workers Comp WorkersComp $2,756.42
4Most Health Nework COMM $3,100.97
Three Rivers Provider Network COMM $3,100.97
Three Rivers Provider Network WorkersComp $3,100.97
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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Cta upper extremity w &/or without contrast left at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $900.00 $178.02 – $1,888.66
Inova Fairfax Hospital Falls Church $900.00 $178.02 – $1,888.66
Inova Fair Oaks Hospital VA 22033-1709 $900.00 $178.02 – $1,888.66
Inova Loudoun Hospital Leesburg $900.00 $178.02 – $1,888.66
Inova Mount Vernon Hospital Alexandria $900.00 $178.02 – $1,888.66
LEWISGALE MEDICAL CENTER ROANOKE $3,861.00 $375.97 – $401.74
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $401.74 – $425.01
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $253.13 – $401.74

All Virginia hospitals for this procedure →