Dark field exam spec collj 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.

$10.67 with Humana Military vs $56.11 with Anthem — 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 $10.67
Humana MCR $10.74
United Behavioral Health VACCN $10.74
Devoted MCR $10.74
United VACCN $10.74
United AllPayerAppendix $10.74
Johns Hopkins UniformedServicesFamilyHealthPlan $10.74
Sentara Health MCR $10.74
United MGMCR $10.79
Aetna MGMCR $10.86
Virginia Premier Health MGMCR $10.95
Anthem MGMCR $11.06
Cigna HealthSpring MCR $11.17
Evernorth Behavioral Health MCR $11.17
Clear Spring Health Plan MCR $11.28
Align Senior Care MGMCR $11.49
Bright Health COMM $22.98
Anthem HIX $40.79
Cigna PPO $43.41
Cigna HMO $43.41
Cigna IFP $53.28
Anthem HMO $56.11
Anthem PPO $56.11
Anthem HPN $56.11
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Aetna Broad not published by hospital

Visitor-reported prices

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Dark field exam spec collj at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $9.35 – $15.57
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $9.35 – $48.02
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $9.35 – $11.49
LEWISGALE HOSPITAL-PULASKI PULASKI not published $8.25 – $11.49
LEWISGALE MEDICAL CENTER ROANOKE not published $9.35 – $15.57
TRICITIES HOSPITAL HOPEWELL not published $9.35 – $46.11
RESTON HOSPITAL CENTER VIENNA not published $10.74 – $60.94
STONESPRINGS HOSPITAL CENTER Dulles not published $8.25 – $60.94

All Virginia hospitals for this procedure →