Drug test(s) presumptive any class instrument chemistry analyzers 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.

Full explanation →

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.

$61.71 with Humana Military vs $683.32 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
Humana Military TRCR $61.71
Humana MCR $62.14
Sentara Health MCR $62.14
Johns Hopkins UniformedServicesFamilyHealthPlan $62.14
United VACCN $62.14
United Behavioral Health VACCN $62.14
United AllPayerAppendix $62.14
Devoted MCR $62.14
United MGMCR $62.45
Aetna MGMCR $62.85
Virginia Premier Health MGMCR $63.38
Anthem MGMCR $64.00
Evernorth Behavioral Health MCR $64.63
Cigna HealthSpring MCR $64.63
Clear Spring Health Plan MCR $65.25
Align Senior Care MGMCR $66.49
Bright Health COMM $132.98
Lifeworks MCR $144.26
United OptionsPPO $212.59
Anthem HIX $236.01
Cigna PPO $251.20
Cigna HMO $251.20
Virginia Health Network ULTRA $265.73
Cigna IFP $308.29
Anthem HPN $324.62
Anthem PPO $324.62
Anthem HMO $324.62
United GlobalBenefitPlan $341.66
Kaiser COMM $447.95
Greenvbrier Sporting Club COMM $455.54
Virginia Health Network WC $493.51
Virginia Health Network COMM $493.51
Multiplan PHCS $539.06
Multiplan MPI $539.06
CorVel WorkersComp $546.65
OccuNet Workers Comp WorkersComp $607.39
4Most Health Nework COMM $683.32
Three Rivers Provider Network COMM $683.32
Three Rivers Provider Network WorkersComp $683.32
Aetna Broad not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Drug test(s) presumptive any class instrument chemistry analyzers at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $931.00 $54.08 – $90.10
Inova Alexandria Hospital Alexandria $296.50 $62.14 – $373.06
Inova Fairfax Hospital Falls Church $296.50 $62.14 – $373.06
Inova Fair Oaks Hospital VA 22033-1709 $296.50 $62.14 – $373.06
Inova Loudoun Hospital Leesburg $296.50 $62.14 – $373.06
Inova Mount Vernon Hospital Alexandria $296.50 $62.14 – $373.06
STONESPRINGS HOSPITAL CENTER Dulles $1,626.36 $47.71 – $236.53
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $54.08 – $277.83

All Virginia hospitals for this procedure →