Eia hiv-1/hiv-2 screen 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.

$19.44 with Humana Military vs $102.23 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 $19.44
Humana MCR $19.57
United Behavioral Health VACCN $19.57
Devoted MCR $19.57
United VACCN $19.57
United AllPayerAppendix $19.57
Johns Hopkins UniformedServicesFamilyHealthPlan $19.57
Sentara Health MCR $19.57
United MGMCR $19.67
Aetna MGMCR $19.79
Virginia Premier Health MGMCR $19.96
Anthem MGMCR $20.16
Evernorth Behavioral Health MCR $20.35
Cigna HealthSpring MCR $20.35
Clear Spring Health Plan MCR $20.55
Align Senior Care MGMCR $20.94
Bright Health COMM $41.88
Anthem HIX $74.33
Cigna HMO $79.11
Cigna PPO $79.11
Cigna IFP $97.09
Anthem HMO $102.23
Anthem HPN $102.23
Anthem PPO $102.23
Aetna Broad not published by hospital

Visitor-reported prices

visitor-reported
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Eia hiv-1/hiv-2 screen at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $17.03 – $28.38
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $17.03 – $87.50
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $17.03 – $20.94
LEWISGALE HOSPITAL-PULASKI PULASKI not published $15.03 – $20.94
LEWISGALE MEDICAL CENTER ROANOKE not published $17.03 – $28.38
TRICITIES HOSPITAL HOPEWELL not published $17.03 – $84.01
RESTON HOSPITAL CENTER VIENNA not published $19.57 – $78.89
STONESPRINGS HOSPITAL CENTER Dulles not published $15.03 – $78.89

All Virginia hospitals for this procedure →