Epinephrine 0.1 mg/ml injection syringe 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

$203.74

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.

$203.74

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.

$7.95 with United vs $203.74 with United Behavioral Health — 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
United AllPayerAppendix $7.95 ↓ -96%
Aetna MGMCR $30.56 ↓ -85%
Cigna IFP $54.19 ↓ -73%
United OptionsPPO $57.05 ↓ -72%
Cigna HMO $68.66 ↓ -66%
Cigna PPO $68.66 ↓ -66%
Virginia Health Network ULTRA $71.31 ↓ -65%
United GlobalBenefitPlan $91.68 ↓ -55%
Kaiser COMM $120.21 ↓ -41%
Greenvbrier Sporting Club COMM $122.24 ↓ -40%
Virginia Health Network WC $132.43 ↓ -35%
Virginia Health Network COMM $132.43 ↓ -35%
Multiplan PHCS $144.66 ↓ -29%
Multiplan MPI $144.66 ↓ -29%
CorVel WorkersComp $146.69 ↓ -28%
OccuNet Workers Comp WorkersComp $162.99 ↓ -20%
4Most Health Nework COMM $183.37 ↓ -10%
Three Rivers Provider Network WorkersComp $183.37 ↓ -10%
Three Rivers Provider Network COMM $183.37 ↓ -10%
United Behavioral Health VACCN $203.74 ↑ +0%

Visitor-reported prices

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Epinephrine 0.1 mg/ml injection syringe at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $204.00 $7.95 – $7.95
TRICITIES HOSPITAL HOPEWELL $204.00 $7.95 – $7.95
RESTON HOSPITAL CENTER VIENNA $153.90 $3.38 – $7.95
HENRICO DOCTORS HOSPITAL RICHMOND $204.00 $7.95 – $7.95
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $7.95 – $7.95
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $7.95 – $7.95
LEWISGALE HOSPITAL-PULASKI PULASKI not published $7.95 – $7.95
LEWISGALE MEDICAL CENTER ROANOKE not published $9.00 – $9.00

All Virginia hospitals for this procedure →