Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution 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

$165.28

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.

$165.28

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.

$2.94 with United vs $165.28 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 $2.94 ↓ -98%
Aetna MGMCR $24.79 ↓ -85%
Cigna IFP $43.96 ↓ -73%
United OptionsPPO $46.28 ↓ -72%
Cigna HMO $55.70 ↓ -66%
Cigna PPO $55.70 ↓ -66%
Virginia Health Network ULTRA $57.85 ↓ -65%
United GlobalBenefitPlan $74.38 ↓ -55%
Kaiser COMM $97.52 ↓ -41%
Greenvbrier Sporting Club COMM $99.17 ↓ -40%
Virginia Health Network WC $107.43 ↓ -35%
Virginia Health Network COMM $107.43 ↓ -35%
Multiplan PHCS $117.35 ↓ -29%
Multiplan MPI $117.35 ↓ -29%
CorVel WorkersComp $119.00 ↓ -28%
OccuNet Workers Comp WorkersComp $132.22 ↓ -20%
4Most Health Nework COMM $148.75 ↓ -10%
Three Rivers Provider Network WorkersComp $148.75 ↓ -10%
Three Rivers Provider Network COMM $148.75 ↓ -10%
United Behavioral Health VACCN $165.28 ↑ +0%

Visitor-reported prices

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Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $2.94 – $2.94
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $2.94 – $2.94
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $2.94 – $2.94
LEWISGALE HOSPITAL-PULASKI PULASKI not published $2.94 – $2.94
LEWISGALE MEDICAL CENTER ROANOKE not published $3.33 – $3.33
TRICITIES HOSPITAL HOPEWELL not published $2.94 – $2.94
RESTON HOSPITAL CENTER VIENNA not published $2.94 – $3.55
STONESPRINGS HOSPITAL CENTER Dulles not published $2.94 – $3.55

All Virginia hospitals for this procedure →