Evaluation of speech fluency 92521 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

$1,343.52

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.

$1,343.52

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.

$125.63 with Humana Military vs $1,209.17 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 $125.63 ↓ -91%
Johns Hopkins UniformedServicesFamilyHealthPlan $129.52 ↓ -90%
United VACCN $134.29 ↓ -90%
Devoted MCR $134.29 ↓ -90%
Sentara Health MCR $134.29 ↓ -90%
United Behavioral Health VACCN $134.29 ↓ -90%
Humana MCR $134.29 ↓ -90%
United MGMCR $134.96 ↓ -90%
Aetna MGMCR $135.82 ↓ -90%
Virginia Premier Health MGMCR $136.98 ↓ -90%
Anthem MGMCR $138.32 ↓ -90%
Evernorth Behavioral Health MCR $139.66 ↓ -90%
Cigna HealthSpring MCR $139.66 ↓ -90%
Clear Spring Health Plan MCR $141.00 ↓ -90%
Align Senior Care MGMCR $143.69 ↓ -89%
Bright Health COMM $217.11 ↓ -84%
Lifeworks MCR $255.27 ↓ -81%
United OptionsPPO $376.19 ↓ -72%
Virginia Health Network ULTRA $470.23 ↓ -65%
United GlobalBenefitPlan $604.58 ↓ -55%
Kaiser COMM $792.68 ↓ -41%
Greenvbrier Sporting Club COMM $806.11 ↓ -40%
Virginia Health Network WC $873.29 ↓ -35%
Virginia Health Network COMM $873.29 ↓ -35%
Multiplan MPI $953.90 ↓ -29%
Multiplan PHCS $953.90 ↓ -29%
CorVel WorkersComp $967.33 ↓ -28%
OccuNet Workers Comp WorkersComp $1,074.82 ↓ -20%
4Most Health Nework COMM $1,209.17 ↓ -10%
Three Rivers Provider Network COMM $1,209.17 ↓ -10%
Three Rivers Provider Network WorkersComp $1,209.17 ↓ -10%
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital
Aetna Broad not published by hospital
Optima Health POS not published by hospital

Visitor-reported prices

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Evaluation of speech fluency 92521 at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $354.00 $110.09 – $141.43
Inova Alexandria Hospital Alexandria $411.50 $120.48 – $517.75
Inova Fairfax Hospital Falls Church $411.50 $120.48 – $517.75
Inova Fair Oaks Hospital VA 22033-1709 $411.50 $120.48 – $517.75
Inova Loudoun Hospital Leesburg $411.50 $120.48 – $517.75
Inova Mount Vernon Hospital Alexandria $411.50 $120.48 – $517.75
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,073.00 $110.09 – $181.29
LEWISGALE HOSPITAL-PULASKI PULASKI $714.00 $97.14 – $143.69

All Virginia hospitals for this procedure →