External pretreatment of serum for use in antibody identification by dilution 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

$131.76

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.

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What you pay up front if you don't use insurance.

$131.76

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.

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The hospital's undiscounted list price — almost no one pays this.

$4.11 with Cigna vs $128.88 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.

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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.

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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.

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Negotiated rate vs. cash
Cigna HMO $4.11 ↓ -97%
Cigna PPO $4.11 ↓ -97%
Cigna IFP $5.05 ↓ -96%
Bright Health COMM $21.29 ↓ -84%
United AllPayerAppendix $24.67 ↓ -81%
Lifeworks MCR $25.03 ↓ -81%
United OptionsPPO $36.89 ↓ -72%
Virginia Health Network ULTRA $46.12 ↓ -65%
United GlobalBenefitPlan $59.29 ↓ -55%
Kaiser COMM $77.74 ↓ -41%
Greenvbrier Sporting Club COMM $79.06 ↓ -40%
Virginia Health Network WC $85.64 ↓ -35%
Virginia Health Network COMM $85.64 ↓ -35%
Multiplan PHCS $93.55 ↓ -29%
Multiplan MPI $93.55 ↓ -29%
Anthem HIX $93.70 ↓ -29%
CorVel WorkersComp $94.87 ↓ -28%
OccuNet Workers Comp WorkersComp $105.41 ↓ -20%
Three Rivers Provider Network WorkersComp $118.58 ↓ -10%
Three Rivers Provider Network COMM $118.58 ↓ -10%
4Most Health Nework COMM $118.58 ↓ -10%
Anthem PPO $128.88 ↓ -2%
Anthem HPN $128.88 ↓ -2%
Anthem HMO $128.88 ↓ -2%
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital
Aetna Broad not published by hospital

Visitor-reported prices

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External pretreatment of serum for use in antibody identification by dilution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $56.00 $24.67 – $139.26
Inova Alexandria Hospital Alexandria $287.50 $4.13 – $361.73
Inova Fairfax Hospital Falls Church $287.50 $4.13 – $361.73
Inova Fair Oaks Hospital VA 22033-1709 $287.50 $4.13 – $361.73
Inova Loudoun Hospital Leesburg $287.50 $4.13 – $361.73
Inova Mount Vernon Hospital Alexandria $287.50 $4.13 – $361.73
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $132.00 $4.37 – $110.30
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $53.00 $24.67 – $104.95

All Virginia hospitals for this procedure →