F-18 sodium fluoride 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

$2,380.32

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.

$2,380.32

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.

$233.87 with Cigna vs $2,380.32 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
Cigna IFP $233.87 ↓ -90%
Cigna PPO $325.19 ↓ -86%
Cigna HMO $325.19 ↓ -86%
Aetna MGMCR $357.05 ↓ -85%
Lifeworks MCR $452.26 ↓ -81%
United OptionsPPO $666.49 ↓ -72%
United AllPayerAppendix $716.96 ↓ -70%
Virginia Health Network ULTRA $833.11 ↓ -65%
Aetna Broad $833.11 ↓ -65%
United GlobalBenefitPlan $1,071.14 ↓ -55%
Kaiser COMM $1,404.39 ↓ -41%
Greenvbrier Sporting Club COMM $1,428.19 ↓ -40%
Virginia Health Network COMM $1,547.21 ↓ -35%
Virginia Health Network WC $1,547.21 ↓ -35%
Multiplan MPI $1,690.03 ↓ -29%
Multiplan PHCS $1,690.03 ↓ -29%
CorVel WorkersComp $1,713.83 ↓ -28%
OccuNet Workers Comp WorkersComp $1,904.26 ↓ -20%
Three Rivers Provider Network COMM $2,142.29 ↓ -10%
4Most Health Nework COMM $2,142.29 ↓ -10%
Three Rivers Provider Network WorkersComp $2,142.29 ↓ -10%
United Behavioral Health VACCN $2,380.32 ↑ +0%

Visitor-reported prices

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F-18 sodium fluoride at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE MEDICAL CENTER ROANOKE $596.00 $811.65 – $811.65
TRICITIES HOSPITAL HOPEWELL $1,857.00 $233.87 – $716.96
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $716.96 – $716.96
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $233.87 – $716.96
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $716.96 – $716.96
LEWISGALE HOSPITAL-PULASKI PULASKI not published $716.96 – $716.96
RESTON HOSPITAL CENTER VIENNA not published $202.68 – $716.96
STONESPRINGS HOSPITAL CENTER Dulles not published $202.68 – $716.96

All Virginia hospitals for this procedure →