Factor viii 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

$545.40

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.

$545.40

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.

$17.78 with Humana Military vs $490.86 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 $17.78 ↓ -97%
Humana MCR $17.90 ↓ -97%
Sentara Health MCR $17.90 ↓ -97%
Johns Hopkins UniformedServicesFamilyHealthPlan $17.90 ↓ -97%
United VACCN $17.90 ↓ -97%
United Behavioral Health VACCN $17.90 ↓ -97%
United AllPayerAppendix $17.90 ↓ -97%
Devoted MCR $17.90 ↓ -97%
United MGMCR $17.99 ↓ -97%
Aetna MGMCR $18.10 ↓ -97%
Virginia Premier Health MGMCR $18.26 ↓ -97%
Anthem MGMCR $18.44 ↓ -97%
Evernorth Behavioral Health MCR $18.62 ↓ -97%
Cigna HealthSpring MCR $18.62 ↓ -97%
Clear Spring Health Plan MCR $18.79 ↓ -97%
Align Senior Care MGMCR $19.15 ↓ -96%
Bright Health COMM $38.31 ↓ -93%
Anthem HIX $67.98 ↓ -88%
Cigna HMO $72.38 ↓ -87%
Cigna PPO $72.38 ↓ -87%
Cigna IFP $88.83 ↓ -84%
Anthem HPN $93.51 ↓ -83%
Anthem PPO $93.51 ↓ -83%
Anthem HMO $93.51 ↓ -83%
Lifeworks MCR $103.63 ↓ -81%
United OptionsPPO $152.71 ↓ -72%
Virginia Health Network ULTRA $190.89 ↓ -65%
United GlobalBenefitPlan $245.43 ↓ -55%
Kaiser COMM $321.79 ↓ -41%
Greenvbrier Sporting Club COMM $327.24 ↓ -40%
Virginia Health Network WC $354.51 ↓ -35%
Virginia Health Network COMM $354.51 ↓ -35%
Multiplan PHCS $387.23 ↓ -29%
Multiplan MPI $387.23 ↓ -29%
CorVel WorkersComp $392.69 ↓ -28%
OccuNet Workers Comp WorkersComp $436.32 ↓ -20%
4Most Health Nework COMM $490.86 ↓ -10%
Three Rivers Provider Network COMM $490.86 ↓ -10%
Three Rivers Provider Network WorkersComp $490.86 ↓ -10%
Aetna Broad not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Factor viii at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $216.50 $5.25 – $272.40
Inova Fairfax Hospital Falls Church $216.50 $5.25 – $272.40
Inova Fair Oaks Hospital VA 22033-1709 $216.50 $5.25 – $272.40
Inova Loudoun Hospital Leesburg $216.50 $5.25 – $272.40
Inova Mount Vernon Hospital Alexandria $216.50 $5.25 – $272.40
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $975.00 $15.58 – $80.03
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $1,109.00 $15.58 – $19.15
LEWISGALE HOSPITAL-PULASKI PULASKI $1,018.00 $13.75 – $19.15

All Virginia hospitals for this procedure →