Fluoroguide needle placement 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

not published by hospital

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.

not published by hospital

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.

$69.80 with Anthem vs $1,026.48 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
Anthem HIX $69.80
Anthem HMO $96.03
Anthem HPN $96.03
Anthem PPO $96.03
Aetna MGMCR $153.97
Lifeworks MCR $195.03
Cigna IFP $273.04
United OptionsPPO $287.41
Cigna HMO $345.92
Cigna PPO $345.92
Virginia Health Network ULTRA $359.27
United GlobalBenefitPlan $461.92
Kaiser COMM $605.62
Greenvbrier Sporting Club COMM $615.89
Virginia Health Network COMM $667.21
Virginia Health Network WC $667.21
Multiplan PHCS $728.80
Multiplan MPI $728.80
CorVel WorkersComp $739.07
OccuNet Workers Comp WorkersComp $821.18
4Most Health Nework COMM $923.83
Three Rivers Provider Network COMM $923.83
Three Rivers Provider Network WorkersComp $923.83
United Behavioral Health VACCN $1,026.48
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Aetna Broad not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Fluoroguide needle placement at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $553.50 $251.44 – $729.51
Inova Fairfax Hospital Falls Church $553.50 $251.44 – $729.51
Inova Fair Oaks Hospital VA 22033-1709 $553.50 $251.44 – $729.51
Inova Loudoun Hospital Leesburg $553.50 $251.44 – $729.51
Inova Mount Vernon Hospital Alexandria $553.50 $251.44 – $729.51
LEWISGALE HOSPITAL-PULASKI PULASKI $1,729.00 $94.71 – $94.71
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $140.08 – $140.08
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $83.43 – $83.43

All Virginia hospitals for this procedure →