Folic acid 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

$564.84

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.

$564.84

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.

$14.60 with Humana Military vs $508.36 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 $14.60 ↓ -97%
Humana MCR $14.70 ↓ -97%
Sentara Health MCR $14.70 ↓ -97%
Johns Hopkins UniformedServicesFamilyHealthPlan $14.70 ↓ -97%
United VACCN $14.70 ↓ -97%
United Behavioral Health VACCN $14.70 ↓ -97%
United AllPayerAppendix $14.70 ↓ -97%
Devoted MCR $14.70 ↓ -97%
United MGMCR $14.77 ↓ -97%
Aetna MGMCR $14.87 ↓ -97%
Virginia Premier Health MGMCR $14.99 ↓ -97%
Anthem MGMCR $15.14 ↓ -97%
Evernorth Behavioral Health MCR $15.29 ↓ -97%
Cigna HealthSpring MCR $15.29 ↓ -97%
Clear Spring Health Plan MCR $15.44 ↓ -97%
Align Senior Care MGMCR $15.73 ↓ -97%
Bright Health COMM $31.46 ↓ -94%
Anthem HIX $55.83 ↓ -90%
Cigna HMO $59.46 ↓ -89%
Cigna PPO $59.46 ↓ -89%
Cigna IFP $72.97 ↓ -87%
Anthem HPN $76.79 ↓ -86%
Anthem PPO $76.79 ↓ -86%
Anthem HMO $76.79 ↓ -86%
Lifeworks MCR $107.32 ↓ -81%
United OptionsPPO $158.16 ↓ -72%
Virginia Health Network ULTRA $197.69 ↓ -65%
United GlobalBenefitPlan $254.18 ↓ -55%
Kaiser COMM $333.26 ↓ -41%
Greenvbrier Sporting Club COMM $338.90 ↓ -40%
Virginia Health Network WC $367.15 ↓ -35%
Virginia Health Network COMM $367.15 ↓ -35%
Multiplan PHCS $401.04 ↓ -29%
Multiplan MPI $401.04 ↓ -29%
CorVel WorkersComp $406.68 ↓ -28%
OccuNet Workers Comp WorkersComp $451.87 ↓ -20%
4Most Health Nework COMM $508.36 ↓ -10%
Three Rivers Provider Network COMM $508.36 ↓ -10%
Three Rivers Provider Network WorkersComp $508.36 ↓ -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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Folic acid at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $435.00 $12.79 – $21.31
Inova Alexandria Hospital Alexandria $148.00 $14.35 – $186.21
Inova Fairfax Hospital Falls Church $148.00 $14.35 – $186.21
Inova Fair Oaks Hospital VA 22033-1709 $148.00 $14.35 – $186.21
Inova Loudoun Hospital Leesburg $148.00 $14.35 – $186.21
Inova Mount Vernon Hospital Alexandria $148.00 $14.35 – $186.21
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $615.00 $12.79 – $65.72
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $294.00 $12.79 – $15.73

All Virginia hospitals for this procedure →