Ghs bleeding time (ivy) 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.

$4.78 with Humana Military vs $25.18 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.

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 $4.78
Humana MCR $4.82
United Behavioral Health VACCN $4.82
Devoted MCR $4.82
United VACCN $4.82
United AllPayerAppendix $4.82
Johns Hopkins UniformedServicesFamilyHealthPlan $4.82
Sentara Health MCR $4.82
United MGMCR $4.84
Aetna MGMCR $4.87
Virginia Premier Health MGMCR $4.92
Anthem MGMCR $4.96
Cigna HealthSpring MCR $5.01
Evernorth Behavioral Health MCR $5.01
Clear Spring Health Plan MCR $5.06
Align Senior Care MGMCR $5.16
Bright Health COMM $10.31
Anthem HIX $18.31
Cigna PPO $19.46
Cigna HMO $19.46
Cigna IFP $23.88
Anthem HMO $25.18
Anthem PPO $25.18
Anthem HPN $25.18
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Aetna Broad not published by hospital

Visitor-reported prices

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Ghs bleeding time (ivy) at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $403.00 $4.19 – $6.99
Inova Alexandria Hospital Alexandria $181.00 $4.82 – $227.73
Inova Fairfax Hospital Falls Church $181.00 $4.82 – $227.73
Inova Fair Oaks Hospital VA 22033-1709 $181.00 $4.82 – $227.73
Inova Loudoun Hospital Leesburg $181.00 $4.82 – $227.73
Inova Mount Vernon Hospital Alexandria $181.00 $4.82 – $227.73
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $482.00 $4.19 – $5.16
LEWISGALE HOSPITAL-PULASKI PULASKI $220.00 $3.70 – $5.16

All Virginia hospitals for this procedure →