Hydroxyurea 500 mg 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

$21.60

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.

$21.60

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.

$0.43 with Cigna vs $21.60 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 $0.43 ↓ -98%
Cigna HMO $0.60 ↓ -97%
Cigna PPO $0.60 ↓ -97%
Aetna MGMCR $3.24 ↓ -85%
United OptionsPPO $6.05 ↓ -72%
Virginia Health Network ULTRA $7.56 ↓ -65%
United GlobalBenefitPlan $9.72 ↓ -55%
Kaiser COMM $12.74 ↓ -41%
Greenvbrier Sporting Club COMM $12.96 ↓ -40%
Virginia Health Network WC $14.04 ↓ -35%
Virginia Health Network COMM $14.04 ↓ -35%
Multiplan PHCS $15.34 ↓ -29%
Multiplan MPI $15.34 ↓ -29%
CorVel WorkersComp $15.55 ↓ -28%
OccuNet Workers Comp WorkersComp $17.28 ↓ -20%
4Most Health Nework COMM $19.44 ↓ -10%
Three Rivers Provider Network WorkersComp $19.44 ↓ -10%
Three Rivers Provider Network COMM $19.44 ↓ -10%
United Behavioral Health VACCN $21.60 ↑ +0%

Visitor-reported prices

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Hydroxyurea 500 mg at other Virginia hospitals

Hospital City Cash price Negotiated range
RESTON HOSPITAL CENTER VIENNA $46.12 $0.37 – $0.37
STONESPRINGS HOSPITAL CENTER Dulles $44.12 $0.37 – $0.37

All Virginia hospitals for this procedure →