Ihc/icc per specimen each multiplex antibody stain 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

$1,615.68

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.

$1,615.68

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.

$261.09 with Bright Health vs $1,521.54 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
Bright Health COMM $261.09 ↓ -84%
United AllPayerAppendix $291.26 ↓ -82%
Lifeworks MCR $306.98 ↓ -81%
United OptionsPPO $452.39 ↓ -72%
Cigna HMO $540.10 ↓ -67%
Cigna PPO $540.10 ↓ -67%
Virginia Health Network ULTRA $565.49 ↓ -65%
Cigna IFP $662.84 ↓ -59%
United GlobalBenefitPlan $727.06 ↓ -55%
Kaiser COMM $953.25 ↓ -41%
Greenvbrier Sporting Club COMM $969.41 ↓ -40%
Virginia Health Network WC $1,050.19 ↓ -35%
Virginia Health Network COMM $1,050.19 ↓ -35%
Anthem HIX $1,106.21 ↓ -32%
Multiplan PHCS $1,147.13 ↓ -29%
Multiplan MPI $1,147.13 ↓ -29%
CorVel WorkersComp $1,163.29 ↓ -28%
OccuNet Workers Comp WorkersComp $1,292.54 ↓ -20%
Three Rivers Provider Network WorkersComp $1,454.11 ↓ -10%
Three Rivers Provider Network COMM $1,454.11 ↓ -10%
4Most Health Nework COMM $1,454.11 ↓ -10%
Anthem HMO $1,521.54 ↓ -6%
Anthem PPO $1,521.54 ↓ -6%
Anthem HPN $1,521.54 ↓ -6%
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital
Aetna Broad not published by hospital

Visitor-reported prices

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Ihc/icc per specimen each multiplex antibody stain at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $443.00 $231.10 – $563.08
Inova Fairfax Hospital Falls Church $443.00 $231.10 – $563.08
Inova Fair Oaks Hospital VA 22033-1709 $443.00 $231.10 – $563.08
Inova Loudoun Hospital Leesburg $443.00 $231.10 – $563.08
Inova Mount Vernon Hospital Alexandria $443.00 $231.10 – $563.08
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,519.00 $291.26 – $1,302.22
TRICITIES HOSPITAL HOPEWELL $1,519.00 $291.26 – $846.69
RESTON HOSPITAL CENTER VIENNA $1,213.98 $291.26 – $1,403.87

All Virginia hospitals for this procedure →