Insitu hybridization manual 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

$2,646.00

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.

$2,646.00

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.

$291.26 with United vs $2,381.40 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
United AllPayerAppendix $291.26 ↓ -89%
Cigna PPO $426.21 ↓ -84%
Cigna HMO $426.21 ↓ -84%
Bright Health COMM $427.59 ↓ -84%
Lifeworks MCR $502.74 ↓ -81%
Cigna IFP $523.08 ↓ -80%
United OptionsPPO $740.88 ↓ -72%
Virginia Health Network ULTRA $926.10 ↓ -65%
Anthem HIX $1,106.21 ↓ -58%
United GlobalBenefitPlan $1,190.70 ↓ -55%
Anthem HMO $1,521.54 ↓ -42%
Anthem PPO $1,521.54 ↓ -42%
Anthem HPN $1,521.54 ↓ -42%
Kaiser COMM $1,561.14 ↓ -41%
Greenvbrier Sporting Club COMM $1,587.60 ↓ -40%
Virginia Health Network WC $1,719.90 ↓ -35%
Virginia Health Network COMM $1,719.90 ↓ -35%
Multiplan MPI $1,878.66 ↓ -29%
Multiplan PHCS $1,878.66 ↓ -29%
CorVel WorkersComp $1,905.12 ↓ -28%
OccuNet Workers Comp WorkersComp $2,116.80 ↓ -20%
Three Rivers Provider Network WorkersComp $2,381.40 ↓ -10%
4Most Health Nework COMM $2,381.40 ↓ -10%
Three Rivers Provider Network COMM $2,381.40 ↓ -10%
Optima Health POS not published by hospital
Aetna Broad not published by hospital
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

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Insitu hybridization manual at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $235.00 $291.26 – $1,644.16
Inova Alexandria Hospital Alexandria $498.00 $209.98 – $626.58
Inova Fairfax Hospital Falls Church $498.00 $209.98 – $626.58
Inova Fair Oaks Hospital VA 22033-1709 $498.00 $209.98 – $626.58
Inova Loudoun Hospital Leesburg $498.00 $209.98 – $626.58
Inova Mount Vernon Hospital Alexandria $498.00 $209.98 – $626.58
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $665.00 $291.26 – $1,302.22
LEWISGALE MEDICAL CENTER ROANOKE $1,483.00 $291.26 – $1,635.13

All Virginia hospitals for this procedure →