IV Fluids (each additional hour) at SPOTSYLVANIA REGIONAL MEDICAL CENTER

4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 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.

Full explanation →

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.

$49.14 with Bright Health vs $273.70 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
Bright Health COMM $49.14 —
Lifeworks MCR $57.78 —
Cigna IFP $80.89 —
United OptionsPPO $85.15 —
Cigna HMO $97.62 —
Cigna PPO $97.62 —
Aetna Broad $106.44 —
Virginia Health Network ULTRA $106.44 —
United AllPayerAppendix $126.78 —
United GlobalBenefitPlan $136.85 —
Kaiser COMM $164.22 —
Greenvbrier Sporting Club COMM $182.47 —
Multiplan MPI $194.63 —
Multiplan PHCS $194.63 —
Virginia Health Network WC $197.67 —
Virginia Health Network COMM $197.67 —
CorVel WorkersComp $218.96 —
OccuNet Workers Comp WorkersComp $243.29 —
Three Rivers Provider Network COMM $273.70 —
4Most Health Nework COMM $273.70 —
Three Rivers Provider Network WorkersComp $273.70 —

Visitor-reported prices

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IV Fluids (each additional hour) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $115.50 $46.14 – $177.99
Inova Fairfax Hospital Falls Church $115.50 $46.14 – $177.99
Inova Fair Oaks Hospital VA 22033-1709 $115.50 $46.14 – $177.99
Inova Loudoun Hospital Leesburg $115.50 $46.14 – $177.99
Inova Mount Vernon Hospital Alexandria $115.50 $46.14 – $177.99
Johnston Memorial Hospital ABINGDON $27.60 $14.70 – $652.33
Russell County Hospital LEBANON $27.60 $14.70 – $652.33
Sentara Martha Jefferson Hospital Charlottesville $107.00 $46.60 – $47.97

All Virginia hospitals for this procedure →