Lactate dehydrogenase (ldh) 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.

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.

$5.99 with Humana Military vs $201.20 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
Humana Military TRCR $5.99
Humana MCR $6.04
Sentara Health MCR $6.04
Johns Hopkins UniformedServicesFamilyHealthPlan $6.04
United VACCN $6.04
United Behavioral Health VACCN $6.04
United AllPayerAppendix $6.04
Devoted MCR $6.04
United MGMCR $6.07
Aetna MGMCR $6.11
Virginia Premier Health MGMCR $6.16
Anthem MGMCR $6.22
Evernorth Behavioral Health MCR $6.28
Cigna HealthSpring MCR $6.28
Clear Spring Health Plan MCR $6.34
Align Senior Care MGMCR $6.46
Bright Health COMM $12.93
Anthem HIX $22.94
Cigna HMO $24.44
Cigna PPO $24.44
Cigna IFP $30.00
Anthem HPN $31.55
Anthem PPO $31.55
Anthem HMO $31.55
Lifeworks MCR $42.48
United OptionsPPO $62.60
Virginia Health Network ULTRA $78.25
United GlobalBenefitPlan $100.60
Kaiser COMM $131.90
Greenvbrier Sporting Club COMM $134.14
Virginia Health Network WC $145.31
Virginia Health Network COMM $145.31
Multiplan PHCS $158.73
Multiplan MPI $158.73
CorVel WorkersComp $160.96
OccuNet Workers Comp WorkersComp $178.85
4Most Health Nework COMM $201.20
Three Rivers Provider Network COMM $201.20
Three Rivers Provider Network WorkersComp $201.20
Aetna Broad not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Lactate dehydrogenase (ldh) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $64.00 $6.04 – $80.52
Inova Fairfax Hospital Falls Church $64.00 $6.04 – $80.52
Inova Fair Oaks Hospital VA 22033-1709 $64.00 $6.04 – $80.52
Inova Loudoun Hospital Leesburg $64.00 $6.04 – $80.52
Inova Mount Vernon Hospital Alexandria $64.00 $6.04 – $80.52
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $5.25 – $8.76
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $5.25 – $27.00
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $5.25 – $6.46

All Virginia hospitals for this procedure →