Lactated ringers intravenous solution 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.

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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.

$2.23 with Humana Military vs $190.08 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
Humana Military TRCR $2.23
Johns Hopkins UniformedServicesFamilyHealthPlan $2.30
Cigna IFP $2.42
Cigna HMO $3.36
Cigna PPO $3.36
United AllPayerAppendix $6.31
Aetna MGMCR $28.51
United OptionsPPO $53.22
Virginia Health Network ULTRA $66.53
United GlobalBenefitPlan $85.54
Kaiser COMM $112.15
Greenvbrier Sporting Club COMM $114.05
Virginia Health Network COMM $123.55
Virginia Health Network WC $123.55
Multiplan MPI $134.96
Multiplan PHCS $134.96
CorVel WorkersComp $136.86
OccuNet Workers Comp WorkersComp $152.06
Three Rivers Provider Network COMM $171.07
4Most Health Nework COMM $171.07
Three Rivers Provider Network WorkersComp $171.07
United Behavioral Health VACCN $190.08

Visitor-reported prices

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Lactated ringers intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $1.95 – $6.31
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1.95 – $6.31
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $1.95 – $6.31
LEWISGALE HOSPITAL-PULASKI PULASKI not published $1.72 – $6.31
LEWISGALE MEDICAL CENTER ROANOKE not published $1.95 – $7.14
TRICITIES HOSPITAL HOPEWELL not published $1.95 – $6.31
RESTON HOSPITAL CENTER VIENNA not published $2.09 – $6.31
STONESPRINGS HOSPITAL CENTER Dulles not published $1.72 – $6.31

All Virginia hospitals for this procedure →