M/phmtrc alys ishquant/semiq at SPOTSYLVANIA REGIONAL MEDICAL CENTER
4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664
$705.24
Cash price 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.
$705.24
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$113.97 with Bright Health vs $1,626.19 with Cigna — 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 →
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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 ?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 ?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 | $113.97 | ↓ -84% |
| Lifeworks | MCR | $134.00 | ↓ -81% |
| United | AllPayerAppendix | $149.16 | ↓ -79% |
| United | OptionsPPO | $197.47 | ↓ -72% |
| Virginia Health Network | ULTRA | $246.83 | ↓ -65% |
| United | GlobalBenefitPlan | $317.36 | ↓ -55% |
| Kaiser | COMM | $416.09 | ↓ -41% |
| Greenvbrier Sporting Club | COMM | $423.14 | ↓ -40% |
| Virginia Health Network | WC | $458.41 | ↓ -35% |
| Virginia Health Network | COMM | $458.41 | ↓ -35% |
| Multiplan | MPI | $500.72 | ↓ -29% |
| Multiplan | PHCS | $500.72 | ↓ -29% |
| CorVel | WorkersComp | $507.77 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $564.19 | ↓ -20% |
| Anthem | HIX | $566.51 | ↓ -20% |
| Three Rivers Provider Network | WorkersComp | $634.72 | ↓ -10% |
| Three Rivers Provider Network | COMM | $634.72 | ↓ -10% |
| 4Most Health Nework | COMM | $634.72 | ↓ -10% |
| Anthem | PPO | $779.21 | ↑ +10% |
| Anthem | HMO | $779.21 | ↑ +10% |
| Anthem | HPN | $779.21 | ↑ +10% |
| Cigna | HMO | $1,325.05 | ↑ +88% |
| Cigna | PPO | $1,325.05 | ↑ +88% |
| Cigna | IFP | $1,626.19 | ↑ +131% |
| Aetna | Broad | not published by hospital | — |
| Optima Health | POS | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $446.00 | $152.32 – $1,435.65 |
| Inova Fairfax Hospital | Falls Church | $446.00 | $152.32 – $1,435.65 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $446.00 | $152.32 – $1,435.65 |
| Inova Loudoun Hospital | Leesburg | $446.00 | $152.32 – $1,435.65 |
| Inova Mount Vernon Hospital | Alexandria | $446.00 | $152.32 – $1,435.65 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $665.00 | $149.16 – $1,407.18 |
| TRICITIES HOSPITAL | HOPEWELL | $665.00 | $149.16 – $1,407.18 |
| RESTON HOSPITAL CENTER | VIENNA | $1,478.14 | $149.16 – $1,286.70 |