Mayo angiotensin 1 converting enzyme (ace) csf 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.

$14.50 with Humana Military vs $533.63 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 $14.50
Humana MCR $14.60
Sentara Health MCR $14.60
Johns Hopkins UniformedServicesFamilyHealthPlan $14.60
United VACCN $14.60
United Behavioral Health VACCN $14.60
United AllPayerAppendix $14.60
Devoted MCR $14.60
United MGMCR $14.67
Aetna MGMCR $14.77
Virginia Premier Health MGMCR $14.89
Anthem MGMCR $15.04
Evernorth Behavioral Health MCR $15.18
Cigna HealthSpring MCR $15.18
Clear Spring Health Plan MCR $15.33
Align Senior Care MGMCR $15.62
Bright Health COMM $31.24
Anthem HIX $55.45
Cigna HMO $59.02
Cigna PPO $59.02
Cigna IFP $72.44
Anthem HPN $76.27
Anthem PPO $76.27
Anthem HMO $76.27
Lifeworks MCR $112.65
United OptionsPPO $166.02
Virginia Health Network ULTRA $207.52
United GlobalBenefitPlan $266.81
Kaiser COMM $349.82
Greenvbrier Sporting Club COMM $355.75
Virginia Health Network WC $385.40
Virginia Health Network COMM $385.40
Multiplan PHCS $420.97
Multiplan MPI $420.97
CorVel WorkersComp $426.90
OccuNet Workers Comp WorkersComp $474.34
4Most Health Nework COMM $533.63
Three Rivers Provider Network COMM $533.63
Three Rivers Provider Network WorkersComp $533.63
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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Mayo angiotensin 1 converting enzyme (ace) csf at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $276.00 $12.71 – $21.17
Inova Alexandria Hospital Alexandria $175.50 $14.35 – $220.81
Inova Fairfax Hospital Falls Church $175.50 $14.35 – $220.81
Inova Fair Oaks Hospital VA 22033-1709 $175.50 $14.35 – $220.81
Inova Loudoun Hospital Leesburg $175.50 $14.35 – $220.81
Inova Mount Vernon Hospital Alexandria $175.50 $14.35 – $220.81
TRICITIES HOSPITAL HOPEWELL $597.00 $12.71 – $62.68
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $12.71 – $65.28

All Virginia hospitals for this procedure →