Mayo zonisamide therapeutic drug level 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

$612.36

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.

$612.36

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.

$13.16 with Humana Military vs $551.12 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 $13.16 ↓ -98%
Humana MCR $13.25 ↓ -98%
Sentara Health MCR $13.25 ↓ -98%
Johns Hopkins UniformedServicesFamilyHealthPlan $13.25 ↓ -98%
United VACCN $13.25 ↓ -98%
United Behavioral Health VACCN $13.25 ↓ -98%
United AllPayerAppendix $13.25 ↓ -98%
Devoted MCR $13.25 ↓ -98%
United MGMCR $13.32 ↓ -98%
Aetna MGMCR $13.40 ↓ -98%
Virginia Premier Health MGMCR $13.52 ↓ -98%
Anthem MGMCR $13.65 ↓ -98%
Evernorth Behavioral Health MCR $13.78 ↓ -98%
Cigna HealthSpring MCR $13.78 ↓ -98%
Clear Spring Health Plan MCR $13.91 ↓ -98%
Align Senior Care MGMCR $14.18 ↓ -98%
Bright Health COMM $28.36 ↓ -95%
Anthem HIX $50.32 ↓ -92%
Cigna HMO $53.55 ↓ -91%
Cigna PPO $53.55 ↓ -91%
Cigna IFP $65.73 ↓ -89%
Anthem HPN $69.22 ↓ -89%
Anthem PPO $69.22 ↓ -89%
Anthem HMO $69.22 ↓ -89%
Lifeworks MCR $116.35 ↓ -81%
United OptionsPPO $171.46 ↓ -72%
Virginia Health Network ULTRA $214.33 ↓ -65%
United GlobalBenefitPlan $275.56 ↓ -55%
Kaiser COMM $361.29 ↓ -41%
Greenvbrier Sporting Club COMM $367.42 ↓ -40%
Virginia Health Network WC $398.03 ↓ -35%
Virginia Health Network COMM $398.03 ↓ -35%
Multiplan PHCS $434.78 ↓ -29%
Multiplan MPI $434.78 ↓ -29%
CorVel WorkersComp $440.90 ↓ -28%
OccuNet Workers Comp WorkersComp $489.89 ↓ -20%
4Most Health Nework COMM $551.12 ↓ -10%
Three Rivers Provider Network COMM $551.12 ↓ -10%
Three Rivers Provider Network WorkersComp $551.12 ↓ -10%
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 zonisamide therapeutic drug level at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $337.00 $11.53 – $19.21
Inova Alexandria Hospital Alexandria $150.50 $13.25 – $189.36
Inova Fairfax Hospital Falls Church $150.50 $13.25 – $189.36
Inova Fair Oaks Hospital VA 22033-1709 $150.50 $13.25 – $189.36
Inova Loudoun Hospital Leesburg $150.50 $13.25 – $189.36
Inova Mount Vernon Hospital Alexandria $150.50 $13.25 – $189.36
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $597.00 $11.53 – $59.24
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $639.00 $11.53 – $14.18

All Virginia hospitals for this procedure →