Metabolic panel ionized ca at SPOTSYLVANIA REGIONAL MEDICAL CENTER
4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.64 with Humana Military vs $457.81 with Three Rivers Provider Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Humana Military | TRCR | $13.64 | — |
| Humana | MCR | $13.73 | — |
| Sentara Health | MCR | $13.73 | — |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $13.73 | — |
| United | VACCN | $13.73 | — |
| United Behavioral Health | VACCN | $13.73 | — |
| United | AllPayerAppendix | $13.73 | — |
| Devoted | MCR | $13.73 | — |
| United | MGMCR | $13.80 | — |
| Aetna | MGMCR | $13.89 | — |
| Virginia Premier Health | MGMCR | $14.00 | — |
| Anthem | MGMCR | $14.14 | — |
| Evernorth Behavioral Health | MCR | $14.28 | — |
| Cigna HealthSpring | MCR | $14.28 | — |
| Clear Spring Health Plan | MCR | $14.42 | — |
| Align Senior Care | MGMCR | $14.69 | — |
| Bright Health | COMM | $29.38 | — |
| Anthem | HIX | $52.15 | — |
| Cigna | HMO | $55.47 | — |
| Cigna | PPO | $55.47 | — |
| Cigna | IFP | $68.07 | — |
| Anthem | HPN | $71.73 | — |
| Anthem | PPO | $71.73 | — |
| Anthem | HMO | $71.73 | — |
| Lifeworks | MCR | $96.65 | — |
| United | OptionsPPO | $142.43 | — |
| Virginia Health Network | ULTRA | $178.04 | — |
| United | GlobalBenefitPlan | $228.91 | — |
| Kaiser | COMM | $300.12 | — |
| Greenvbrier Sporting Club | COMM | $305.21 | — |
| Virginia Health Network | WC | $330.64 | — |
| Virginia Health Network | COMM | $330.64 | — |
| Multiplan | PHCS | $361.16 | — |
| Multiplan | MPI | $361.16 | — |
| CorVel | WorkersComp | $366.25 | — |
| OccuNet Workers Comp | WorkersComp | $406.94 | — |
| 4Most Health Nework | COMM | $457.81 | — |
| Three Rivers Provider Network | COMM | $457.81 | — |
| Three Rivers Provider Network | WorkersComp | $457.81 | — |
| 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
Comments
Metabolic panel ionized ca at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $186.00 | $10.76 – $234.03 |
| Inova Fairfax Hospital | Falls Church | $186.00 | $10.76 – $234.03 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $186.00 | $10.76 – $234.03 |
| Inova Loudoun Hospital | Leesburg | $186.00 | $10.76 – $234.03 |
| Inova Mount Vernon Hospital | Alexandria | $186.00 | $10.76 – $234.03 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $423.00 | $11.95 – $14.69 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $684.00 | $10.54 – $14.69 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $11.95 – $19.91 |