Ob Ultrasound nuchal meas add-on 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

$882.96

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.

$882.96

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.

$73.75 with Anthem vs $882.96 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
Anthem HIX $73.75 ↓ -92%
Anthem HMO $101.47 ↓ -89%
Anthem HPN $101.47 ↓ -89%
Anthem PPO $101.47 ↓ -89%
Aetna MGMCR $132.44 ↓ -85%
Lifeworks MCR $167.76 ↓ -81%
Cigna IFP $234.87 ↓ -73%
United OptionsPPO $247.23 ↓ -72%
Cigna HMO $297.56 ↓ -66%
Cigna PPO $297.56 ↓ -66%
Virginia Health Network ULTRA $309.04 ↓ -65%
United GlobalBenefitPlan $397.33 ↓ -55%
Kaiser COMM $520.95 ↓ -41%
Greenvbrier Sporting Club COMM $529.78 ↓ -40%
Virginia Health Network COMM $573.92 ↓ -35%
Virginia Health Network WC $573.92 ↓ -35%
Multiplan PHCS $626.90 ↓ -29%
Multiplan MPI $626.90 ↓ -29%
CorVel WorkersComp $635.73 ↓ -28%
OccuNet Workers Comp WorkersComp $706.37 ↓ -20%
4Most Health Nework COMM $794.66 ↓ -10%
Three Rivers Provider Network COMM $794.66 ↓ -10%
Three Rivers Provider Network WorkersComp $794.66 ↓ -10%
United Behavioral Health VACCN $882.96 ↑ +0%
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Aetna Broad not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Ob Ultrasound nuchal meas add-on at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $345.50 $143.89 – $455.37
Inova Fairfax Hospital Falls Church $345.50 $143.89 – $455.37
Inova Fair Oaks Hospital VA 22033-1709 $345.50 $143.89 – $455.37
Inova Loudoun Hospital Leesburg $345.50 $143.89 – $455.37
Inova Mount Vernon Hospital Alexandria $345.50 $143.89 – $455.37
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,488.00 $88.15 – $88.15
HENRICO DOCTORS HOSPITAL RICHMOND $1,488.00 $91.44 – $91.44
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $148.00 – $148.00

All Virginia hospitals for this procedure →