Osmolality blood 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

$176.04

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.

$176.04

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.

$6.57 with Humana Military vs $158.44 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 $6.57 ↓ -96%
Humana MCR $6.61 ↓ -96%
Sentara Health MCR $6.61 ↓ -96%
Johns Hopkins UniformedServicesFamilyHealthPlan $6.61 ↓ -96%
United VACCN $6.61 ↓ -96%
United Behavioral Health VACCN $6.61 ↓ -96%
United AllPayerAppendix $6.61 ↓ -96%
Devoted MCR $6.61 ↓ -96%
United MGMCR $6.64 ↓ -96%
Aetna MGMCR $6.69 ↓ -96%
Virginia Premier Health MGMCR $6.74 ↓ -96%
Anthem MGMCR $6.81 ↓ -96%
Evernorth Behavioral Health MCR $6.87 ↓ -96%
Cigna HealthSpring MCR $6.87 ↓ -96%
Clear Spring Health Plan MCR $6.94 ↓ -96%
Align Senior Care MGMCR $7.07 ↓ -96%
Bright Health COMM $14.15 ↓ -92%
Anthem HIX $25.10 ↓ -86%
Cigna PPO $26.74 ↓ -85%
Cigna HMO $26.74 ↓ -85%
Cigna IFP $32.82 ↓ -81%
Lifeworks MCR $33.45 ↓ -81%
Anthem PPO $34.53 ↓ -80%
Anthem HPN $34.53 ↓ -80%
Anthem HMO $34.53 ↓ -80%
United OptionsPPO $49.29 ↓ -72%
Virginia Health Network ULTRA $61.61 ↓ -65%
United GlobalBenefitPlan $79.22 ↓ -55%
Kaiser COMM $103.86 ↓ -41%
Greenvbrier Sporting Club COMM $105.62 ↓ -40%
Virginia Health Network WC $114.43 ↓ -35%
Virginia Health Network COMM $114.43 ↓ -35%
Multiplan PHCS $124.99 ↓ -29%
Multiplan MPI $124.99 ↓ -29%
CorVel WorkersComp $126.75 ↓ -28%
OccuNet Workers Comp WorkersComp $140.83 ↓ -20%
4Most Health Nework COMM $158.44 ↓ -10%
Three Rivers Provider Network COMM $158.44 ↓ -10%
Three Rivers Provider Network WorkersComp $158.44 ↓ -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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Osmolality blood at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $135.00 $5.75 – $9.58
Inova Alexandria Hospital Alexandria $57.00 $6.47 – $71.72
Inova Fairfax Hospital Falls Church $57.00 $6.47 – $71.72
Inova Fair Oaks Hospital VA 22033-1709 $57.00 $6.47 – $71.72
Inova Loudoun Hospital Leesburg $57.00 $6.47 – $71.72
Inova Mount Vernon Hospital Alexandria $57.00 $6.47 – $71.72
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $359.00 $5.75 – $29.55
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $300.00 $5.75 – $7.07

All Virginia hospitals for this procedure →