Ost skn barr extnd >4 sq 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

$15.00

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.

$15.00

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.

$3.99 with Cigna vs $13.78 with Align Senior Care — 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
Cigna IFP $3.99 ↓ -73%
United OptionsPPO $4.20 ↓ -72%
Cigna PPO $5.06 ↓ -66%
Cigna HMO $5.06 ↓ -66%
Aetna Broad $5.25 ↓ -65%
United GlobalBenefitPlan $6.75 ↓ -55%
Kaiser COMM $8.85 ↓ -41%
Greenvbrier Sporting Club COMM $9.00 ↓ -40%
Multiplan PHCS $10.65 ↓ -29%
Multiplan MPI $10.65 ↓ -29%
OccuNet Workers Comp WorkersComp $12.00 ↓ -20%
Humana Military TRCR $12.49 ↓ -17%
Humana MCR $12.88 ↓ -14%
United Behavioral Health VACCN $12.88 ↓ -14%
Devoted MCR $12.88 ↓ -14%
United VACCN $12.88 ↓ -14%
Johns Hopkins UniformedServicesFamilyHealthPlan $12.88 ↓ -14%
Sentara Health MCR $12.88 ↓ -14%
United MGMCR $12.94 ↓ -14%
Aetna MGMCR $13.03 ↓ -13%
Virginia Premier Health MGMCR $13.14 ↓ -12%
Anthem MGMCR $13.27 ↓ -12%
Evernorth Behavioral Health MCR $13.40 ↓ -11%
Cigna HealthSpring MCR $13.40 ↓ -11%
Three Rivers Provider Network WorkersComp $13.50 ↓ -10%
4Most Health Nework COMM $13.50 ↓ -10%
Three Rivers Provider Network COMM $13.50 ↓ -10%
Clear Spring Health Plan MCR $13.52 ↓ -10%
Align Senior Care MGMCR $13.78 ↓ -8%

Visitor-reported prices

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Ost skn barr extnd >4 sq at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $123.00 $10.95 – $17.39
TRICITIES HOSPITAL HOPEWELL $187.00 $10.95 – $17.39
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $10.95 – $13.78
LEWISGALE MEDICAL CENTER ROANOKE not published $10.95 – $13.78
RESTON HOSPITAL CENTER VIENNA not published $12.49 – $13.78
STONESPRINGS HOSPITAL CENTER Dulles not published $9.66 – $13.78

All Virginia hospitals for this procedure →