Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$19.99 with United vs $238.14 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 →
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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 ?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 |
|---|---|---|---|
| United | VACCN | $19.99 | — |
| Humana | MCR | $19.99 | — |
| United Behavioral Health | VACCN | $19.99 | — |
| Sentara Health | MCR | $19.99 | — |
| Devoted | MCR | $19.99 | — |
| United | MGMCR | $20.09 | — |
| Aetna | MGMCR | $20.22 | — |
| Virginia Premier Health | MGMCR | $20.39 | — |
| Anthem | MGMCR | $20.59 | — |
| Evernorth Behavioral Health | MCR | $20.79 | — |
| Cigna HealthSpring | MCR | $20.79 | — |
| Humana Military | TRCR | $20.89 | — |
| Clear Spring Health Plan | MCR | $20.99 | — |
| Align Senior Care | MGMCR | $21.39 | — |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $21.54 | — |
| Bright Health | COMM | $42.76 | — |
| Lifeworks | MCR | $50.27 | — |
| United | OptionsPPO | $74.09 | — |
| Virginia Health Network | ULTRA | $92.61 | — |
| United | GlobalBenefitPlan | $119.07 | — |
| Kaiser | COMM | $156.11 | — |
| Greenvbrier Sporting Club | COMM | $158.76 | — |
| Virginia Health Network | COMM | $171.99 | — |
| Virginia Health Network | WC | $171.99 | — |
| Multiplan | MPI | $187.87 | — |
| Multiplan | PHCS | $187.87 | — |
| CorVel | WorkersComp | $190.51 | — |
| OccuNet Workers Comp | WorkersComp | $211.68 | — |
| 4Most Health Nework | COMM | $238.14 | — |
| Three Rivers Provider Network | COMM | $238.14 | — |
| Three Rivers Provider Network | WorkersComp | $238.14 | — |
| Optima Health | POS | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
| Aetna | Broad | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $48.50 | $23.26 – $99.40 |
| Inova Fairfax Hospital | Falls Church | $48.50 | $23.26 – $99.40 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $48.50 | $23.26 – $99.40 |
| Inova Loudoun Hospital | Leesburg | $48.50 | $23.26 – $99.40 |
| Inova Mount Vernon Hospital | Alexandria | $48.50 | $23.26 – $99.40 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $724.00 | $18.31 – $26.99 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $216.00 | $16.16 – $21.39 |
| TRICITIES HOSPITAL | HOPEWELL | $726.00 | $18.31 – $26.99 |