Passy muir valve metal trach at SPOTSYLVANIA REGIONAL MEDICAL CENTER
4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664
$293.00
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.
$293.00
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.
$77.94 with Cigna vs $263.70 with 4Most Health Nework — 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 |
|---|---|---|---|
| Cigna | IFP | $77.94 | ↓ -73% |
| United | OptionsPPO | $82.04 | ↓ -72% |
| Cigna | HMO | $98.74 | ↓ -66% |
| Cigna | PPO | $98.74 | ↓ -66% |
| Aetna | Broad | $102.55 | ↓ -65% |
| United | GlobalBenefitPlan | $131.85 | ↓ -55% |
| Humana Military | TRCR | $143.44 | ↓ -51% |
| Humana | MCR | $147.88 | ↓ -50% |
| United Behavioral Health | VACCN | $147.88 | ↓ -50% |
| Devoted | MCR | $147.88 | ↓ -50% |
| United | VACCN | $147.88 | ↓ -50% |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $147.88 | ↓ -50% |
| Sentara Health | MCR | $147.88 | ↓ -50% |
| United | MGMCR | $148.62 | ↓ -49% |
| Aetna | MGMCR | $149.57 | ↓ -49% |
| Virginia Premier Health | MGMCR | $150.84 | ↓ -49% |
| Anthem | MGMCR | $152.32 | ↓ -48% |
| Evernorth Behavioral Health | MCR | $153.80 | ↓ -48% |
| Cigna HealthSpring | MCR | $153.80 | ↓ -48% |
| Clear Spring Health Plan | MCR | $155.27 | ↓ -47% |
| Align Senior Care | MGMCR | $158.23 | ↓ -46% |
| Kaiser | COMM | $172.87 | ↓ -41% |
| Greenvbrier Sporting Club | COMM | $175.80 | ↓ -40% |
| Multiplan | PHCS | $208.03 | ↓ -29% |
| Multiplan | MPI | $208.03 | ↓ -29% |
| OccuNet Workers Comp | WorkersComp | $234.40 | ↓ -20% |
| Three Rivers Provider Network | WorkersComp | $263.70 | ↓ -10% |
| Three Rivers Provider Network | COMM | $263.70 | ↓ -10% |
| 4Most Health Nework | COMM | $263.70 | ↓ -10% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $93.00 | $59.07 – $139.62 |
| Inova Fairfax Hospital | Falls Church | $93.00 | $59.07 – $139.62 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $93.00 | $59.07 – $139.62 |
| Inova Loudoun Hospital | Leesburg | $93.00 | $59.07 – $139.62 |
| Inova Mount Vernon Hospital | Alexandria | $93.00 | $59.07 – $139.62 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $2,356.00 | $110.91 – $158.23 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $125.70 – $199.64 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $125.70 – $158.23 |