Pemetrexed disodium 100 mg intravenous powder for solution 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

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

$3.66 with Humana Military vs $204.12 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 $3.66
Johns Hopkins UniformedServicesFamilyHealthPlan $3.77
Cigna IFP $3.96
Cigna HMO $5.50
Cigna PPO $5.50
United AllPayerAppendix $9.51
United OptionsPPO $63.50
Virginia Health Network ULTRA $79.38
United GlobalBenefitPlan $102.06
Kaiser COMM $133.81
Greenvbrier Sporting Club COMM $136.08
Virginia Health Network WC $147.42
Virginia Health Network COMM $147.42
Multiplan PHCS $161.03
Multiplan MPI $161.03
CorVel WorkersComp $163.30
OccuNet Workers Comp WorkersComp $181.44
Three Rivers Provider Network COMM $204.12
4Most Health Nework COMM $204.12
Three Rivers Provider Network WorkersComp $204.12

Visitor-reported prices

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Pemetrexed disodium 100 mg intravenous powder for solution at other Virginia hospitals

Hospital City Cash price Negotiated range
TRICITIES HOSPITAL HOPEWELL $870.00 $3.20 – $9.51
STONESPRINGS HOSPITAL CENTER Dulles $19,969.18 $2.83 – $9.51
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $3.20 – $9.51
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $3.20 – $9.51
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $3.20 – $9.51
LEWISGALE HOSPITAL-PULASKI PULASKI not published $2.83 – $9.51
LEWISGALE MEDICAL CENTER ROANOKE not published $3.20 – $10.77
RESTON HOSPITAL CENTER VIENNA not published $3.43 – $9.51

All Virginia hospitals for this procedure →