Pre-tibial shell molded to p 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.
$641.66 with Humana Military vs $707.82 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 →
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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 |
|---|---|---|---|
| Humana Military | TRCR | $641.66 | — |
| Sentara Health | MCR | $661.51 | — |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $661.51 | — |
| Humana | MCR | $661.51 | — |
| Devoted | MCR | $661.51 | — |
| United | VACCN | $661.51 | — |
| United Behavioral Health | VACCN | $661.51 | — |
| United | MGMCR | $664.82 | — |
| Aetna | MGMCR | $669.05 | — |
| Virginia Premier Health | MGMCR | $674.74 | — |
| Anthem | MGMCR | $681.36 | — |
| Cigna HealthSpring | MCR | $687.97 | — |
| Evernorth Behavioral Health | MCR | $687.97 | — |
| Clear Spring Health Plan | MCR | $694.59 | — |
| Align Senior Care | MGMCR | $707.82 | — |
Visitor-reported prices
Comments
Pre-tibial shell molded to p at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $562.28 – $893.04 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $562.28 – $707.82 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $562.28 – $707.82 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $562.28 – $893.04 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $641.66 – $707.82 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $496.13 – $707.82 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | not published | $562.28 – $707.82 |