Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at SPOTSYLVANIA REGIONAL MEDICAL CENTER
4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664
$328.32
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.
$328.32
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.
$4.11 with Cigna vs $779.21 with Anthem — 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 | HMO | $4.11 | ↓ -99% |
| Cigna | PPO | $4.11 | ↓ -99% |
| Cigna | IFP | $5.05 | ↓ -98% |
| Bright Health | COMM | $53.06 | ↓ -84% |
| Lifeworks | MCR | $62.38 | ↓ -81% |
| United | OptionsPPO | $91.93 | ↓ -72% |
| Virginia Health Network | ULTRA | $114.91 | ↓ -65% |
| United | GlobalBenefitPlan | $147.74 | ↓ -55% |
| United | AllPayerAppendix | $149.16 | ↓ -55% |
| Kaiser | COMM | $193.71 | ↓ -41% |
| Greenvbrier Sporting Club | COMM | $196.99 | ↓ -40% |
| Virginia Health Network | COMM | $213.41 | ↓ -35% |
| Virginia Health Network | WC | $213.41 | ↓ -35% |
| Multiplan | MPI | $233.11 | ↓ -29% |
| Multiplan | PHCS | $233.11 | ↓ -29% |
| CorVel | WorkersComp | $236.39 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $262.66 | ↓ -20% |
| 4Most Health Nework | COMM | $295.49 | ↓ -10% |
| Three Rivers Provider Network | WorkersComp | $295.49 | ↓ -10% |
| Three Rivers Provider Network | COMM | $295.49 | ↓ -10% |
| Anthem | HIX | $566.51 | ↑ +73% |
| Anthem | HPN | $779.21 | ↑ +137% |
| Anthem | HMO | $779.21 | ↑ +137% |
| Anthem | PPO | $779.21 | ↑ +137% |
| 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
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $393.00 | $149.16 – $842.01 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $375.00 | $4.37 – $666.89 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $349.00 | $149.16 – $634.53 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $123.00 | $149.16 – $639.90 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $393.00 | $149.16 – $837.38 |
| TRICITIES HOSPITAL | HOPEWELL | $375.00 | $4.37 – $433.61 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $375.00 | $4.37 – $630.50 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $3.87 – $718.95 |