Procainamide 100 mg/ml injection (wrapper) 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

$521.64

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.

Full explanation →

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

$521.64

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.

$146.06 with United vs $913.00 with United — 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
United OptionsPPO $146.06 ↓ -72%
Virginia Health Network ULTRA $182.57 ↓ -65%
United GlobalBenefitPlan $234.74 ↓ -55%
Humana Military TRCR $275.81 ↓ -47%
Johns Hopkins UniformedServicesFamilyHealthPlan $284.34 ↓ -45%
Cigna IFP $298.56 ↓ -43%
Kaiser COMM $307.77 ↓ -41%
Greenvbrier Sporting Club COMM $312.98 ↓ -40%
Virginia Health Network WC $339.07 ↓ -35%
Virginia Health Network COMM $339.07 ↓ -35%
Multiplan PHCS $370.36 ↓ -29%
Multiplan MPI $370.36 ↓ -29%
CorVel WorkersComp $375.58 ↓ -28%
Cigna PPO $415.14 ↓ -20%
Cigna HMO $415.14 ↓ -20%
OccuNet Workers Comp WorkersComp $417.31 ↓ -20%
Three Rivers Provider Network WorkersComp $469.48 ↓ -10%
Three Rivers Provider Network COMM $469.48 ↓ -10%
4Most Health Nework COMM $469.48 ↓ -10%
United AllPayerAppendix $913.00 ↑ +75%

Visitor-reported prices

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Procainamide 100 mg/ml injection (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $437.00 $241.69 – $913.00
Inova Alexandria Hospital Alexandria $47.80 $74.23 – $324.16
Inova Fairfax Hospital Falls Church $47.80 $74.23 – $324.16
Inova Fair Oaks Hospital VA 22033-1709 $47.80 $74.23 – $324.16
Inova Loudoun Hospital Leesburg $47.80 $74.23 – $324.16
Inova Mount Vernon Hospital Alexandria $47.80 $74.23 – $324.16
TRICITIES HOSPITAL HOPEWELL $926.00 $241.69 – $913.00
RESTON HOSPITAL CENTER VIENNA $712.72 $258.75 – $913.00

All Virginia hospitals for this procedure →