Rapid Strep Test 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

$451.44

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.

$451.44

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.

$16.41 with Humana Military vs $406.30 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 $16.41 ↓ -96%
Humana MCR $16.53 ↓ -96%
Sentara Health MCR $16.53 ↓ -96%
Johns Hopkins UniformedServicesFamilyHealthPlan $16.53 ↓ -96%
United VACCN $16.53 ↓ -96%
United Behavioral Health VACCN $16.53 ↓ -96%
United AllPayerAppendix $16.53 ↓ -96%
Devoted MCR $16.53 ↓ -96%
United MGMCR $16.61 ↓ -96%
Aetna MGMCR $16.72 ↓ -96%
Virginia Premier Health MGMCR $16.86 ↓ -96%
Anthem MGMCR $17.03 ↓ -96%
Evernorth Behavioral Health MCR $17.19 ↓ -96%
Cigna HealthSpring MCR $17.19 ↓ -96%
Clear Spring Health Plan MCR $17.36 ↓ -96%
Align Senior Care MGMCR $17.69 ↓ -96%
Bright Health COMM $35.37 ↓ -92%
Anthem HIX $62.78 ↓ -86%
Cigna PPO $66.79 ↓ -85%
Cigna HMO $66.79 ↓ -85%
Cigna IFP $81.97 ↓ -82%
Lifeworks MCR $85.77 ↓ -81%
Anthem PPO $86.35 ↓ -81%
Anthem HPN $86.35 ↓ -81%
Anthem HMO $86.35 ↓ -81%
United OptionsPPO $126.40 ↓ -72%
Virginia Health Network ULTRA $158.00 ↓ -65%
United GlobalBenefitPlan $203.15 ↓ -55%
Kaiser COMM $266.35 ↓ -41%
Greenvbrier Sporting Club COMM $270.86 ↓ -40%
Virginia Health Network WC $293.44 ↓ -35%
Virginia Health Network COMM $293.44 ↓ -35%
Multiplan PHCS $320.52 ↓ -29%
Multiplan MPI $320.52 ↓ -29%
CorVel WorkersComp $325.04 ↓ -28%
OccuNet Workers Comp WorkersComp $361.15 ↓ -20%
4Most Health Nework COMM $406.30 ↓ -10%
Three Rivers Provider Network COMM $406.30 ↓ -10%
Three Rivers Provider Network WorkersComp $406.30 ↓ -10%
Aetna Broad not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Rapid Strep Test at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $418.00 $14.38 – $23.97
Inova Alexandria Hospital Alexandria $123.50 $11.72 – $155.39
Inova Fairfax Hospital Falls Church $123.50 $11.72 – $155.39
Inova Fair Oaks Hospital VA 22033-1709 $123.50 $11.72 – $155.39
Inova Loudoun Hospital Leesburg $123.50 $11.72 – $155.39
Inova Mount Vernon Hospital Alexandria $123.50 $11.72 – $155.39
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $280.00 $14.38 – $17.69
LEWISGALE MEDICAL CENTER ROANOKE $416.00 $14.38 – $23.97

All Virginia hospitals for this procedure →