Rib and Chest X-ray (4 or more views, both sides) at SPOTSYLVANIA REGIONAL MEDICAL CENTER

4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 2026

$1,363.44

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.

$1,363.44

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.

$38.79 with Anthem vs $1,227.10 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
Anthem HIX $38.79 ↓ -97%
Anthem HPN $53.14 ↓ -96%
Anthem HMO $53.38 ↓ -96%
Anthem PPO $53.38 ↓ -96%
Cigna PPO $227.70 ↓ -83%
Cigna HMO $227.70 ↓ -83%
United AllPayerAppendix $245.18 ↓ -82%
Lifeworks MCR $259.05 ↓ -81%
Cigna IFP $279.45 ↓ -80%
United OptionsPPO $381.76 ↓ -72%
Virginia Health Network ULTRA $477.20 ↓ -65%
United GlobalBenefitPlan $613.55 ↓ -55%
Kaiser COMM $736.26 ↓ -46%
Greenvbrier Sporting Club COMM $818.06 ↓ -40%
Multiplan MPI $872.60 ↓ -36%
Multiplan PHCS $872.60 ↓ -36%
Virginia Health Network WC $886.24 ↓ -35%
Virginia Health Network COMM $886.24 ↓ -35%
CorVel WorkersComp $981.68 ↓ -28%
OccuNet Workers Comp WorkersComp $1,090.75 ↓ -20%
Three Rivers Provider Network COMM $1,227.10 ↓ -10%
4Most Health Nework COMM $1,227.10 ↓ -10%
Three Rivers Provider Network WorkersComp $1,227.10 ↓ -10%

Visitor-reported prices

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Rib and Chest X-ray (4 or more views, both sides) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $449.00 $80.04 – $591.78
Inova Fairfax Hospital Falls Church $449.00 $80.04 – $591.78
Inova Fair Oaks Hospital VA 22033-1709 $449.00 $80.04 – $591.78
Inova Loudoun Hospital Leesburg $449.00 $80.04 – $591.78
Inova Mount Vernon Hospital Alexandria $449.00 $80.04 – $591.78
Johnston Memorial Hospital ABINGDON $76.35 $29.36 – $222.37
Russell County Hospital LEBANON $76.35 $49.73 – $222.37
Sentara Martha Jefferson Hospital Charlottesville $406.50 $104.04 – $107.10

All Virginia hospitals for this procedure →