T4 (thyroxine) total 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

$151.20

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.

$151.20

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.

$6.82 with Humana Military vs $136.08 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 $6.82 ↓ -95%
Humana MCR $6.87 ↓ -95%
Sentara Health MCR $6.87 ↓ -95%
Johns Hopkins UniformedServicesFamilyHealthPlan $6.87 ↓ -95%
United VACCN $6.87 ↓ -95%
United Behavioral Health VACCN $6.87 ↓ -95%
United AllPayerAppendix $6.87 ↓ -95%
Devoted MCR $6.87 ↓ -95%
United MGMCR $6.90 ↓ -95%
Aetna MGMCR $6.95 ↓ -95%
Virginia Premier Health MGMCR $7.01 ↓ -95%
Anthem MGMCR $7.08 ↓ -95%
Evernorth Behavioral Health MCR $7.14 ↓ -95%
Cigna HealthSpring MCR $7.14 ↓ -95%
Clear Spring Health Plan MCR $7.21 ↓ -95%
Align Senior Care MGMCR $7.35 ↓ -95%
Bright Health COMM $14.70 ↓ -90%
Anthem HIX $26.09 ↓ -83%
Cigna PPO $27.81 ↓ -82%
Cigna HMO $27.81 ↓ -82%
Lifeworks MCR $28.73 ↓ -81%
Cigna IFP $34.13 ↓ -77%
Anthem PPO $35.89 ↓ -76%
Anthem HPN $35.89 ↓ -76%
Anthem HMO $35.89 ↓ -76%
United OptionsPPO $42.34 ↓ -72%
Virginia Health Network ULTRA $52.92 ↓ -65%
United GlobalBenefitPlan $68.04 ↓ -55%
Kaiser COMM $89.21 ↓ -41%
Greenvbrier Sporting Club COMM $90.72 ↓ -40%
Virginia Health Network WC $98.28 ↓ -35%
Virginia Health Network COMM $98.28 ↓ -35%
Multiplan PHCS $107.35 ↓ -29%
Multiplan MPI $107.35 ↓ -29%
CorVel WorkersComp $108.86 ↓ -28%
OccuNet Workers Comp WorkersComp $120.96 ↓ -20%
4Most Health Nework COMM $136.08 ↓ -10%
Three Rivers Provider Network COMM $136.08 ↓ -10%
Three Rivers Provider Network WorkersComp $136.08 ↓ -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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T4 (thyroxine) total at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $414.00 $5.98 – $9.96
Inova Alexandria Hospital Alexandria $77.50 $6.87 – $97.51
Inova Fairfax Hospital Falls Church $77.50 $6.87 – $97.51
Inova Fair Oaks Hospital VA 22033-1709 $77.50 $6.87 – $97.51
Inova Loudoun Hospital Leesburg $77.50 $6.87 – $97.51
Inova Mount Vernon Hospital Alexandria $77.50 $6.87 – $97.51
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $273.00 $5.98 – $30.72
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $294.00 $5.98 – $7.35

All Virginia hospitals for this procedure →