Tb test cell mediated immunity antigen response gamma interferon 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

$1,436.40

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.

$1,436.40

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.

$61.56 with Humana Military vs $1,292.76 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 $61.56 ↓ -96%
Humana MCR $61.98 ↓ -96%
Sentara Health MCR $61.98 ↓ -96%
Johns Hopkins UniformedServicesFamilyHealthPlan $61.98 ↓ -96%
United VACCN $61.98 ↓ -96%
United Behavioral Health VACCN $61.98 ↓ -96%
United AllPayerAppendix $61.98 ↓ -96%
Devoted MCR $61.98 ↓ -96%
United MGMCR $62.29 ↓ -96%
Aetna MGMCR $62.69 ↓ -96%
Virginia Premier Health MGMCR $63.22 ↓ -96%
Anthem MGMCR $63.84 ↓ -96%
Evernorth Behavioral Health MCR $64.46 ↓ -96%
Cigna HealthSpring MCR $64.46 ↓ -96%
Clear Spring Health Plan MCR $65.08 ↓ -95%
Align Senior Care MGMCR $66.32 ↓ -95%
Bright Health COMM $132.64 ↓ -91%
Anthem HIX $235.40 ↓ -84%
Cigna PPO $250.59 ↓ -83%
Cigna HMO $250.59 ↓ -83%
Lifeworks MCR $272.92 ↓ -81%
Cigna IFP $307.54 ↓ -79%
Anthem PPO $323.78 ↓ -77%
Anthem HPN $323.78 ↓ -77%
Anthem HMO $323.78 ↓ -77%
United OptionsPPO $402.19 ↓ -72%
Virginia Health Network ULTRA $502.74 ↓ -65%
United GlobalBenefitPlan $646.38 ↓ -55%
Kaiser COMM $847.48 ↓ -41%
Greenvbrier Sporting Club COMM $861.84 ↓ -40%
Virginia Health Network WC $933.66 ↓ -35%
Virginia Health Network COMM $933.66 ↓ -35%
Multiplan PHCS $1,019.84 ↓ -29%
Multiplan MPI $1,019.84 ↓ -29%
CorVel WorkersComp $1,034.21 ↓ -28%
OccuNet Workers Comp WorkersComp $1,149.12 ↓ -20%
4Most Health Nework COMM $1,292.76 ↓ -10%
Three Rivers Provider Network COMM $1,292.76 ↓ -10%
Three Rivers Provider Network WorkersComp $1,292.76 ↓ -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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Tb test cell mediated immunity antigen response gamma interferon at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $576.00 $53.94 – $89.87
Inova Alexandria Hospital Alexandria $388.50 $48.37 – $488.81
Inova Fairfax Hospital Falls Church $388.50 $48.37 – $488.81
Inova Fair Oaks Hospital VA 22033-1709 $388.50 $48.37 – $488.81
Inova Loudoun Hospital Leesburg $388.50 $48.37 – $488.81
Inova Mount Vernon Hospital Alexandria $388.50 $48.37 – $488.81
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $710.00 $53.94 – $277.11
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $462.00 $53.94 – $66.32

All Virginia hospitals for this procedure →