Tc-99m disofenin at SPOTSYLVANIA REGIONAL MEDICAL CENTER
4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664
$153.36
Cash price 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.
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What you pay up front if you don't use insurance.
$153.36
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$23.00 with Aetna vs $163.74 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Aetna | MGMCR | $23.00 | ↓ -85% |
| Lifeworks | MCR | $29.14 | ↓ -81% |
| United | OptionsPPO | $42.94 | ↓ -72% |
| Virginia Health Network | ULTRA | $53.68 | ↓ -65% |
| Aetna | Broad | $53.68 | ↓ -65% |
| United | GlobalBenefitPlan | $69.01 | ↓ -55% |
| Cigna | IFP | $74.97 | ↓ -51% |
| Kaiser | COMM | $90.48 | ↓ -41% |
| Greenvbrier Sporting Club | COMM | $92.02 | ↓ -40% |
| Virginia Health Network | WC | $99.68 | ↓ -35% |
| Virginia Health Network | COMM | $99.68 | ↓ -35% |
| Cigna | HMO | $104.24 | ↓ -32% |
| Cigna | PPO | $104.24 | ↓ -32% |
| Multiplan | MPI | $108.89 | ↓ -29% |
| Multiplan | PHCS | $108.89 | ↓ -29% |
| CorVel | WorkersComp | $110.42 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $122.69 | ↓ -20% |
| Three Rivers Provider Network | COMM | $138.02 | ↓ -10% |
| 4Most Health Nework | COMM | $138.02 | ↓ -10% |
| Three Rivers Provider Network | WorkersComp | $138.02 | ↓ -10% |
| United Behavioral Health | VACCN | $153.36 | ↑ +0% |
| United | AllPayerAppendix | $163.74 | ↑ +7% |
Visitor-reported prices
Comments
Tc-99m disofenin at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,152.00 | $74.97 – $163.74 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $573.00 | $163.74 – $163.74 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $281.00 | $185.37 – $185.37 |
| TRICITIES HOSPITAL | HOPEWELL | $1,152.00 | $74.97 – $163.74 |
| RESTON HOSPITAL CENTER | VIENNA | $145.90 | $64.97 – $163.74 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $132.74 | $64.97 – $163.74 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $1,152.00 | $74.97 – $163.74 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $163.74 – $163.74 |