Tc-99m disofenin 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

$153.36

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.

$153.36

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.

$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 →

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
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

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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

All Virginia hospitals for this procedure →