Tc-99m pyroph diag per dose up to 25 mci 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

$708.48

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.

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What you pay up front if you don't use insurance.

$708.48

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.

$68.60 with Cigna vs $708.48 with United Behavioral Health — 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
Cigna IFP $68.60 ↓ -90%
Cigna HMO $95.38 ↓ -87%
Cigna PPO $95.38 ↓ -87%
United AllPayerAppendix $105.34 ↓ -85%
Aetna MGMCR $106.27 ↓ -85%
Lifeworks MCR $134.61 ↓ -81%
United OptionsPPO $198.37 ↓ -72%
Virginia Health Network ULTRA $247.97 ↓ -65%
Aetna Broad $247.97 ↓ -65%
United GlobalBenefitPlan $318.82 ↓ -55%
Kaiser COMM $418.00 ↓ -41%
Greenvbrier Sporting Club COMM $425.09 ↓ -40%
Virginia Health Network COMM $460.51 ↓ -35%
Virginia Health Network WC $460.51 ↓ -35%
Multiplan MPI $503.02 ↓ -29%
Multiplan PHCS $503.02 ↓ -29%
CorVel WorkersComp $510.11 ↓ -28%
OccuNet Workers Comp WorkersComp $566.78 ↓ -20%
Three Rivers Provider Network COMM $637.63 ↓ -10%
4Most Health Nework COMM $637.63 ↓ -10%
Three Rivers Provider Network WorkersComp $637.63 ↓ -10%
United Behavioral Health VACCN $708.48 ↑ +0%

Visitor-reported prices

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Tc-99m pyroph diag per dose up to 25 mci at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $61.93 $67.25 – $101.86
Inova Fairfax Hospital Falls Church $61.93 $67.25 – $101.86
Inova Fair Oaks Hospital VA 22033-1709 $61.93 $67.25 – $101.86
Inova Loudoun Hospital Leesburg $61.93 $67.25 – $101.86
Inova Mount Vernon Hospital Alexandria $61.93 $67.25 – $101.86
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,204.00 $68.60 – $105.34
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $156.00 $105.34 – $105.34
LEWISGALE MEDICAL CENTER ROANOKE $154.00 $119.25 – $119.25

All Virginia hospitals for this procedure →