Tlso 2 shl symphys-stern cst 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

not published by hospital

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.

not published by hospital

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.

$1,167.96 with Humana Military vs $1,288.37 with Align Senior Care — 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 $1,167.96
Sentara Health MCR $1,204.08
Johns Hopkins UniformedServicesFamilyHealthPlan $1,204.08
Humana MCR $1,204.08
Devoted MCR $1,204.08
United VACCN $1,204.08
United Behavioral Health VACCN $1,204.08
United MGMCR $1,210.10
Aetna MGMCR $1,217.81
Virginia Premier Health MGMCR $1,228.16
Anthem MGMCR $1,240.20
Cigna HealthSpring MCR $1,252.24
Evernorth Behavioral Health MCR $1,252.24
Clear Spring Health Plan MCR $1,264.28
Align Senior Care MGMCR $1,288.37

Visitor-reported prices

visitor-reported
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Tlso 2 shl symphys-stern cst at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1,023.47 – $1,625.51
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $1,023.47 – $1,288.37
LEWISGALE MEDICAL CENTER ROANOKE not published $1,023.47 – $1,288.37
TRICITIES HOSPITAL HOPEWELL not published $1,023.47 – $1,625.51
RESTON HOSPITAL CENTER VIENNA not published $1,167.96 – $1,288.37
STONESPRINGS HOSPITAL CENTER Dulles not published $903.06 – $1,288.37
HENRICO DOCTORS HOSPITAL RICHMOND not published $1,023.47 – $1,288.37

All Virginia hospitals for this procedure →