Upper GI Barium X-ray (barium only) at SPOTSYLVANIA REGIONAL MEDICAL CENTER

4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 2026

$2,134.08

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.

$2,134.08

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.

$97.69 with Anthem vs $1,920.67 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
Anthem HIX $97.69 ↓ -95%
Anthem HPN $133.81 ↓ -94%
Anthem HMO $134.43 ↓ -94%
Anthem PPO $134.43 ↓ -94%
United AllPayerAppendix $401.74 ↓ -81%
Lifeworks MCR $405.48 ↓ -81%
Cigna HMO $518.99 ↓ -76%
Cigna PPO $518.99 ↓ -76%
United OptionsPPO $597.54 ↓ -72%
Cigna IFP $636.95 ↓ -70%
Virginia Health Network ULTRA $746.93 ↓ -65%
United GlobalBenefitPlan $960.34 ↓ -55%
Kaiser COMM $1,152.40 ↓ -46%
Greenvbrier Sporting Club COMM $1,280.45 ↓ -40%
Multiplan MPI $1,365.81 ↓ -36%
Multiplan PHCS $1,365.81 ↓ -36%
Virginia Health Network WC $1,387.15 ↓ -35%
Virginia Health Network COMM $1,387.15 ↓ -35%
CorVel WorkersComp $1,536.54 ↓ -28%
OccuNet Workers Comp WorkersComp $1,707.26 ↓ -20%
Three Rivers Provider Network COMM $1,920.67 ↓ -10%
4Most Health Nework COMM $1,920.67 ↓ -10%
Three Rivers Provider Network WorkersComp $1,920.67 ↓ -10%

Visitor-reported prices

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Upper GI Barium X-ray (barium only) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $428.00 $167.33 – $564.10
Inova Fairfax Hospital Falls Church $428.00 $167.33 – $564.10
Inova Fair Oaks Hospital VA 22033-1709 $428.00 $167.33 – $564.10
Inova Loudoun Hospital Leesburg $428.00 $167.33 – $564.10
Inova Mount Vernon Hospital Alexandria $428.00 $167.33 – $564.10
Johnston Memorial Hospital ABINGDON $69.30 $48.13 – $373.08
Russell County Hospital LEBANON $69.30 $77.25 – $373.08
Sentara Martha Jefferson Hospital Charlottesville $458.50 $174.56 – $179.69

All Virginia hospitals for this procedure →