Urinalysis (with microscopy) 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

$270.00

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.

$270.00

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.

$3.15 with Humana Military vs $243.00 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
Humana Military TRCR $3.15 ↓ -99%
Humana MCR $3.17 ↓ -99%
Sentara Health MCR $3.17 ↓ -99%
Johns Hopkins UniformedServicesFamilyHealthPlan $3.17 ↓ -99%
United VACCN $3.17 ↓ -99%
United Behavioral Health VACCN $3.17 ↓ -99%
United AllPayerAppendix $3.17 ↓ -99%
Devoted MCR $3.17 ↓ -99%
United MGMCR $3.19 ↓ -99%
Aetna MGMCR $3.21 ↓ -99%
Virginia Premier Health MGMCR $3.23 ↓ -99%
Anthem MGMCR $3.27 ↓ -99%
Evernorth Behavioral Health MCR $3.30 ↓ -99%
Cigna HealthSpring MCR $3.30 ↓ -99%
Clear Spring Health Plan MCR $3.33 ↓ -99%
Align Senior Care MGMCR $3.39 ↓ -99%
Bright Health COMM $6.78 ↓ -97%
Anthem HIX $12.04 ↓ -96%
Cigna HMO $12.80 ↓ -95%
Cigna PPO $12.80 ↓ -95%
Cigna IFP $15.71 ↓ -94%
Anthem HPN $16.56 ↓ -94%
Anthem PPO $16.56 ↓ -94%
Anthem HMO $16.56 ↓ -94%
Lifeworks MCR $51.30 ↓ -81%
United OptionsPPO $75.60 ↓ -72%
Virginia Health Network ULTRA $94.50 ↓ -65%
United GlobalBenefitPlan $121.50 ↓ -55%
Kaiser COMM $159.30 ↓ -41%
Greenvbrier Sporting Club COMM $162.00 ↓ -40%
Virginia Health Network WC $175.50 ↓ -35%
Virginia Health Network COMM $175.50 ↓ -35%
Multiplan PHCS $191.70 ↓ -29%
Multiplan MPI $191.70 ↓ -29%
CorVel WorkersComp $194.40 ↓ -28%
OccuNet Workers Comp WorkersComp $216.00 ↓ -20%
4Most Health Nework COMM $243.00 ↓ -10%
Three Rivers Provider Network COMM $243.00 ↓ -10%
Three Rivers Provider Network WorkersComp $243.00 ↓ -10%
Aetna Broad not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Urinalysis (with microscopy) at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $229.00 $2.76 – $4.60
Inova Alexandria Hospital Alexandria $44.50 $3.17 – $55.99
Inova Fairfax Hospital Falls Church $44.50 $3.17 – $55.99
Inova Fair Oaks Hospital VA 22033-1709 $44.50 $3.17 – $55.99
Inova Loudoun Hospital Leesburg $44.50 $3.17 – $55.99
Inova Mount Vernon Hospital Alexandria $44.50 $3.17 – $55.99
Johnston Memorial Hospital ABINGDON $5.70 $1.59 – $6.91
Russell County Hospital LEBANON $5.70 $3.09 – $6.91

All Virginia hospitals for this procedure →