Valproic acid total therapeutic drug level 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

$581.04

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.

$581.04

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.

$13.44 with Humana Military vs $522.94 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 $13.44 ↓ -98%
Humana MCR $13.54 ↓ -98%
Sentara Health MCR $13.54 ↓ -98%
Johns Hopkins UniformedServicesFamilyHealthPlan $13.54 ↓ -98%
United VACCN $13.54 ↓ -98%
United Behavioral Health VACCN $13.54 ↓ -98%
United AllPayerAppendix $13.54 ↓ -98%
Devoted MCR $13.54 ↓ -98%
United MGMCR $13.61 ↓ -98%
Aetna MGMCR $13.69 ↓ -98%
Virginia Premier Health MGMCR $13.81 ↓ -98%
Anthem MGMCR $13.95 ↓ -98%
Evernorth Behavioral Health MCR $14.08 ↓ -98%
Cigna HealthSpring MCR $14.08 ↓ -98%
Clear Spring Health Plan MCR $14.22 ↓ -98%
Align Senior Care MGMCR $14.49 ↓ -98%
Bright Health COMM $28.98 ↓ -95%
Anthem HIX $51.42 ↓ -91%
Cigna HMO $54.74 ↓ -91%
Cigna PPO $54.74 ↓ -91%
Cigna IFP $67.18 ↓ -88%
Anthem HPN $70.73 ↓ -88%
Anthem PPO $70.73 ↓ -88%
Anthem HMO $70.73 ↓ -88%
Lifeworks MCR $110.40 ↓ -81%
United OptionsPPO $162.69 ↓ -72%
Virginia Health Network ULTRA $203.36 ↓ -65%
United GlobalBenefitPlan $261.47 ↓ -55%
Kaiser COMM $342.81 ↓ -41%
Greenvbrier Sporting Club COMM $348.62 ↓ -40%
Virginia Health Network WC $377.68 ↓ -35%
Virginia Health Network COMM $377.68 ↓ -35%
Multiplan PHCS $412.54 ↓ -29%
Multiplan MPI $412.54 ↓ -29%
CorVel WorkersComp $418.35 ↓ -28%
OccuNet Workers Comp WorkersComp $464.83 ↓ -20%
4Most Health Nework COMM $522.94 ↓ -10%
Three Rivers Provider Network COMM $522.94 ↓ -10%
Three Rivers Provider Network WorkersComp $522.94 ↓ -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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Valproic acid total therapeutic drug level at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $260.00 $11.78 – $19.63
Inova Alexandria Hospital Alexandria $171.00 $13.54 – $215.15
Inova Fairfax Hospital Falls Church $171.00 $13.54 – $215.15
Inova Fair Oaks Hospital VA 22033-1709 $171.00 $13.54 – $215.15
Inova Loudoun Hospital Leesburg $171.00 $13.54 – $215.15
Inova Mount Vernon Hospital Alexandria $171.00 $13.54 – $215.15
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $597.00 $11.78 – $60.54
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $293.00 $11.78 – $14.49

All Virginia hospitals for this procedure →