Warde adenosine deaminase pleural fluid 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.

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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.

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The hospital's undiscounted list price — almost no one pays this.

$8.04 with Humana Military vs $361.58 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 $8.04
Humana MCR $8.10
Sentara Health MCR $8.10
Johns Hopkins UniformedServicesFamilyHealthPlan $8.10
United VACCN $8.10
United Behavioral Health VACCN $8.10
United AllPayerAppendix $8.10
Devoted MCR $8.10
United MGMCR $8.14
Aetna MGMCR $8.19
Virginia Premier Health MGMCR $8.26
Anthem MGMCR $8.34
Evernorth Behavioral Health MCR $8.42
Cigna HealthSpring MCR $8.42
Clear Spring Health Plan MCR $8.51
Align Senior Care MGMCR $8.67
Bright Health COMM $17.33
Anthem HIX $30.76
Cigna HMO $32.77
Cigna PPO $32.77
Cigna IFP $40.21
Anthem HPN $42.31
Anthem PPO $42.31
Anthem HMO $42.31
Lifeworks MCR $76.33
United OptionsPPO $112.49
Virginia Health Network ULTRA $140.62
United GlobalBenefitPlan $180.79
Kaiser COMM $237.04
Greenvbrier Sporting Club COMM $241.06
Virginia Health Network WC $261.14
Virginia Health Network COMM $261.14
Multiplan PHCS $285.25
Multiplan MPI $285.25
CorVel WorkersComp $289.27
OccuNet Workers Comp WorkersComp $321.41
4Most Health Nework COMM $361.58
Three Rivers Provider Network COMM $361.58
Three Rivers Provider Network WorkersComp $361.58
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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Warde adenosine deaminase pleural fluid at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $109.00 $6.47 – $137.14
Inova Fairfax Hospital Falls Church $109.00 $6.47 – $137.14
Inova Fair Oaks Hospital VA 22033-1709 $109.00 $6.47 – $137.14
Inova Loudoun Hospital Leesburg $109.00 $6.47 – $137.14
Inova Mount Vernon Hospital Alexandria $109.00 $6.47 – $137.14
RESTON HOSPITAL CENTER VIENNA $477.53 $8.10 – $39.67
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $7.05 – $11.74
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $7.05 – $36.22

All Virginia hospitals for this procedure →