X-ray cervical spine 4-5 views 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

$950.56

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.

$950.56

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.

$33.46 with Anthem vs $855.50 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 $33.46 ↓ -96%
Anthem HMO $46.03 ↓ -95%
Anthem HPN $46.03 ↓ -95%
Anthem PPO $46.03 ↓ -95%
Lifeworks MCR $180.61 ↓ -81%
United AllPayerAppendix $245.18 ↓ -74%
Cigna HMO $250.11 ↓ -74%
Cigna PPO $250.11 ↓ -74%
United OptionsPPO $266.16 ↓ -72%
Cigna IFP $306.95 ↓ -68%
Virginia Health Network ULTRA $332.70 ↓ -65%
United GlobalBenefitPlan $427.75 ↓ -55%
Kaiser COMM $560.83 ↓ -41%
Greenvbrier Sporting Club COMM $570.34 ↓ -40%
Virginia Health Network WC $617.86 ↓ -35%
Virginia Health Network COMM $617.86 ↓ -35%
Multiplan MPI $674.90 ↓ -29%
Multiplan PHCS $674.90 ↓ -29%
CorVel WorkersComp $684.40 ↓ -28%
OccuNet Workers Comp WorkersComp $760.45 ↓ -20%
4Most Health Nework COMM $855.50 ↓ -10%
Three Rivers Provider Network COMM $855.50 ↓ -10%
Three Rivers Provider Network WorkersComp $855.50 ↓ -10%
Optima Health POS not published by hospital
Aetna Broad not published by hospital
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

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X-ray cervical spine 4-5 views at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $1,339.00 $67.14 – $245.18
Inova Alexandria Hospital Alexandria $521.00 $80.04 – $686.68
Inova Fairfax Hospital Falls Church $521.00 $80.04 – $686.68
Inova Fair Oaks Hospital VA 22033-1709 $521.00 $80.04 – $686.68
Inova Loudoun Hospital Leesburg $521.00 $80.04 – $686.68
Inova Mount Vernon Hospital Alexandria $521.00 $80.04 – $686.68
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $2,323.00 $54.94 – $245.18
LEWISGALE HOSPITAL-PULASKI PULASKI $2,755.00 $45.40 – $245.18

All Virginia hospitals for this procedure →