X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study 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

$853.84

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.

$853.84

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.

$96.08 with Anthem vs $768.46 with 4Most Health Nework — 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 $96.08 ↓ -89%
Anthem HMO $132.18 ↓ -85%
Anthem HPN $132.18 ↓ -85%
Anthem PPO $132.18 ↓ -85%
Lifeworks MCR $162.23 ↓ -81%
United OptionsPPO $239.08 ↓ -72%
Virginia Health Network ULTRA $298.84 ↓ -65%
United GlobalBenefitPlan $384.23 ↓ -55%
United AllPayerAppendix $401.74 ↓ -53%
Kaiser COMM $503.77 ↓ -41%
Greenvbrier Sporting Club COMM $512.30 ↓ -40%
Cigna PPO $512.89 ↓ -40%
Cigna HMO $512.89 ↓ -40%
Virginia Health Network WC $555.00 ↓ -35%
Virginia Health Network COMM $555.00 ↓ -35%
Multiplan MPI $606.23 ↓ -29%
Multiplan PHCS $606.23 ↓ -29%
CorVel WorkersComp $614.76 ↓ -28%
Cigna IFP $629.46 ↓ -26%
OccuNet Workers Comp WorkersComp $683.07 ↓ -20%
Three Rivers Provider Network COMM $768.46 ↓ -10%
Three Rivers Provider Network WorkersComp $768.46 ↓ -10%
4Most Health Nework COMM $768.46 ↓ -10%
Aetna Broad not published by hospital
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital
Optima Health POS not published by hospital

Visitor-reported prices

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X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $2,928.00 $192.80 – $401.74
Inova Alexandria Hospital Alexandria $575.00 $167.33 – $757.85
Inova Fairfax Hospital Falls Church $575.00 $167.33 – $757.85
Inova Fair Oaks Hospital VA 22033-1709 $575.00 $167.33 – $757.85
Inova Loudoun Hospital Leesburg $575.00 $167.33 – $757.85
Inova Mount Vernon Hospital Alexandria $575.00 $167.33 – $757.85
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $2,364.00 $114.83 – $544.69
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $1,997.00 $157.76 – $401.74

All Virginia hospitals for this procedure →