X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images 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

$904.80

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.

$904.80

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.

$63.55 with Anthem vs $814.32 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 $63.55 ↓ -93%
Anthem HMO $87.43 ↓ -90%
Anthem HPN $87.43 ↓ -90%
Anthem PPO $87.43 ↓ -90%
Lifeworks MCR $171.91 ↓ -81%
United OptionsPPO $253.34 ↓ -72%
Virginia Health Network ULTRA $316.68 ↓ -65%
United AllPayerAppendix $401.74 ↓ -56%
United GlobalBenefitPlan $407.16 ↓ -55%
Kaiser COMM $533.83 ↓ -41%
Greenvbrier Sporting Club COMM $542.88 ↓ -40%
Virginia Health Network WC $588.12 ↓ -35%
Virginia Health Network COMM $588.12 ↓ -35%
Cigna PPO $608.63 ↓ -33%
Cigna HMO $608.63 ↓ -33%
Multiplan PHCS $642.41 ↓ -29%
Multiplan MPI $642.41 ↓ -29%
CorVel WorkersComp $651.46 ↓ -28%
OccuNet Workers Comp WorkersComp $723.84 ↓ -20%
Cigna IFP $746.96 ↓ -17%
Three Rivers Provider Network COMM $814.32 ↓ -10%
Three Rivers Provider Network WorkersComp $814.32 ↓ -10%
4Most Health Nework COMM $814.32 ↓ -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 swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $546.50 $167.33 – $720.29
Inova Fairfax Hospital Falls Church $546.50 $167.33 – $720.29
Inova Fair Oaks Hospital VA 22033-1709 $546.50 $167.33 – $720.29
Inova Loudoun Hospital Leesburg $546.50 $167.33 – $720.29
Inova Mount Vernon Hospital Alexandria $546.50 $167.33 – $720.29
Johnston Memorial Hospital ABINGDON $69.30 $42.72 – $373.08
Russell County Hospital LEBANON $69.30 $77.25 – $373.08
Sentara Martha Jefferson Hospital Charlottesville $600.50 $174.56 – $179.69

All Virginia hospitals for this procedure →