SPOTSYLVANIA REGIONAL MEDICAL CENTER
4600 Spotsylvania Parkway, Fredericksburg, VA · HCA Virginia · · NPI 1376876664
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| CT scan for localization CPT 77011 | not published | not published | $155.05 – $155.05 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $7,104.24 | $7,104.24 | $238.57 – $828.27 | 2 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,869.76 | $5,869.76 | $215.36 – $828.27 | 2 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,229.68 | $4,229.68 | $205.34 – $517.79 | 2 |
| CT thoracic spine w/contrast CPT 72129 | $6,840.08 | $6,840.08 | $144.22 – $401.74 | 2 |
| CT thoracic spine without contrast CPT 72128 | $6,677.84 | $6,677.84 | $119.29 – $245.18 | 2 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,118.00 | $1,118.00 | $127.08 – $182.03 | 2 |
| CT t-spine w /wo contrast CPT 72130 | $6,377.28 | $6,377.28 | $150.29 – $401.74 | 2 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $137.28 – $828.27 | 2 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $119.29 – $245.18 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $143.31 – $401.74 | 2 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,165.73 – $1,285.90 | 14 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $133.58 – $566.51 | 3 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $138.93 – $566.51 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $8.02 – $32.65 | 16 |
| Culture afb any source CPT 87116 | $592.92 | $592.92 | $10.73 – $43.66 | 16 |
| Culture anaerobic additional method definitive id each CPT 87076 | $302.40 | $302.40 | $8.02 – $32.65 | 16 |
| Culture anaerobic except blood CPT 87075 | $702.00 | $702.00 | $9.41 – $38.31 | 16 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $9.59 – $39.06 | 16 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $18.84 – $71.55 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $9.37 – $38.19 | 16 |
| Culture body fluid CPT 87070 | not published | not published | $8.57 – $34.82 | 16 |
| Culture fungi definitive id mold CPT 87107 | $271.08 | $271.08 | $10.25 – $41.72 | 16 |
| Culture fungi definitive id yeast CPT 87106 | $185.76 | $185.76 | $10.25 – $41.72 | 16 |
| Culture fungi other (except blood) CPT 87102 | $625.32 | $625.32 | $8.35 – $34.03 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $592.92 | $592.92 | $7.65 – $31.17 | 16 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $592.92 | $592.92 | $14.51 – $59.10 | 16 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.29 – $62.19 | 16 |
| Culture of specimen by kit CPT 87084 | not published | not published | $26.88 – $109.46 | 16 |
| Culture quantitative aerobic other source CPT 87071 | $555.12 | $555.12 | $9.83 – $40.00 | 16 |
| Culture screening strep group a CPT 87081 | not published | not published | $6.59 – $26.81 | 16 |
| Culture type pulse field gel CPT 87152 | not published | not published | $7.68 – $31.29 | 16 |
| Culture typing added method CPT 87158 | not published | not published | $7.68 – $31.29 | 16 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.44 – $50.63 | 16 |
| Culture typing immunologic CPT 87147 | $221.40 | $221.40 | $5.14 – $20.96 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $216.55 – $881.53 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $34.85 – $141.86 | 16 |
| Culture urine each isolate CPT 87088 | $581.04 | $581.04 | $8.03 – $32.72 | 16 |
| Culture virus isolation CPT 87250 | not published | not published | $19.43 – $79.04 | 16 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,533.47 – $1,691.56 | 14 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,533.47 – $1,691.56 | 14 |
| Custom glove for term device HCPCS L6895 | not published | not published | $735.14 – $810.93 | 14 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,278.91 – $1,410.75 | 14 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $697.56 – $769.47 | 14 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,675.88 – $1,848.65 | 14 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,247.41 – $1,376.01 | 14 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.22 – $57.91 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $48.60 | $48.60 | $0.65 – $1.70 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $513.00 | $513.00 | $12.86 – $52.37 | 16 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.78 – $1.56 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $178.14 | $178.14 | $1.11 – $4.82 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $69.26 – $195.25 | 4 |
| Cyclosporine 2 hour CPT 80158 | $765.72 | $765.72 | $17.93 – $72.96 | 16 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.72 – $1.40 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.96 – $4.80 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $322.45 – $336.92 | 3 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $336.92 – $444.74 | 3 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $1,177.84 | 15 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $706.71 | 15 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $1,822.84 | 15 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $706.71 | 15 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $706.71 | 15 |
| Cystatin c CPT 82610 | $437.40 | $437.40 | $18.39 – $74.87 | 16 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $2,017.26 | 16 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.82 – $92.93 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $2,113.28 | $2,113.28 | $38.62 – $828.27 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.79 – $2.23 | 4 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $659.79 – $659.79 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,160.00 – $4,689.43 | 16 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $42.09 – $171.34 | 16 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.42 – $164.56 | 16 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $4,689.43 | 15 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $3,638.35 | 15 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $1,993.65 | 12 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.90 – $48.45 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $466.56 | $466.56 | $14.29 – $58.15 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $694.44 | $694.44 | $16.73 – $68.10 | 16 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.33 – $54.23 | 16 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,757.65 – $4,792.07 | 4 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $29.82 – $121.41 | 16 |
| Cyto/molecular report CPT 88291 | not published | not published | $31.64 – $132.35 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.19 – $102.56 | 16 |
| Cytopath c/v automated CPT 88147 | not published | not published | $50.21 – $204.37 | 16 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $27.45 – $111.76 | 16 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $16.00 – $71.78 | 16 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.55 – $59.22 | 16 |
| Cytopath c/v manual CPT 88150 | not published | not published | $15.15 – $71.78 | 16 |
| Cytopath c/v redo CPT 88153 | not published | not published | $23.86 – $97.14 | 16 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $22.88 – $93.17 | 16 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $24.67 – $210.47 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $608.04 | $608.04 | $49.76 – $188.99 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.42 – $107.59 | 16 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.12 – $81.92 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $579.96 | $579.96 | $33.84 – $186.65 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $33.84 – $194.62 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $405.00 | $405.00 | $7.33 – $33.08 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $516.24 | $516.24 | $86.01 – $566.51 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $516.24 | $516.24 | $49.76 – $397.10 | 3 |
| Cytopath smear other source CPT 88160 | $271.08 | $271.08 | $24.67 – $218.43 | 3 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.76 – $360.05 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.