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 |
|---|---|---|---|---|
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $24.67 – $226.39 | 3 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $15.15 – $71.78 | 16 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $15.15 – $71.78 | 16 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $41.92 – $170.66 | 16 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $15.15 – $71.78 | 16 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.10 – $317.94 | 16 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.48 – $119.98 | 16 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $291.26 – $1,479.90 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.37 – $10.92 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $280.14 – $816.17 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.10 – $41.31 | 4 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $15.56 – $39.49 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $324.00 | $324.00 | $0.03 – $0.08 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.16 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $51.40 – $145.91 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.83 – $8.00 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.83 – $8.00 | 4 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.67 – $43.41 | 16 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.22 – $45.71 | 16 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $241.55 – $690.30 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $25.61 – $69.77 | 4 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $60.54 – $60.54 | 1 |
| Dch glucoscan CPT 82948 | not published | not published | $5.01 – $20.40 | 16 |
| Dch validity tests CPT 81002 | not published | not published | $3.45 – $14.06 | 16 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $11.53 – $48.69 | 16 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $49.76 – $53.24 | 12 |
| Decalcification CPT 88311 | $275.40 | $275.40 | $8.72 – $34.39 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.72 – $1.86 | 4 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $164.16 | $164.16 | $7.96 – $22.45 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.23 – $11.79 | 4 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $67.86 – $209.88 | 4 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $26.98 – $78.07 | 4 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $3.58 – $3.95 | 14 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $41.05 – $137.32 | 4 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $291.17 – $336.92 | 3 |
| Dermagraft HCPCS Q4106 | not published | not published | $47.19 – $47.19 | 1 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $52.98 – $336.92 | 3 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $124.24 – $336.92 | 3 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $336.92 – $1,644.99 | 3 |
| Description not available HCPCS S0013 | not published | not published | $15.96 – $15.96 | 1 |
| Design mlc device for imrt CPT 77338 | not published | not published | $583.57 – $583.57 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,071.36 | $1,071.36 | $4.36 – $9.04 | 4 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.77 – $125.26 | 16 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $29.82 – $121.41 | 16 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.37 – $176.56 | 16 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,300.88 – $4,046.36 | 2 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $28.19 – $29.06 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $24.07 – $182.03 | 3 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $107.36 – $261.45 | 4 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.23 – $7.18 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.03 – $0.06 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.09 – $0.29 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $199.08 – $542.03 | 4 |
| Dexamethasone panel CPT 80420 | not published | not published | $160.76 – $654.42 | 16 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.33 – $2.33 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $3,659.04 | $3,659.04 | $78.53 – $153.73 | 4 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $45.99 – $1,009.62 | 2 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $15.25 – $15.25 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.75 – $0.75 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $200.88 | $200.88 | $1.21 – $3.47 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $709.56 | $709.56 | $8.55 – $16.03 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.77 – $4.64 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $227.88 | $227.88 | $3.53 – $7.79 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $282.96 | $282.96 | $22.08 – $89.88 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $437.40 | $437.40 | $9.64 – $39.25 | 16 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $263.65 – $290.83 | 14 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $44.42 – $49.00 | 14 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $44.42 – $49.00 | 14 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $44.42 – $49.00 | 14 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.58 – $17.55 | 14 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $87.91 – $96.97 | 14 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $44.42 – $49.00 | 14 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $117.80 – $683.53 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $95.56 – $533.27 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $684.32 | $684.32 | $103.29 – $683.53 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $81.05 – $533.27 | 15 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $182.03 – $499.73 | 2 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.76 – $8.22 | 14 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $679.32 | $679.32 | $0.08 – $0.19 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $118.80 | $118.80 | $5.62 – $17.73 | 4 |
| Dicyclomine injection HCPCS J0500 | $450.36 | $450.36 | $12.47 – $30.02 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.25 – $0.74 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $4.73 – $25.36 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $17,983.08 | $17,983.08 | $4,819.52 – $13,692.52 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $325.08 | $325.08 | $13.19 – $53.68 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $143.64 | $143.64 | $83.18 – $151.26 | 4 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.08 – $0.08 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $57.28 – $57.28 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $2.44 – $8.77 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $693.28 – $1,985.46 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $3.76 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $118.80 | $118.80 | $0.64 – $1.88 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $48.68 – $77.72 | 2 |
| Dipyridamole injection HCPCS J1245 | $19.44 | $19.44 | $3.72 – $22.29 | 4 |
| Disaccharidases CPT 82657 | not published | not published | $22.02 – $89.61 | 16 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $147.89 – $3,947.38 | 3 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $102.70 – $113.29 | 14 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $243.80 – $268.93 | 14 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $76.71 – $79.08 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $1,127.89 | 15 |
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.