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 |
|---|---|---|---|---|
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $2,042,143.00 – $2,042,143.00 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $279.72 | $279.72 | $19.91 – $81.05 | 16 |
| #afb mycobacteria suscep. #1 CPT 87190 | $156.60 | $156.60 | $7.26 – $29.55 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $2,193.48 | $2,193.48 | $114.57 – $466.33 | 16 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $553.84 | 15 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $1,111.02 | 15 |
| Aflibercept injection HCPCS J0178 | not published | not published | $771.98 – $2,024.34 | 4 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $12.48 – $68.21 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $624.86 – $689.28 | 14 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,317.93 – $1,453.80 | 14 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $551.25 – $608.08 | 14 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,038.28 – $1,145.32 | 14 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $304.42 – $335.80 | 14 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $409.08 – $451.25 | 14 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $389.68 – $429.85 | 14 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $873.84 – $963.93 | 14 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $300.71 – $331.71 | 14 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $654.70 – $722.20 | 14 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,319.59 – $1,455.63 | 14 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $757.87 – $836.00 | 14 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $761.28 – $839.76 | 14 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $875.92 – $966.22 | 14 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $606.95 – $669.52 | 14 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,855.26 – $2,046.52 | 14 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $545.36 – $601.59 | 14 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $216.15 – $610.35 | 4 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,910.25 – $3,210.28 | 14 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,913.30 – $2,110.54 | 14 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $652.25 – $719.49 | 14 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,426.11 – $1,573.14 | 14 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $637.32 – $703.02 | 14 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $100.33 – $110.67 | 14 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $246.98 – $272.44 | 14 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $124.78 – $137.64 | 14 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,903.02 – $4,305.39 | 14 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $163.03 – $179.83 | 14 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $215.44 – $237.65 | 14 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $225.99 – $249.29 | 14 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,612.84 – $1,779.11 | 14 |
| Albumin body fluid quantitative each specimen CPT 82042 | $72.36 | $72.36 | $7.73 – $31.46 | 16 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $48.20 – $140.66 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.59 – $56.26 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $49.86 – $140.66 | 4 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.30 – $35.12 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.71 – $137.19 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $627.48 | $627.48 | $5.74 – $23.38 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $374.76 | $374.76 | $4.92 – $20.04 | 16 |
| Albuterol comp con HCPCS J7610 | not published | not published | $1.29 – $1.29 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.54 – $0.54 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $9.72 | $9.72 | $0.18 – $0.53 | 4 |
| Albuterol non-comp con HCPCS J7611 | $9.72 | $9.72 | $0.17 – $0.69 | 4 |
| Albuterol non-comp unit HCPCS J7613 | $15.12 | $15.12 | $0.08 – $0.19 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $565.92 | $565.92 | $17.27 – $69.84 | 15 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $6,490.26 – $8,848.01 | 2 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $124.64 – $507.38 | 16 |
| Alefacept HCPCS J0215 | not published | not published | $43.72 – $43.72 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,368.25 – $6,484.82 | 4 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $10.18 – $11.22 | 14 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $22.74 – $25.08 | 14 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $7.29 – $8.05 | 14 |
| Alglucerase injection HCPCS J0205 | not published | not published | $44.13 – $44.13 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $217.03 – $217.03 | 1 |
| Alkaline phosphatase CPT 84075 | $488.16 | $488.16 | $5.14 – $20.96 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $136.08 | $136.08 | $17.81 – $72.45 | 16 |
| Allergen egg white ige CPT 86003 | $451.44 | $451.44 | $5.18 – $21.08 | 16 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.92 – $32.21 | 16 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $80.28 – $336.92 | 3 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $99.11 – $336.92 | 3 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $336.92 – $336.92 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $23.74 – $336.92 | 3 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $153.58 – $336.92 | 3 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $336.92 – $336.92 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $124.58 – $336.92 | 3 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $239.61 – $336.92 | 3 |
| Alloskin HCPCS Q4115 | not published | not published | $12.01 – $336.92 | 3 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $36.73 – $336.92 | 3 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.01 – $14.23 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $63.96 – $260.42 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $16.88 – $68.73 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $16.65 – $67.78 | 16 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $1.27 – $11.00 | 2 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $27.01 – $27.01 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $88.72 – $248.65 | 4 |
| Alt/sgpt CPT 84460 | $185.76 | $185.76 | $5.27 – $21.47 | 16 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.46 – $12.22 | 4 |
| Aluminum - quest CPT 82108 | not published | not published | $25.31 – $103.00 | 16 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $36.22 – $37.34 | 2 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $14.03 – $14.46 | 2 |
| Amifostine HCPCS J0207 | not published | not published | $1,147.48 – $1,160.41 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.58 – $1.64 | 4 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.95 – $24.20 | 16 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.77 – $56.10 | 16 |
| Amino acid single qual CPT 82127 | not published | not published | $14.08 – $57.35 | 16 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.48 – $79.30 | 16 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.26 – $4.21 | 4 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.73 – $4.74 | 4 |
| Aminolevulinic acid delta CPT 82135 | $419.04 | $419.04 | $16.33 – $66.48 | 16 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $382.58 – $1,033.05 | 4 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $42.12 | $42.12 | $10.72 – $27.59 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $548.64 | $548.64 | $2.51 – $6.70 | 4 |
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.