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 |
|---|---|---|---|---|
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $67.88 – $848.52 | 3 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,309.67 – $3,650.87 | 14 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.90 – $2.76 | 4 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $130.12 – $130.12 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $205.64 – $586.23 | 4 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $131.27 – $144.80 | 14 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.52 – $3.74 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $58.73 – $64.79 | 14 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $90.68 – $100.02 | 14 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $7,014.80 | $7,014.80 | $150.29 – $401.74 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $6,840.08 | $6,840.08 | $144.22 – $828.27 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $6,677.84 | $6,677.84 | $119.29 – $245.18 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $12,324.63 | $12,324.63 | $271.32 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $7,983.16 | $7,983.16 | $211.47 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $7,983.16 | $7,983.16 | $176.16 – $517.79 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $915.20 | $915.20 | $27.61 – $245.18 | 3 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $402.73 – $430.92 | 12 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $16.07 – $42.14 | 2 |
| Lso corset front HCPCS L0972 | not published | not published | $134.63 – $148.51 | 14 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $63.21 – $69.73 | 14 |
| Lso full corset HCPCS L0976 | not published | not published | $178.24 – $196.61 | 14 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $188.43 – $207.86 | 14 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,534.56 – $1,692.76 | 14 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $895.07 – $987.34 | 14 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $122.04 – $134.62 | 14 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,066.93 – $1,176.93 | 14 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,579.46 – $1,742.29 | 14 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $333.65 – $368.05 | 14 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $216.09 – $238.36 | 14 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,217.53 – $1,343.05 | 14 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,249.94 – $1,378.80 | 14 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.83 – $88.89 | 16 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.20 – $2.43 | 14 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $70.91 – $78.22 | 14 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $96.54 – $106.50 | 14 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $104.33 – $3,947.38 | 3 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $92.81 – $102.38 | 14 |
| Lumbar sling HCPCS L1090 | not published | not published | $131.88 – $145.48 | 14 |
| Lumizyme injection HCPCS J0221 | not published | not published | $195.52 – $549.58 | 4 |
| Lung perfusion imaging CPT 78580 | $3,213.00 | $3,213.00 | $86.74 – $1,114.46 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $198.89 – $558.57 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $40.00 – $113.34 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $320.27 – $850.04 | 2 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $260.81 – $687.20 | 2 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $595.34 – $656.71 | 14 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $329.21 – $363.15 | 14 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.91 – $81.05 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $2,014.20 | $2,014.20 | $137.33 – $1,641.15 | 3 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.31 – $147.77 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $48.69 – $198.22 | 16 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $188.20 – $766.10 | 16 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.26 – $192.37 | 16 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $111.49 – $1,238.14 | 3 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $139.03 – $3,163.82 | 3 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $96.96 – $6,438.74 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $130.70 – $6,438.74 | 3 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $14.87 – $40.02 | 4 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.03 – $30.50 | 3 |
| Macroscopic exam arthropod CPT 87168 | $273.24 | $273.24 | $4.24 – $17.28 | 16 |
| Macroscopic exam parasite CPT 87169 | $212.76 | $212.76 | $4.28 – $17.42 | 16 |
| Magnesium CPT 83735 | not published | not published | $6.65 – $27.13 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.48 – $1.09 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $189.12 – $517.79 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $13.09 – $53.29 | 16 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.19 – $2.37 | 3 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $3.13 – $7.05 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $76.14 – $83.98 | 14 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.03 – $20.52 | 16 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $47.07 – $142.44 | 4 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $3,323.10 – $3,323.10 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $107.23 – $118.29 | 14 |
| Mastectomy form HCPCS L8020 | not published | not published | $297.11 – $327.74 | 14 |
| Mastoids complete CPT 70130 | not published | not published | $41.26 – $280.65 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $83.76 – $336.92 | 3 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $6,801.68 – $6,801.68 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $20.86 – $336.92 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $34.85 – $141.86 | 16 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.10 – $110.33 | 16 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.54 – $173.20 | 16 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $212.76 | $212.76 | $14.36 – $58.47 | 16 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $15.21 – $61.95 | 16 |
| Mayo activated protein c resistance assay CPT 85307 | $702.00 | $702.00 | $15.21 – $61.95 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $38.31 – $155.92 | 16 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $664.20 | $664.20 | $14.68 – $59.77 | 16 |
| Mayo alpha 1 antitrypsin CPT 82103 | $525.96 | $525.96 | $13.35 – $54.35 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $14.98 – $60.96 | 16 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $121.63 – $491.70 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $709.56 | $709.56 | $91.66 – $370.55 | 15 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $553.84 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $8,117.28 | $8,117.28 | $1,160.00 – $4,689.43 | 15 |
| Mayo androstenedione CPT 82157 | not published | not published | $29.08 – $118.36 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $14.50 – $59.02 | 16 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.74 – $43.73 | 16 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $14.95 – $60.81 | 16 |
| Mayo avwpr vw factor activity CPT 85397 | $822.96 | $822.96 | $30.64 – $124.75 | 16 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $34.85 – $141.86 | 16 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $10.11 – $41.16 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $144.84 – $585.57 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $867.62 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.81 – $52.18 | 16 |
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.