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 |
|---|---|---|---|---|
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.90 – $48.45 | 16 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $19.55 – $49.40 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.31 – $59.44 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $396.74 – $1,007.50 | 4 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.44 – $95.40 | 16 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $41.49 – $114.11 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $27.67 – $75.45 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $282.96 | $282.96 | $11.96 – $16.93 | 4 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.02 – $32.01 | 14 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $305.75 – $337.27 | 14 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $529.52 – $584.11 | 14 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,357.77 – $1,497.74 | 14 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $743.29 – $819.92 | 14 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $286.79 – $316.36 | 14 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $340.14 – $375.21 | 14 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $111.91 – $123.45 | 14 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $286.79 – $316.36 | 14 |
| Orthopantogram CPT 70355 | not published | not published | $24.96 – $182.03 | 3 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $34.04 – $37.55 | 14 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $59.21 – $65.31 | 14 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $36.97 – $40.78 | 14 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $34.04 – $37.55 | 14 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $48.82 – $53.85 | 14 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $151.57 – $167.20 | 14 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $450.70 – $497.16 | 14 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $121.54 – $294.84 | 4 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $395.97 – $436.80 | 14 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,050.14 – $1,158.40 | 14 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $36.97 – $40.78 | 14 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $26.66 – $29.40 | 14 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $99.19 – $109.42 | 14 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $75.48 – $83.26 | 14 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $10.33 – $11.40 | 14 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $62.15 – $68.55 | 14 |
| Osmolality blood CPT 83930 | $176.04 | $176.04 | $6.57 – $26.74 | 16 |
| Osmolality urine CPT 83935 | $889.92 | $889.92 | $6.77 – $27.56 | 16 |
| Ostomy clamp, replacement HCPCS A4363 | $12.00 | $12.00 | $2.78 – $3.07 | 14 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $57.42 – $63.34 | 14 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.77 – $4.16 | 14 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $4.95 – $5.46 | 14 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $6.58 – $7.25 | 14 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.39 – $2.63 | 14 |
| Ost skn barr extnd >4 sq HCPCS A4410 | $15.00 | $15.00 | $12.49 – $13.78 | 14 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $11.78 – $12.99 | 14 |
| Ot evaluation high complexity patient/family CPT 97167 | $732.24 | $732.24 | $89.27 – $99.59 | 14 |
| Ot evaluation low complexity patient/family CPT 97165 | $690.12 | $690.12 | $89.27 – $99.59 | 14 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $710.64 | $710.64 | $89.27 – $99.59 | 14 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $22.97 – $93.48 | 16 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $44.71 – $49.54 | 14 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $172.80 | $172.80 | $41.13 – $45.41 | 14 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $24.78 – $26.91 | 14 |
| Ot re-evaluation patient/family CPT 97168 | $412.56 | $412.56 | $60.91 – $68.76 | 14 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $31.33 – $34.24 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $19.95 – $22.59 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $19.99 – $21.54 | 14 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $25.97 – $28.52 | 14 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $29.23 – $31.72 | 14 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $28.94 – $31.70 | 14 |
| Outrigger HCPCS L1080 | not published | not published | $73.68 – $81.28 | 14 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $199.36 – $219.92 | 14 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $144.69 – $291.21 | 2 |
| Ovulation tests CPT 84830 | not published | not published | $12.61 – $51.38 | 16 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.62 – $1.51 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.05 – $0.13 | 4 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.99 – $6.20 | 2 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.99 – $0.99 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $58.32 | $58.32 | $1.50 – $7.13 | 2 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $135.12 – $414.25 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $326.52 – $737.34 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $553.84 | 15 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $2.58 – $2.85 | 14 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.13 – $0.27 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $12.67 – $21.68 | 4 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $2,734.87 | 15 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $1,218.25 | 15 |
| Palifermin injection HCPCS J2425 | not published | not published | $32.97 – $97.07 | 4 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $336.92 – $360.51 | 3 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $3,819.98 – $3,819.98 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.30 – $40.04 | 4 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,157.39 – $2,141.10 | 2 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.48 – $0.93 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $13.46 – $29.92 | 4 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $159.97 – $460.23 | 4 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $71.28 | $71.28 | $4.87 – $23.03 | 2 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $40.16 – $121.74 | 2 |
| Parathormone (pth) intact CPT 83970 | $962.28 | $962.28 | $40.99 – $166.86 | 16 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $182.16 – $1,985.42 | 3 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $93.65 – $1,417.54 | 3 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,913.84 | $2,913.84 | $139.13 – $1,619.20 | 3 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $23.92 – $24.66 | 2 |
| Paricalcitol HCPCS J2501 | $154.44 | $154.44 | $0.79 – $2.57 | 4 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.47 – $21.01 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $293.00 | $293.00 | $143.44 – $158.23 | 14 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $7.92 – $8.73 | 14 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $152.32 – $578.51 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $152.32 – $578.51 | 3 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $166.81 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $50.75 – $192.75 | 3 |
| Patten bottom HCPCS L2370 | not published | not published | $373.70 – $412.23 | 14 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $253.29 – $1,031.04 | 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.