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 |
|---|---|---|---|---|
| Pcv21 vaccine im CPT 90684 | not published | not published | $318.05 – $912.26 | 4 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $1,332.06 | 15 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $26.66 – $29.40 | 14 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $7,276.40 – $8,026.54 | 14 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,919.43 – $2,117.31 | 14 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,542.64 – $1,701.67 | 14 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,821.35 – $2,009.12 | 14 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,443.06 – $1,591.83 | 14 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $783.76 – $864.56 | 14 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $386.36 – $386.36 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $824.78 – $824.78 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $26,258.38 – $75,323.76 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.38 – $325.53 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $130.22 – $352.58 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $158.69 – $429.27 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $243.71 – $390.19 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $30,219.48 | $30,219.48 | $109.51 – $262.01 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $159.23 – $337.16 | 4 |
| Peginesatide injection HCPCS J0890 | not published | not published | $8.61 – $8.61 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,192.47 – $1,192.47 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,458.36 – $9,987.35 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $220.12 – $598.77 | 4 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $574.95 – $634.22 | 14 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $456.43 – $503.49 | 14 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $374.58 – $413.20 | 14 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $276.01 – $304.47 | 14 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $337.39 – $372.17 | 14 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $517.32 – $570.65 | 14 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $6,402.24 | $6,402.24 | $144.22 – $401.74 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $4,235.92 | $4,235.92 | $137.28 – $401.74 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $3,867.76 | $3,867.76 | $127.92 – $245.18 | 2 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,358.11 – $1,498.12 | 14 |
| Pelvic MRI (with and without contrast) CPT 72197 | $11,849.39 | $11,849.39 | $260.87 – $828.27 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | $6,598.86 | $6,598.86 | $204.50 – $828.27 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $6,598.86 | $6,598.86 | $171.98 – $517.79 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $83.35 – $447.70 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,226.16 | $1,226.16 | $61.00 – $245.18 | 3 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $159.49 – $175.93 | 14 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $57.57 – $158.28 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.66 – $9.51 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $16.85 – $51.73 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $26.17 – $84.72 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.76 – $2.07 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $26.55 – $49.21 | 2 |
| Penile vascular study CPT 93980 | not published | not published | $356.03 – $356.03 | 1 |
| Penile vascular study CPT 93981 | not published | not published | $305.09 – $305.09 | 1 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.64 – $0.64 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $77.11 – $435.71 | 4 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $13.36 – $13.36 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $72.58 – $113.81 | 2 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $56.57 – $96.09 | 2 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,593.23 – $6,723.32 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $805.12 | $805.12 | $40.62 – $106.56 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $55.68 – $1,086.50 | 3 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $104.76 – $1,226.04 | 3 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $25.68 – $28.32 | 14 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,707.71 – $1,883.77 | 14 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.50 – $1.78 | 2 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.70 – $6.70 | 1 |
| Pertussis ag if CPT 87265 | not published | not published | $11.90 – $48.45 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $15.74 – $45.08 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $61.10 – $161.54 | 4 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $68.69 – $75.77 | 14 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $27.58 – $30.42 | 14 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $281.70 – $3,330.77 | 2 |
| Pet CT whole body initial CPT 78816 | not published | not published | $285.93 – $3,330.77 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $171.80 – $3,330.77 | 2 |
| Pet image full body CPT 78813 | not published | not published | $227.64 – $3,330.77 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $177.02 – $2,938.37 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $222.55 – $3,330.77 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $253.25 – $3,330.77 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $848.52 – $848.52 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,458.12 – $1,503.22 | 2 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $17.96 – $27.49 | 14 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $25.17 – $37.87 | 14 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $9.24 – $15.01 | 14 |
| Ph body fluid CPT 83986 | $76.68 | $76.68 | $3.56 – $14.50 | 16 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $4.48 – $157.69 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $28.56 – $77.06 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $826.20 | $826.20 | $15.19 – $61.88 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $435.82 – $1,114.48 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 4 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $126.38 – $258.48 | 2 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.50 – $1.59 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $504.36 | $504.36 | $13.16 – $53.55 | 16 |
| Phosphorus CPT 84100 | not published | not published | $4.70 – $19.17 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $483.84 | $483.84 | $5.74 – $23.38 | 16 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.76 – $190.62 | 3 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $149.16 – $566.51 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $190.62 | 3 |
| Phys review of motion tests CPT 96004 | not published | not published | $97.93 – $100.96 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.38 – $7.45 | 4 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $658.73 – $918.20 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $1,111.02 | 15 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $802.35 – $885.06 | 14 |
| Pinworm exam CPT 87172 | not published | not published | $4.24 – $17.28 | 16 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.24 – $17.28 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.09 – $2.89 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $575.47 – $2,342.61 | 16 |
| Placental lactogen CPT 83632 | not published | not published | $20.08 – $81.72 | 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.