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 |
|---|---|---|---|---|
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $75.60 | $75.60 | $1.88 – $5.86 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $71.74 – $193.37 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $171.72 | $171.72 | $4.77 – $19.46 | 16 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $959.04 | $959.04 | $0.86 – $2.33 | 2 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $96.80 – $106.78 | 14 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,439.48 | 12 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,279.54 | 12 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,518.71 | 12 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,119.59 | 12 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.08 – $4.50 | 14 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $8.76 – $9.66 | 14 |
| Somatropin injection HCPCS J2941 | not published | not published | $166.49 – $436.99 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $3,198.82 | 12 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $959.65 | 12 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.86 – $66.49 | 2 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $185.83 – $204.99 | 14 |
| Special radiation dosimetry CPT 77331 | not published | not published | $51.94 – $51.94 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $103.87 – $103.87 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $120.30 – $120.30 | 1 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.26 – $13.24 | 16 |
| Specimen fat stain CPT 89125 | not published | not published | $5.84 – $23.76 | 16 |
| Speech evaluation complex CPT 70371 | not published | not published | $106.07 – $517.79 | 3 |
| Sperm antibody test CPT 89325 | not published | not published | $10.59 – $43.17 | 16 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.46 – $79.18 | 16 |
| Sperm identification CPT 89257 | not published | not published | $49.76 – $208.72 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.76 – $208.72 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.76 – $208.72 | 3 |
| Spleen imaging CPT 78185 | not published | not published | $40.32 – $848.52 | 3 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $466.24 – $514.31 | 14 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $54.81 – $60.47 | 14 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $102.21 – $112.75 | 14 |
| Splint finger frog med HCPCS L3927 | not published | not published | $37.02 – $40.84 | 14 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.60 – $2.87 | 14 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $102.21 – $112.75 | 14 |
| Split blood or products CPT 86985 | $624.57 | $624.57 | $2.98 – $566.51 | 3 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $85.52 – $94.34 | 14 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $875.80 – $966.09 | 14 |
| Sputum specimen collection CPT 89220 | not published | not published | $76.74 – $566.51 | 3 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,016.25 – $10,987.80 | 2 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,070.85 – $1,103.97 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $229.68 – $236.78 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $166.40 – $171.55 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $709.08 | 15 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $255.93 – $282.32 | 14 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $1,343.52 | $1,343.52 | $102.61 – $118.71 | 14 |
| Stance phase only HCPCS L5858 | not published | not published | $21,666.40 – $23,900.06 | 14 |
| Standard control cable extra HCPCS L6655 | not published | not published | $89.21 – $98.41 | 14 |
| Staph a dna amp probe CPT 87640 | not published | not published | $34.85 – $141.86 | 16 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $195.22 – $215.35 | 14 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $66.23 – $73.06 | 14 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $66.23 – $73.06 | 14 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $699.84 | $699.84 | $95.70 – $111.86 | 14 |
| Stem cells total count CPT 86367 | not published | not published | $77.24 – $314.45 | 16 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $337.96 – $1,093.82 | 3 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.15 – $0.16 | 14 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.56 – $0.62 | 14 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.92 – $4.32 | 14 |
| Sternal pad HCPCS L1050 | not published | not published | $111.86 – $123.39 | 14 |
| St evaluate speech sound production CPT 92522 | $1,343.52 | $1,343.52 | $104.38 – $121.53 | 14 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $1,343.52 | $1,343.52 | $214.79 – $243.96 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $507.60 | $507.60 | $85.30 – $100.01 | 14 |
| St evaluation swallow function CPT 92610 | $680.40 | $680.40 | $80.10 – $91.63 | 14 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $18.15 – $20.02 | 14 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.89 – $0.98 | 14 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $149.16 – $657.88 | 3 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $291.26 – $1,106.21 | 3 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $149.16 – $657.88 | 3 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $149.16 – $657.88 | 3 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $149.30 – $164.69 | 14 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $12.92 – $14.25 | 14 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $4.56 – $5.03 | 14 |
| Strep a ag ia CPT 87430 | $451.44 | $451.44 | $16.69 – $67.98 | 16 |
| Strep a dna dir probe CPT 87650 | not published | not published | $19.91 – $81.05 | 16 |
| Strep a dna quant CPT 87652 | not published | not published | $41.47 – $168.79 | 16 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.64 – $51.42 | 16 |
| Strep b dna amp probe CPT 87653 | not published | not published | $34.85 – $141.86 | 16 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $83.48 – $83.48 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.57 – $51.18 | 16 |
| Streptomycin injection HCPCS J3000 | not published | not published | $24.82 – $89.78 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $374.03 – $464.68 | 2 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $1,232.24 | 15 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $942.25 | 15 |
| St treatment speech individual CPT 92507 | not published | not published | $72.14 – $82.23 | 14 |
| St treatment swallow dysfunction/oral CPT 92526 | $507.60 | $507.60 | $79.58 – $90.90 | 14 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $28.08 | $28.08 | $0.88 – $4.11 | 2 |
| Suction socket HCPCS L6686 | not published | not published | $769.75 – $849.11 | 14 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $517.74 – $571.11 | 14 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.45 – $46.59 | 16 |
| Sugars single quant CPT 84378 | not published | not published | $11.45 – $46.59 | 16 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.06 – $0.11 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $584.28 | $584.28 | $39.63 – $502.18 | 2 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.37 – $3.71 | 14 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $25.09 – $27.68 | 14 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $74.12 – $81.76 | 14 |
| Supprelin la implant HCPCS J9226 | not published | not published | $43,855.64 – $114,441.15 | 4 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $57.18 – $58.95 | 2 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $49.53 – $51.06 | 2 |
| Surgical pathology level 1 gross examination only CPT 88300 | $204.12 | $204.12 | $24.67 – $93.70 | 3 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $486.00 | $486.00 | $24.67 – $105.92 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $960.12 | $960.12 | $49.76 – $188.99 | 3 |
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.