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 |
|---|---|---|---|---|
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,122.12 | $1,122.12 | $49.76 – $188.99 | 3 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,327.32 | $1,327.32 | $291.26 – $1,106.21 | 3 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,857.60 | $1,857.60 | $656.15 – $2,492.06 | 3 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $336.92 – $336.92 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $260.28 | $260.28 | $4.71 – $19.21 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $198.72 | $198.72 | $4.71 – $19.21 | 16 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $8.59 – $34.94 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $275.40 | $275.40 | $6.60 – $26.86 | 16 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $135.87 – $149.87 | 14 |
| Svc venogram s&i CPT 75827 | not published | not published | $133.89 – $3,163.82 | 3 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $11.93 – $188.99 | 3 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,484.13 – $2,740.23 | 14 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,279.94 – $3,618.08 | 14 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $302.58 – $333.78 | 14 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $361.23 – $398.47 | 14 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $263.68 – $290.86 | 14 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $532.96 – $587.90 | 14 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $8.18 – $8.85 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $8.97 – $20.03 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $4.37 – $17.79 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $212.76 | $212.76 | $16.82 – $68.49 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $178.20 | $178.20 | $14.08 – $57.35 | 16 |
| T4 (thyroxine) free CPT 84439 | $455.76 | $455.76 | $8.95 – $36.45 | 16 |
| T4 (thyroxine) total CPT 84436 | $151.20 | $151.20 | $6.82 – $27.81 | 16 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.55 – $1.56 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.76 – $4.96 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.18 – $0.53 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $247.41 – $695.49 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $889.92 | $889.92 | $13.64 – $55.47 | 16 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.51 – $37.74 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $68.27 – $195.94 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.90 – $198.54 | 4 |
| Talymed HCPCS Q4127 | not published | not published | $66.44 – $336.92 | 3 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $14.04 | $14.04 | $0.21 – $0.21 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.48 – $0.54 | 14 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $3,070.45 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $11,802.80 | 15 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $2,417.10 | 15 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,523.65 – $4,151.46 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.36 – $0.66 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $553.84 | 15 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.44 – $105.44 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $23.36 – $23.36 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $71.73 – $499.73 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $7.85 – $499.73 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $99.31 – $404.26 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $1,436.40 | $1,436.40 | $61.56 – $250.59 | 16 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $431.93 – $1,393.18 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,037.67 – $3,434.27 | 2 |
| Tc-99m bicisate HCPCS A9557 | $3,827.52 | $3,827.52 | $2,055.13 – $3,926.63 | 2 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $692.08 – $2,121.64 | 2 |
| Tc-99m disofenin HCPCS A9510 | $153.36 | $153.36 | $74.97 – $163.74 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,835.66 – $2,475.44 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | $4,709.88 | $4,709.88 | $1,835.66 – $2,458.43 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $870.79 – $870.79 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $4,034.88 | $4,034.88 | $100.03 – $288.56 | 2 |
| Tc-99m maa HCPCS A9540 | $581.04 | $581.04 | $32.13 – $80.53 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $910.44 | $910.44 | $59.24 – $300.67 | 2 |
| Tc-99m medronate HCPCS A9503 | $299.16 | $299.16 | $13.92 – $170.82 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $3,522.96 | $3,522.96 | $2,102.17 – $2,102.17 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $47.12 – $138.09 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $581.04 | $581.04 | $33.56 – $76.11 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $1,658.88 | $1,658.88 | $18.19 – $55.76 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $35.64 | $35.64 | $1.82 – $31.85 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $708.48 | $708.48 | $68.60 – $105.34 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,274.40 | $1,274.40 | $104.23 – $1,194.04 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,651.32 | $1,651.32 | $641.98 – $1,748.81 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $624.24 | $624.24 | $286.35 – $1,991.21 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $878.04 | $878.04 | $91.33 – $309.79 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,951.56 | $1,951.56 | $708.55 – $708.55 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $592.92 | $592.92 | $46.66 – $189.95 | 16 |
| T cells absolute cd 4 count CPT 86361 | $996.84 | $996.84 | $26.60 – $108.27 | 16 |
| T cells total count CPT 86359 | $372.60 | $372.60 | $37.47 – $152.51 | 16 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $208.32 – $588.86 | 4 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $62.32 – $68.75 | 14 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.88 – $19.53 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $30.08 – $31.01 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $371.42 – $371.42 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $191.32 – $191.32 | 1 |
| Temozolomide HCPCS J8700 | not published | not published | $0.37 – $1.43 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.10 – $27.56 | 4 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.41 – $53.85 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $157.59 – $495.47 | 4 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,673.16 – $2,673.16 | 1 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,724.02 – $4,107.94 | 14 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $12.84 – $14.17 | 14 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $108.00 | $108.00 | $1.37 – $6.55 | 4 |
| Teriparatide injection HCPCS J3110 | not published | not published | $53.91 – $207.76 | 2 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $4,766.03 – $5,257.37 | 14 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,680.54 – $4,059.98 | 14 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,607.63 – $1,773.36 | 14 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $993.33 – $1,095.73 | 14 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,746.32 – $1,926.35 | 14 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $414.35 – $457.06 | 14 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $427.46 – $471.53 | 14 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $419.98 – $463.28 | 14 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $233.00 – $257.02 | 14 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $695.45 – $767.15 | 14 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $748.70 | 15 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.97 – $24.32 | 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.