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 |
|---|---|---|---|---|
| Test for porphobilinogen CPT 84106 | not published | not published | $5.78 – $23.50 | 16 |
| Test for urine cystines CPT 82615 | not published | not published | $9.49 – $38.62 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $84.16 – $998.35 | 3 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $112.60 – $112.60 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $51.28 – $208.77 | 16 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.96 – $5.49 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $183.60 | $183.60 | $33.84 – $235.59 | 3 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $308.78 – $340.61 | 14 |
| Test socket above knee HCPCS L5624 | not published | not published | $481.06 – $530.66 | 14 |
| Test socket below knee HCPCS L5620 | not published | not published | $330.15 – $364.19 | 14 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $640.45 – $706.48 | 14 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $676.21 – $745.92 | 14 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $504.20 – $556.18 | 14 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $413.94 – $456.61 | 14 |
| Test socket symes HCPCS L5618 | not published | not published | $375.76 – $414.50 | 14 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $275.51 – $303.91 | 14 |
| Test urine for lactose CPT 83633 | not published | not published | $11.17 – $45.47 | 16 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.27 – $53.99 | 16 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.44 – $18.10 | 16 |
| Tetanus ig im CPT 90389 | not published | not published | $763.42 – $2,084.99 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | $667.44 | $667.44 | $558.49 – $1,559.63 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.24 – $47.22 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $553.84 | 15 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $3,070.45 | 15 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $11,802.80 | 15 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $2,417.10 | 15 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $149.16 – $657.88 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $149.16 – $657.88 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $149.16 – $657.88 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.76 – $208.72 | 3 |
| Theophylline therapeutic drug level CPT 80198 | $390.96 | $390.96 | $14.05 – $57.16 | 16 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $31.66 – $35.25 | 14 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $27.38 – $30.74 | 14 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $265.50 – $954.96 | 3 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $133.88 – $434.14 | 3 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $86.24 – $277.30 | 3 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $55.89 – $180.74 | 3 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $1.71 – $4.80 | 4 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $5.00 – $5.00 | 1 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $320.14 – $353.14 | 14 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $471.26 – $519.84 | 14 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $261.89 – $288.89 | 14 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $362.26 – $399.60 | 14 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $102.16 – $102.16 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $237.70 – $257.30 | 3 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $186.61 – $205.85 | 14 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $201.46 – $222.23 | 14 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $207.74 – $229.16 | 14 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $4,651.43 – $5,130.96 | 14 |
| Thoracic pad HCPCS L1060 | not published | not published | $134.17 – $148.00 | 14 |
| Thor rib belt custom fabrica HCPCS L0220 | not published | not published | $157.19 – $173.39 | 14 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $39.53 – $549.56 | 3 |
| Thrombin time CPT 85670 | $545.40 | $545.40 | $5.73 – $23.33 | 16 |
| Thrombin time titer CPT 85675 | not published | not published | $6.80 – $27.68 | 16 |
| Thrombomodulin CPT 85337 | not published | not published | $17.15 – $69.84 | 16 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.56 – $38.94 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | not published | not published | $6.42 – $26.18 | 16 |
| Thromboxane urine CPT 84431 | not published | not published | $34.87 – $141.93 | 16 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $825.49 – $910.59 | 14 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $1,446.54 – $1,595.67 | 14 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $536.16 – $591.43 | 14 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $812.78 – $896.57 | 14 |
| Thyroglobulin antibody CPT 86800 | $545.40 | $545.40 | $15.80 – $64.30 | 16 |
| Thyroid imaging CPT 78013 | not published | not published | $42.90 – $941.31 | 3 |
| Thyroid met imaging CPT 78015 | not published | not published | $79.83 – $1,102.24 | 3 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $82.59 – $1,345.76 | 3 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $97.90 – $1,501.05 | 3 |
| Thyroid met uptake CPT 78020 | not published | not published | $67.10 – $67.10 | 1 |
| Thyroid (TSH) Test CPT 84443 | $832.68 | $832.68 | $16.68 – $67.91 | 16 |
| Thyroid Ultrasound CPT 76536 | $1,525.68 | $1,525.68 | $67.93 – $512.89 | 3 |
| Thyroid uptake measurement CPT 78012 | $3,463.56 | $3,463.56 | $22.32 – $848.52 | 3 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,016.35 – $5,632.95 | 4 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.06 – $203.81 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $14.68 – $59.77 | 16 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $61.91 – $68.29 | 14 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $2,353.37 – $2,595.98 | 14 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $357.39 – $357.39 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $357.39 – $357.39 | 1 |
| Tigecycline injection HCPCS J3243 | $628.56 | $628.56 | $0.29 – $1.48 | 4 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $6,107.53 – $6,737.17 | 14 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $3.66 – $3.66 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.44 – $9.14 | 4 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $561,407.87 – $1,501,307.95 | 3 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $182.99 – $519.59 | 4 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $51.33 – $51.33 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $149.26 – $607.64 | 16 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $139.76 – $568.89 | 16 |
| Tissue culture tumor CPT 88239 | not published | not published | $146.50 – $596.38 | 16 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $4.24 – $17.28 | 16 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $11.45 – $46.59 | 16 |
| Tl-201 thallium diag per mci HCPCS A9505 | $562.68 | $562.68 | $34.98 – $126.56 | 2 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,037.66 – $1,144.63 | 14 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $893.58 – $985.71 | 14 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,167.96 – $1,288.37 | 14 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,452.76 – $1,602.53 | 14 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $587.68 – $648.27 | 14 |
| Tlso corset front HCPCS L0970 | not published | not published | $149.88 – $165.34 | 14 |
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.