Spotsylvania Regional Medical Center Costs & Price List

Spotsylvania Regional Medical Center is a 3-star for-profit hospital in Fredericksburg, VA, part of the HCA Virginia health system. It publishes prices for 37 common procedures, with cash prices ranging from $65 to $12,346. 61.0% of patients rated this hospital 9 or 10 out of 10.

If you have Optima Health insurance, call the hospital's billing department before scheduling—your plan pays significantly more than other insurers here, averaging over $10,000 versus $2,200–$5,700 for other major plans. This gap is large enough that it's worth asking whether your procedure is available at another nearby facility in the Fredericksburg area, or whether your plan has negotiated a better rate at a different hospital. If you're uninsured or underinsured, this hospital provided over $5 million in charity care last year, though you'll need to contact them directly to learn what income threshold qualifies you.

Before you schedule, call Spotsylvania Regional's billing office and confirm the gross charges and cash price for your specific procedure—the publicly listed prices don't always match what you'll actually owe. If you're planning to pay out of pocket, ask whether they offer a cash discount (many do). Finally, if your income is below 400% of the federal poverty line, ask about financial assistance programs when you call—eligible patients often don't know they can apply.

Written from data as of 2026-07-30. Prices above are current; figures quoted in this summary reflect that date.

Quality ★★★☆☆ CMS 3-star rating

Patient experience 61.0% rated 9 or 10 out of 10

Safety No penalties Medicare safety check passed

Medicare cost -2% below national avg

Safety at this hospital, versus the national average

Worse than average on 2 of 6 metrics, safer on 1. Worth raising with your doctor before you schedule.

MRSA 265% more infections than the national rate

C. diff 82% fewer infections than the national rate

Bloodstream About the same as the national rate

Mortality About the same as the national rate

Readmissions About the same as the national rate

Medicare quality 22 / 100 · below the national median of 38

Source: CMS Hospital Compare — Healthcare-Associated Infections, Mortality & Readmissions, Value-Based Purchasing (FY 2026). Bars show how this hospital compares to the national rate for each metric.

Address: 4600 Spotsylvania Parkway, Fredericksburg, VA 22408

Phone: 800-849-0829

Type: Hospital · 109 beds · Emergency services

What they charge

Every price below is published by Spotsylvania Regional Medical Center in their federally mandated machine-readable file. Click any procedure to compare with nearby hospitals. Prices as of Mar 2026.

Procedure	Cash price	Gross charge	Markup
Gastric Bypass Bariatric Tell us what you paid →	N/A	—	—
Gastric Sleeve Bariatric Tell us what you paid →	N/A	—	—
Lumpectomy Cancer Tell us what you paid →	N/A	—	—
Mastectomy Cancer Tell us what you paid →	N/A	—	—
Prostatectomy Robotic Cancer Tell us what you paid →	N/A	—	—
Aortic Valve Replacement Cardiac Tell us what you paid →	N/A	—	—
Cardiovascular Stress Test Cardiac Tell us what you paid →	N/A	—	—
Carotid Duplex Scan Cardiac Tell us what you paid →	$3,624	$3,624	1.0x
Coronary Artery Bypass (CABG) Cardiac Tell us what you paid →	N/A	—	—
Coronary Stent Placement Cardiac Tell us what you paid →	N/A	—	—
EKG / Electrocardiogram Cardiac Tell us what you paid →	N/A	—	—
Echocardiogram Complete Cardiac Tell us what you paid →	$7,442	$7,442	1.0x
Left Heart Catheterization Cardiac Tell us what you paid →	N/A	—	—
Stress Echocardiogram Cardiac Tell us what you paid →	N/A	$10,934	—
Cesarean Delivery Childbirth Tell us what you paid →	N/A	—	—
VBAC Delivery Childbirth Tell us what you paid →	N/A	—	—
Vaginal Delivery Childbirth Tell us what you paid →	N/A	—	—
Skin Biopsy Punch Dermatology Tell us what you paid →	N/A	—	—
Skin Biopsy Tangential Dermatology Tell us what you paid →	N/A	—	—
Emergency Room Visit — Critical (Level 5) Emergency Tell us what you paid →	$4,986	$4,986	1.0x
Emergency Room Visit — High Acuity (Level 4) Emergency Tell us what you paid →	$3,815	$3,815	1.0x
Emergency Room Visit — Moderate (Level 3) Emergency Tell us what you paid →	$2,784	$2,784	1.0x
Septoplasty Ent Tell us what you paid →	N/A	—	—
Sinus Surgery Ent Tell us what you paid →	N/A	—	—
Tonsillectomy Ent Tell us what you paid →	N/A	—	—
Tonsillectomy and Adenoidectomy Ent Tell us what you paid →	N/A	—	—
Hysteroscopy with Biopsy Gynecologic Tell us what you paid →	N/A	—	—
Laparoscopic Hysterectomy Gynecologic Tell us what you paid →	N/A	—	—
Laparoscopic Removal of Ovarian Cyst Gynecologic Tell us what you paid →	N/A	—	—
Total Abdominal Hysterectomy Gynecologic Tell us what you paid →	N/A	—	—
CT Abdomen and Pelvis with Contrast Imaging Tell us what you paid →	$5,870	$5,870	1.0x
CT Abdomen and Pelvis without Contrast Imaging Tell us what you paid →	$4,230	$4,230	1.0x
CT Angiography Chest Imaging Tell us what you paid →	$12,346	$12,346	1.0x
CT Chest with Contrast Imaging Tell us what you paid →	$4,988	$4,988	1.0x
CT Chest without Contrast Imaging Tell us what you paid →	$11,737	$11,737	1.0x
CT Head without Contrast Imaging Tell us what you paid →	$3,669	$3,669	1.0x
Chest X-Ray 2 Views Imaging Tell us what you paid →	$934	$934	1.0x
DEXA Scan (Bone Density) Imaging Tell us what you paid →	N/A	—	—
Heart Calcium Score (Cardiac CT) Imaging Tell us what you paid →	$1,336	$1,336	1.0x
MRI Brain with Contrast Imaging Tell us what you paid →	$7,783	$7,783	1.0x
MRI Brain with and without Contrast Imaging Tell us what you paid →	$7,783	$7,783	1.0x
MRI Brain without Contrast Imaging Tell us what you paid →	$7,783	$7,783	1.0x
MRI Cervical Spine without Contrast Imaging Tell us what you paid →	$7,717	$7,717	1.0x
MRI Knee with and without Contrast Imaging Tell us what you paid →	$11,821	$11,821	1.0x
MRI Knee without Contrast Imaging Tell us what you paid →	$10,052	$10,052	1.0x
MRI Lumbar Spine with and without Contrast Imaging Tell us what you paid →	$12,325	$12,325	1.0x
MRI Lumbar Spine without Contrast Imaging Tell us what you paid →	$7,983	$7,983	1.0x
MRI Shoulder without Contrast Imaging Tell us what you paid →	$7,348	$7,348	1.0x
PET Scan Whole Body Imaging Tell us what you paid →	N/A	—	—
Screening Mammography Imaging Tell us what you paid →	$684	$684	1.0x
Shoulder X-Ray Imaging Tell us what you paid →	$1,116	$1,116	1.0x
Ultrasound Abdomen Complete Imaging Tell us what you paid →	$2,920	$2,920	1.0x
Ultrasound Pregnancy Imaging Tell us what you paid →	$2,248	$2,248	1.0x
Ultrasound Transvaginal Imaging Tell us what you paid →	$937	$937	1.0x
Blood Draw / Venipuncture Lab Tell us what you paid →	$65	$65	1.0x
CBC Complete Blood Count Lab Tell us what you paid →	N/A	—	—
Comprehensive Metabolic Panel Lab Tell us what you paid →	N/A	$953	—
Ferritin Level Lab Tell us what you paid →	$168	$168	1.0x
Hemoglobin A1C Lab Tell us what you paid →	$437	$437	1.0x
Lipid Panel Lab Tell us what you paid →	N/A	$867	—
PSA Prostate Screening Lab Tell us what you paid →	N/A	$608	—
TSH Thyroid Test Lab Tell us what you paid →	N/A	$833	—
Urinalysis with Microscopy Lab Tell us what you paid →	$270	$270	1.0x
Vitamin D Level Lab Tell us what you paid →	N/A	$900	—
Office Visit Established Patient Level 3 Office Tell us what you paid →	$488	$488	1.0x
ACL Reconstruction Orthopedic Tell us what you paid →	N/A	—	—
Bunionectomy Orthopedic Tell us what you paid →	N/A	—	—
Knee Arthroscopy with Meniscectomy Orthopedic Tell us what you paid →	N/A	—	—
Rotator Cuff Repair Orthopedic Tell us what you paid →	N/A	—	—
Total Hip Replacement Orthopedic Tell us what you paid →	N/A	—	—
Total Knee Replacement Orthopedic Tell us what you paid →	N/A	—	—
Total Shoulder Replacement Orthopedic Tell us what you paid →	N/A	—	—
Epidural Steroid Injection Pain Tell us what you paid →	N/A	—	—
Facet Joint Injection Pain Tell us what you paid →	N/A	—	—
Joint Injection Pain Tell us what you paid →	N/A	—	—
Transforaminal Epidural Injection Pain Tell us what you paid →	N/A	—	—
Neuromuscular Re-education Rehab Tell us what you paid →	$244	$244	1.0x
Physical Therapy Manual Therapy Rehab Tell us what you paid →	$173	$173	1.0x
Physical Therapy Therapeutic Exercise Rehab Tell us what you paid →	$173	$173	1.0x
Therapeutic Activities Rehab Tell us what you paid →	$173	$173	1.0x
Colonoscopy Diagnostic Screening Tell us what you paid →	N/A	—	—
Colonoscopy with Biopsy Screening Tell us what you paid →	N/A	—	—
Colonoscopy with Polyp Removal Screening Tell us what you paid →	N/A	—	—
Sleep Study Screening Tell us what you paid →	N/A	—	—
Spirometry Pulmonary Function Test Screening Tell us what you paid →	$189	$189	1.0x
Cervical Spine Fusion Spine Tell us what you paid →	N/A	—	—
Lumbar Discectomy Spine Tell us what you paid →	N/A	—	—
Lumbar Laminectomy Spine Tell us what you paid →	N/A	—	—
Lumbar Spine Fusion Spine Tell us what you paid →	N/A	—	—
Posterior Lumbar Interbody Fusion Spine Tell us what you paid →	N/A	—	—
Cataract Surgery Surgery Tell us what you paid →	N/A	—	—
Eye Injection Intravitreal Surgery Tell us what you paid →	N/A	—	—
Inguinal Hernia Repair Surgery Tell us what you paid →	N/A	—	—
Laparoscopic Appendectomy Surgery Tell us what you paid →	N/A	—	—
Laparoscopic Cholecystectomy Surgery Tell us what you paid →	N/A	—	—
Laparoscopic Umbilical Hernia Repair Surgery Tell us what you paid →	N/A	—	—
Partial Colectomy Laparoscopic Surgery Tell us what you paid →	N/A	—	—
Upper GI Endoscopy with Biopsy Surgery Tell us what you paid →	N/A	—	—
Cystoscopy Urologic Tell us what you paid →	N/A	—	—
ESWL Shockwave Lithotripsy Urologic Tell us what you paid →	N/A	—	—
Kidney Stone Lithotripsy Urologic Tell us what you paid →	N/A	—	—
Prostate Biopsy Urologic Tell us what you paid →	N/A	—	—

What this price typically doesn't include

Procedure codes generally cover the procedure itself. Other services that often appear on the same bill are listed under separate codes — for example:

Anesthesia (CPT 00xxx)
Pathology, if a sample is taken (CPT 88xxx)
Drugs administered during the visit (J-codes)
Facility vs. professional split — one charge from the hospital, another from the doctor
Room and board, if the procedure is inpatient

Asking what other codes might appear on the bill is a useful follow-up so the total is not a surprise. Once you receive the bill, asking for an itemized statement listing each service code separately makes it easier to match against the disclosed prices above.

Observations about billing-code conventions. Not medical advice. Not legal advice.

Citing this price when you call

A way some patients have asked Spotsylvania Regional Medical Center to apply the disclosed cash price to a self-pay visit.

Call billing. 800-849-0829
Cite the disclosed cash price. Reference the specific procedure from the table above. Each cash price was published by Spotsylvania Regional Medical Center in its federally-mandated machine-readable file under 45 CFR 180.50.
Ask whether the disclosed price can be applied to your visit as a self-pay patient. Outcomes vary by hospital and by procedure.

The cash prices above are published by Spotsylvania Regional Medical Center as part of federal price-transparency rules. Patients have asked billing departments to apply them; results differ. If a different price ends up on your bill, the disclosed amount stays on this page for your reference. You can share what happened on /report-price — it helps the next person.

Not medical advice. Not legal advice. The cash prices shown are published by the hospital under 45 CFR 180; HospitalCost displays them as published.

What your insurance pays here

Average negotiated rates by insurance plan. If the cash price above is lower and you haven't met your deductible, ask billing about paying cash.

Insurance plan	Procedures covered	Avg negotiated rate	Rate range
Anthem HIX	91	$4,496	$11 — $34,052
Anthem HMO	91	$6,184	$16 — $46,840
Anthem HPN	91	$6,184	$16 — $46,840
Anthem PPO	91	$6,184	$16 — $46,840
Lifeworks MCR	91	$2,541	$32 — $7,650
UnitedHealthcare AllPayerAppendix	87	$4,416	$3 — $26,488
Cigna HMO	83	$6,839	$13 — $57,215
Cigna IFP	83	$4,590	$16 — $25,786
Cigna PPO	83	$6,839	$13 — $57,215
Bright Health COMM	64	$3,438	$7 — $14,915

The financial picture

What this hospital earns, spends on charity care, and pays its executives.

Patient revenue $940.0M CMS cost report

Charity care $5.5M 0.58% of revenue

Charge-to-payment 4.78x charges vs Medicare payment

Net income $21.0M CMS cost report

Beds 109 licensed beds

Compare these procedures near Richmond

See how Spotsylvania Regional Medical Center's prices compare to other hospitals in the Richmond area for the same procedure.

Other HCA Virginia hospitals

Other hospitals in the HCA Virginia health system that publish prices.

Henrico Doctors' Hospital Richmond, VA

3★ CMS

View profile → Reston Hospital Center Reston, VA

3★ CMS

View profile → Lewisgale Medical Center Salem, VA

2★ CMS

View profile → Dominion Hospital Falls Church, VA

View profile →

Other hospitals to compare in VA

Before you schedule, see how Spotsylvania Regional Medical Center stacks up against these nearby options by price and quality.

Mary Washington Hospital Fredericksburg, VA

2★ CMS 61% satisfaction $1,178 avg price

View profile → Dominion Hospital Falls Church, VA

$248 avg price

View profile → Buchanan General Hospital Grundy, VA

2★ CMS 80% satisfaction $744 avg price

View profile → Carilion Franklin Memorial Hospital Rocky Mount, VA

4★ CMS $852 avg price

View profile → Carilion Giles Community Hospital Pearisburg, VA

4★ CMS 83% satisfaction $875 avg price

View profile → Carilion Rockbridge Community Hospital Lexington, VA

3★ CMS 75% satisfaction $876 avg price

View profile →

Help us ground-truth published prices

Did you have a procedure at Spotsylvania Regional Medical Center? Tell us what you actually paid — anonymously. We use patient-reported prices alongside published rates so the next reader gets a clearer picture.

Tell us what you paid →

Prices from Spotsylvania Regional Medical Center's published machine-readable file, dated Mar 2026. Quality and financial data from CMS Hospital Compare, Cost Reports, and IRS Form 990 via ProPublica, compiled August 2026. Full methodology →