Spotsylvania Regional Medical Center
Fredericksburg, VA · HCA Virginia · For-profit
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 UnitedHealthcare or Virginia Health Network coverage, your negotiated rate here is noticeably lower than what Anthem or Cigna members pay for the same procedures — roughly 20 to 35 percent less. That's worth knowing before you schedule, especially since Spotsylvania Regional's gross charges don't vary much from their cash price (they mark up about 1x), so your insurance plan's negotiated deal is what actually matters for your out-of-pocket cost.
Before you schedule, call the billing department and ask for your specific procedure's cost under your insurance plan — they should be able to pull your plan's negotiated rate. If you don't have insurance or your plan doesn't cover the procedure, ask whether you qualify for charity care (the hospital has set aside over $5 million annually); eligibility thresholds aren't posted publicly, so billing can tell you directly if you're eligible based on your income.
Safety at this hospital, versus the national average
Safer than average on 1 of 6 metrics. The rest are close to the national rate.
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
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.
| Procedure | Cash price | Gross charge | Markup |
|---|---|---|---|
| Carotid Duplex Scan Cardiac | $3,624 | $3,624 | 1.0x |
| Echocardiogram Complete Cardiac | $7,442 | $7,442 | 1.0x |
| Stress Echocardiogram Cardiac | N/A | $10,934 | — |
| ER Visit Level 3 (Moderate) Emergency | $2,784 | $2,784 | 1.0x |
| ER Visit Level 4 (High) Emergency | $3,815 | $3,815 | 1.0x |
| ER Visit Level 5 (Critical) Emergency | $4,986 | $4,986 | 1.0x |
| CT Abdomen and Pelvis with Contrast Imaging | $5,870 | $5,870 | 1.0x |
| CT Abdomen and Pelvis without Contrast Imaging | $4,230 | $4,230 | 1.0x |
| CT Angiography Chest Imaging | $12,346 | $12,346 | 1.0x |
| CT Chest with Contrast Imaging | $4,988 | $4,988 | 1.0x |
| CT Chest without Contrast Imaging | $11,737 | $11,737 | 1.0x |
| CT Head without Contrast Imaging | $3,669 | $3,669 | 1.0x |
| Cardiac CT Calcium Score Imaging | $1,336 | $1,336 | 1.0x |
| Chest X-Ray 2 Views Imaging | $934 | $934 | 1.0x |
| MRI Brain with Contrast Imaging | $7,783 | $7,783 | 1.0x |
| MRI Brain with and without Contrast Imaging | $7,783 | $7,783 | 1.0x |
| MRI Brain without Contrast Imaging | $7,783 | $7,783 | 1.0x |
| MRI Cervical Spine without Contrast Imaging | $7,717 | $7,717 | 1.0x |
| MRI Knee with and without Contrast Imaging | $11,821 | $11,821 | 1.0x |
| MRI Knee without Contrast Imaging | $10,052 | $10,052 | 1.0x |
| MRI Lumbar Spine with and without Contrast Imaging | $12,325 | $12,325 | 1.0x |
| MRI Lumbar Spine without Contrast Imaging | $7,983 | $7,983 | 1.0x |
| MRI Shoulder without Contrast Imaging | $7,348 | $7,348 | 1.0x |
| Screening Mammography Imaging | $684 | $684 | 1.0x |
| Shoulder X-Ray Imaging | $1,116 | $1,116 | 1.0x |
| Ultrasound Abdomen Complete Imaging | $2,920 | $2,920 | 1.0x |
| Ultrasound Pregnancy Imaging | $2,248 | $2,248 | 1.0x |
| Ultrasound Transvaginal Imaging | $937 | $937 | 1.0x |
| Blood Draw / Venipuncture Lab | $65 | $65 | 1.0x |
| Comprehensive Metabolic Panel Lab | N/A | $953 | — |
| Ferritin Level Lab | $168 | $168 | 1.0x |
| Hemoglobin A1C Lab | $437 | $437 | 1.0x |
| Lipid Panel Lab | N/A | $867 | — |
| PSA Prostate Screening Lab | N/A | $608 | — |
| TSH Thyroid Test Lab | N/A | $833 | — |
| Urinalysis with Microscopy Lab | $270 | $270 | 1.0x |
| Vitamin D Level Lab | N/A | $900 | — |
| Office Visit Established Patient Level 3 Office | $488 | $488 | 1.0x |
| Neuromuscular Re-education Rehab | $244 | $244 | 1.0x |
| Physical Therapy Manual Therapy Rehab | $173 | $173 | 1.0x |
| Physical Therapy Therapeutic Exercise Rehab | $173 | $173 | 1.0x |
| Therapeutic Activities Rehab | $173 | $173 | 1.0x |
| Spirometry Pulmonary Function Test Screening | $189 | $189 | 1.0x |
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 | 379 | $5,535 | $3 — $46,840 |
| Cigna | 264 | $5,744 | $3 — $57,215 |
| UnitedHealthcare | 204 | $2,511 | $3 — $26,488 |
| Virginia Health Network | 129 | $2,222 | $23 — $8,025 |
| Optima Health | 108 | $10,222 | $2,539 — $32,843 |
| Lifeworks | 91 | $2,541 | $32 — $7,650 |
| Three Rivers Provider Network | 86 | $3,636 | $59 — $11,111 |
| Multiplan | 86 | $2,869 | $46 — $8,766 |
| Bright Health | 64 | $3,438 | $7 — $14,915 |
| Aetna | 61 | $5,584 | $3 — $45,094 |
The financial picture
What this hospital earns, spends on charity care, and pays its executives.
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 hospitals to compare in VA
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Prices from Spotsylvania Regional Medical Center's published machine-readable file. Quality data from CMS Hospital Compare. Financial data from CMS Cost Reports and IRS Form 990 via ProPublica. Updated April 2026. Full methodology →