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Hospital Profile Acute Care Hospitals Proprietary

Spotsylvania Regional Medical Center

4600 SPOTSYLVANIA PARKWAY, Fredericksburg, VA 22408

CMS Overall Rating ★★★☆☆
Factual Overview

Spotsylvania Regional Medical Center is a Acute Care Hospitals (Proprietary) operating in Fredericksburg, VA. Mapped commercial insurance prices across 120 procedures average 4.65x the Medicare baseline. The facility holds a CMS quality rating of 3/5 stars with a patient recommendation score of 64%.

Facility Overview

Setting: urban Bed Count: 109 Beds Teaching Status: Non-Teaching Annual Discharges: 7,012

Patient Experience

Recommendation Rate: 64% High Patient Rating: 63% ER Wait Time (Med): 116 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 120 codes Avg Markup vs Medicare: 4.65x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 Contact Desk Calc
Total hip replacement
CPT Code: 27130
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Total knee replacement
CPT Code: 27447
 Contact Desk Calc
Bunion correction surgery
CPT Code: 28296
 Contact Desk Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 Contact Desk Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $4,367 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 Contact Desk Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 Contact Desk Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 Contact Desk Calc
Colonoscopy with biopsy
CPT Code: 45380
 Contact Desk Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 Contact Desk Calc
Inguinal hernia repair
CPT Code: 49505
 Contact Desk Calc
Vaginal delivery (full package)
CPT Code: 59400
 Contact Desk Calc
C-section delivery (full package)
CPT Code: 59510
 Contact Desk Calc
Cataract surgery with lens implant
CPT Code: 66984
 Contact Desk Calc
CT scan, head (no contrast)
CPT Code: 70450
 $3,669 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $3,948 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $4,328 Calc
CT scan, sinuses
CPT Code: 70486
 $4,782 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $7,783 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $7,783 Calc
X-ray, chest (single view)
CPT Code: 71045
 $848 Calc
X-ray, chest (two views)
CPT Code: 71046
 $934 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $7,818 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $959 Calc
X-ray, lower back
CPT Code: 72110
 $1,333 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $4,499 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $6,678 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $7,983 Calc
X-ray, pelvis
CPT Code: 72170
 $1,026 Calc
CT scan, pelvis
CPT Code: 72192
 $3,868 Calc
X-ray, shoulder
CPT Code: 73030
 $1,116 Calc
X-ray, hand
CPT Code: 73130
 $754 Calc
X-ray, hip
CPT Code: 73502
 $602 Calc
X-ray, ankle
CPT Code: 73610
 $1,009 Calc
X-ray, foot
CPT Code: 73630
 $990 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $10,052 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $4,230 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $5,870 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $1,526 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $2,920 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $2,010 Calc
Ultrasound, pelvis
CPT Code: 76856
 $1,813 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $684 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $684 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $750 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $1,056 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $867 Calc
Blood test, liver function panel
CPT Code: 80076
 $654 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $270 Calc
Blood test, amylase
CPT Code: 82150
 $408 Calc
Blood test, vitamin D
CPT Code: 82306
 $900 Calc
Blood test, calcium
CPT Code: 82310
 $347 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $216 Calc
Blood test, vitamin B12
CPT Code: 82607
 $581 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $168 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $440 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $437 Calc
Blood test, lipase
CPT Code: 83690
 $491 Calc
Blood test, magnesium
CPT Code: 83735
 $345 Calc
Blood test, potassium
CPT Code: 84132
 $141 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $608 Calc
Blood test, sodium
CPT Code: 84295
 $172 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $833 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $340 Calc
Blood test, hemoglobin
CPT Code: 85018
 $72 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 Contact Desk Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $287 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $287 Calc
Hepatitis C antibody test
CPT Code: 86803
 $702 Calc
Blood antibody screen
CPT Code: 86850
 $350 Calc
Culture, blood
CPT Code: 87040
 $622 Calc
Culture, bacterial
CPT Code: 87070
 $604 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Hepatitis B immune globulin
HCPCS Code: 90371
 $1,160 Calc
Rabies immune globulin
HCPCS Code: 90375
 Contact Desk Calc
Flu vaccine (high dose)
HCPCS Code: 90656
 $259 Calc
Typhoid vaccine
HCPCS Code: 90675
 $2,070 Calc
DTaP vaccine (diphtheria, tetanus, pertussis)
HCPCS Code: 90700
 $188 Calc
MMR vaccine (measles, mumps, rubella)
HCPCS Code: 90707
 $1,106 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $926 Calc
Varicella (chickenpox) vaccine
HCPCS Code: 90716
 Contact Desk Calc
Pneumococcal vaccine
HCPCS Code: 90732
 $1,203 Calc
Hepatitis B vaccine
HCPCS Code: 90744
 $295 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $444 Calc
Speech therapy (group session)
CPT Code: 92508
 Contact Desk Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 Contact Desk Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $865 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $7,442 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $2,835 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $302 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 Contact Desk Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $173 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $244 Calc
Physical therapy (gait training)
CPT Code: 97116
 $170 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $173 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $173 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $147 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $191 Calc
Orthotic fitting and training
CPT Code: 97760
 $173 Calc
Prosthetic fitting and training
CPT Code: 97761
 Contact Desk Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $488 Calc
Flu vaccine injection
HCPCS Code: G0008
 $74 Calc
Pneumonia vaccine injection
HCPCS Code: G0009
 $87 Calc
Prostate cancer screening (blood test)
HCPCS Code: G0103
 $608 Calc
Colorectal cancer screening (alternative)
HCPCS Code: G0145
 Contact Desk Calc
Injection procedure for pain management
HCPCS Code: G0260
 Contact Desk Calc
Diagnostic procedure preparation
HCPCS Code: G0279
 $59 Calc
Electrical stimulation therapy
HCPCS Code: G0283
 $147 Calc
Hospital observation (per hour)
HCPCS Code: G0378
 $232 Calc
Drug screening test
HCPCS Code: G0480
 $1,619 Calc
Behavioral health counseling (per session)
HCPCS Code: H0008
 Contact Desk Calc
Behavioral health counseling (group)
HCPCS Code: H0009
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Behavioral health day treatment
HCPCS Code: H0010
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Behavioral health residential care
HCPCS Code: H0011
 Contact Desk Calc
Behavioral health living support
HCPCS Code: H2019
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Residential mental health treatment
HCPCS Code: H2036
 Contact Desk Calc