30/100
#1,883 nationally
Spotsylvania Regional Medical Center
4600 Spotsylvania Parkway, Fredericksburg, VA 22408 · (540) 498-4000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Spotsylvania Regional Medical Center billed $6.53 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.5x
- volume-weighted across all its priced work
- Procedures priced
- 56
- inpatient and outpatient combined
- Rank in VA
- #51
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 29% of U.S. hospitals.
Better than 25% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 40% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
128 | $75,219 | $15,042 | +15% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
97 | $100,629 | $12,105 | +61% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
94 | $48,231 | $9,917 | +11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
88 | $22,525 | $2,474 | +16% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
84 | $97,866 | $9,894 | +45% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
80 | $28,334 | $2,978 | +12% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
56 | $196,800 | $21,481 | +48% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
51 | $145,940 | $15,832 | +53% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
49 | $56,103 | $10,165 | +20% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
46 | $11,544 | $1,579 | about average |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$316,164 | $30,757 | +113% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$180,861 | $18,230 | +89% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$20,542 | $1,784 | +75% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$40,405 | $3,244 | +74% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$85,781 | $10,005 | +67% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$100,629 | $12,105 | +61% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$172,494 | $29,032 | +53% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$145,940 | $15,832 | +53% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$119,467 | $34,638 | -32% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$40,275 | $10,084 | -16% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$44,789 | $11,565 | -15% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$26,360 | $6,306 | -14% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$28,909 | $7,124 | -13% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$42,443 | $9,767 | -12% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$45,643 | $12,612 | -9% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$37,670 | $7,105 | -8% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.