Virginia / Spotsylvania Regional Medical Center
CMS certification 490141 · Fredericksburg, VA · 2 entries in CMS's price-transparency list
Spotsylvania Regional Medical Center: charges and Medicare payments
Spotsylvania Regional Medical Center reported 970 Medicare inpatient stays across 37 DRGs in 2024. Across them it charged 5.16 times what it was paid — among the higher ratios in Virginia, number 12 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 128 stays at an average charge of $75,219, 17% below the national average. It also billed 766 outpatient services, charging 9.94 times what Medicare paid.
- 1Medicare inpatient stays 970
- 2Charge ÷ paid, inpatient 5.16×
- 3Rank in VA (highest ratio = 1) 12 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 37 DRGs that can be compared with the national average, Spotsylvania Regional Medical Center charged more than the national average in 5 (14%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 128 | $75,219 | -17% | $15,042 |
| 291 Heart Failure and Shock with MCC | 94 | $48,231 | -14% | $9,917 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $56,103 | -6% | $10,165 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 40 | $38,225 | -5% | $6,968 |
| 682 Renal Failure with MCC | 37 | $44,789 | -32% | $11,565 |
| 690 Kidney and Urinary Tract Infections without MCC | 36 | $40,592 | +7% | $6,630 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $45,022 | -8% | $8,214 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $47,633 | -15% | $8,647 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $42,443 | -26% | $9,767 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 30 | $62,260 | -18% | $11,691 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 28 | $119,467 | -41% | $34,638 |
| 683 Renal Failure with CC | 27 | $35,473 | -13% | $7,645 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $145,854 | +27% | $13,710 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $44,583 | -13% | $8,771 |
| 312 Syncope and Collapse | 23 | $38,273 | -16% | $6,900 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $52,431 | -26% | $12,451 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $49,811 | -17% | $10,146 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 19 | $93,104 | +5% | $18,058 |
| 552 Medical Back Problems without MCC | 18 | $39,794 | -19% | $7,620 |
| 884 Organic Disturbances and Intellectual Disability | 18 | $45,643 | -27% | $12,612 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $74,771 | -25% | $14,521 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $44,564 | -12% | $8,189 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $148,263 | -9% | $21,267 |
| 069 Transient Ischemia without Thrombolytic | 15 | $42,301 | -16% | $6,760 |
| 305 Hypertension without MCC | 15 | $36,606 | -9% | $6,106 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $28,152 | -2% | $4,949 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $40,275 | -29% | $10,084 |
| 101 Seizures without MCC | 14 | $37,670 | -23% | $7,105 |
| 389 Gastrointestinal Obstruction with CC | 14 | $30,916 | -21% | $6,376 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 13 | $28,909 | -27% | $7,124 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $29,094 | -19% | $6,051 |
| 603 Cellulitis without MCC | 13 | $39,235 | +5% | $8,157 |
| 149 Dysequilibrium | 12 | $43,315 | -2% | $7,375 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $26,360 | -29% | $6,306 |
| 092 Other Disorders of Nervous System with CC | 11 | $55,414 | +7% | $7,854 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $70,654 | -4% | $12,774 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $204,196 | -11% | $34,058 |
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Spotsylvania Regional Medical Center charged $75,219 on average, 15% more than the Virginia average of $65,235, and was paid $15,042 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Spotsylvania Regional Medical Center charged $48,231 on average, 18% more than the Virginia average of $40,795, and was paid $9,917 against a state average of $11,030. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Spotsylvania Regional Medical Center charged $56,103 on average, 25% more than the Virginia average of $44,717, and was paid $10,165 against a state average of $11,065. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Spotsylvania Regional Medical Center charged $38,225 on average, 13% more than the Virginia average of $33,943, and was paid $6,968 against a state average of $7,129. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $100,629 was 20% above the state average of $83,920. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,525 was 15% above the state average of $19,506. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $97,866 was 20% above the state average of $81,535. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,334 was 11% below the state average of $31,869.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Spotsylvania Regional Medical Center in Fredericksburg, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-14 (CMS case 2016)
- Met Requirements — 2025-04-28 (CMS case 4178)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.