Tc-99m pentetate dtpa at CJW Medical Center-Chippenham Hospital Campus

14720 HANCOCK VILLAGE ST, CHESTERFIELD, VA · HCA Virginia · · NPI 1598708513

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

$1,144.00

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$1,144.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$33.56 with Cigna vs $1,144.00 with United Behavioral Health — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Cigna IFP $33.56 ↓ -97%
Cigna PPO $49.22 ↓ -96%
Cigna HMO $49.22 ↓ -96%
UNITED NewBusiness $76.11 ↓ -93%
UNITED SmallBusiness $76.11 ↓ -93%
UNITED AllPayerAppendix $76.11 ↓ -93%
UNITED NavigateCorePayer $76.11 ↓ -93%
Aetna MGMCR $171.60 ↓ -85%
Oscar COMM $194.48 ↓ -83%
Lifeworks MCR $217.36 ↓ -81%
United OptionsPPO $237.95 ↓ -79%
Universal Healthcare Group MCR $251.68 ↓ -78%
Aetna Broad $366.08 ↓ -68%
Aetna SharedSavings $377.52 ↓ -67%
Virginia Health Network ULTRA $400.40 ↓ -65%
United GlobalBenefitPlan $514.80 ↓ -55%
Value Options COMM $686.40 ↓ -40%
Greenvbrier Sporting Club COMM $686.40 ↓ -40%
Naphcare GVT $743.60 ↓ -35%
Virginia Health Network COMM $743.60 ↓ -35%
Virginia Health Network WC $743.60 ↓ -35%
CorVel WorkersComp $823.68 ↓ -28%
Evernorth COMM $915.20 ↓ -20%
OccuNet Workers Comp WorkersComp $915.20 ↓ -20%
Multiplan PHCS $1,029.60 ↓ -10%
4Most Health Nework COMM $1,029.60 ↓ -10%
United Behavioral Health VACCN $1,144.00 ↑ +0%

Visitor-reported prices

visitor-reported
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Tc-99m pentetate dtpa at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $2,561.00 $76.11 – $76.11
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $755.00 $76.11 – $76.11
LEWISGALE MEDICAL CENTER ROANOKE $595.00 $86.16 – $86.16
TRICITIES HOSPITAL HOPEWELL $1,144.00 $33.56 – $76.11
RESTON HOSPITAL CENTER VIENNA $551.46 $29.08 – $76.11
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $581.04 $33.56 – $76.11
STONESPRINGS HOSPITAL CENTER Dulles $501.51 $29.08 – $76.11
HENRICO DOCTORS HOSPITAL RICHMOND $1,144.00 $33.56 – $76.11

All Virginia hospitals for this procedure →