Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at TRICITIES HOSPITAL

411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248

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

not published by hospital

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.

not published by hospital

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.

$0.03 with TriAtlantic vs $621.00 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
TriAtlantic TRICR $0.03
Health Net TRICR $0.04
Humana Military TRCR $0.04
Johns Hopkins UniformedServicesFamilyHealthPlan $0.04
Cigna IFP $0.04
Cigna HMO $0.06
Cigna PPO $0.06
UNITED AllPayerAppendix $0.32
UNITED NavigateCorePayer $0.32
UNITED NewBusiness $0.32
UNITED SmallBusiness $0.32
Aetna MGMCR $93.15
United OptionsPPO $129.17
Virginia Health Network ULTRA $217.35
United GlobalBenefitPlan $279.45
Value Options COMM $372.60
Virginia Health Network WC $403.65
Virginia Health Network COMM $403.65
Naphcare GVT $403.65
CorVel WorkersComp $447.12
OccuNet Workers Comp WorkersComp $496.80
4Most Health Nework COMM $558.90
Multiplan PHCS $558.90
United Behavioral Health VACCN $621.00

Visitor-reported prices

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Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-PULASKI PULASKI $178.00 $0.03 – $0.32
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $0.03 – $0.32
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $0.03 – $0.32
LEWISGALE MEDICAL CENTER ROANOKE not published $0.03 – $0.36
RESTON HOSPITAL CENTER VIENNA not published $0.04 – $0.32
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $0.04 – $0.32
STONESPRINGS HOSPITAL CENTER Dulles not published $0.03 – $0.32
HENRICO DOCTORS HOSPITAL RICHMOND not published $0.03 – $0.32

All Virginia hospitals for this procedure →