Eye Socket, Pituitary or Ear CT Scan (without contrast) at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$4,972.00
Cash price 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.
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What you pay up front if you don't use insurance.
$4,972.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$164.23 with Anthem vs $4,474.80 with 4Most Health Nework — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Anthem | HIX | $164.23 | ↓ -97% |
| Anthem | HPN | $208.38 | ↓ -96% |
| Anthem | HMO | $225.86 | ↓ -95% |
| Anthem | PPO | $225.86 | ↓ -95% |
| UNITED | SmallBusiness | $245.18 | ↓ -95% |
| UNITED | AllPayerAppendix | $245.18 | ↓ -95% |
| UNITED | NavigateCorePayer | $245.18 | ↓ -95% |
| UNITED | NewBusiness | $245.18 | ↓ -95% |
| Lifeworks | MCR | $944.68 | ↓ -81% |
| United | OptionsPPO | $1,034.18 | ↓ -79% |
| Universal Healthcare Group | MCR | $1,093.84 | ↓ -78% |
| Aetna | SharedSavings | $1,464.00 | ↓ -71% |
| Virginia Health Network | ULTRA | $1,740.20 | ↓ -65% |
| Aetna | Broad | $1,773.00 | ↓ -64% |
| United | GlobalBenefitPlan | $2,237.40 | ↓ -55% |
| Value Options | COMM | $2,983.20 | ↓ -40% |
| Virginia Health Network | WC | $3,231.80 | ↓ -35% |
| Virginia Health Network | COMM | $3,231.80 | ↓ -35% |
| CorVel | WorkersComp | $3,579.84 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $3,977.60 | ↓ -20% |
| Multiplan | PHCS | $4,474.80 | ↓ -10% |
| 4Most Health Nework | COMM | $4,474.80 | ↓ -10% |
Visitor-reported prices
Comments
Eye Socket, Pituitary or Ear CT Scan (without contrast) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $628.00 | $106.34 – $1,432.00 |
| Inova Fairfax Hospital | Falls Church | $628.00 | $106.34 – $1,432.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $628.00 | $106.34 – $1,432.00 |
| Inova Loudoun Hospital | Leesburg | $628.00 | $106.34 – $1,432.00 |
| Inova Mount Vernon Hospital | Alexandria | $628.00 | $106.34 – $1,432.00 |
| Johnston Memorial Hospital | ABINGDON | $559.65 | $102.00 – $222.37 |
| Russell County Hospital | LEBANON | $559.65 | $102.00 – $222.37 |
| Sentara Martha Jefferson Hospital | Charlottesville | $923.00 | $104.04 – $107.10 |