Infect ag na resp virus 12-25 targets at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$718.00
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.
$718.00
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.
$136.42 with Lifeworks vs $1,879.85 with Cigna — 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 |
|---|---|---|---|
| Lifeworks | MCR | $136.42 | ↓ -81% |
| United | OptionsPPO | $149.34 | ↓ -79% |
| Universal Healthcare Group | MCR | $157.96 | ↓ -78% |
| Virginia Health Network | ULTRA | $251.30 | ↓ -65% |
| United | GlobalBenefitPlan | $323.10 | ↓ -55% |
| TriAtlantic | TRICR | $362.69 | ↓ -49% |
| Health Net | TRICR | $405.36 | ↓ -44% |
| Humana Military | TRCR | $413.90 | ↓ -42% |
| Sentara Health | MCR | $416.78 | ↓ -42% |
| UNITED | AllPayerAppendix | $416.78 | ↓ -42% |
| UNITED | NavigateCorePayer | $416.78 | ↓ -42% |
| UNITED | NewBusiness | $416.78 | ↓ -42% |
| UNITED | SmallBusiness | $416.78 | ↓ -42% |
| United Behavioral Health | VACCN | $416.78 | ↓ -42% |
| Devoted | MCR | $416.78 | ↓ -42% |
| United | VACCN | $416.78 | ↓ -42% |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $416.78 | ↓ -42% |
| Humana | MCR | $416.78 | ↓ -42% |
| Aetna | MGMCR | $421.53 | ↓ -41% |
| Virginia Premier Health | MGMCR | $425.12 | ↓ -41% |
| United | MGMCR | $425.12 | ↓ -41% |
| Anthem | MGMCR | $429.28 | ↓ -40% |
| Value Options | COMM | $430.80 | ↓ -40% |
| Cigna HealthSpring | MCR | $433.45 | ↓ -40% |
| Evernorth Behavioral Health | MCR | $433.45 | ↓ -40% |
| DaVita Village Health | MCR | $433.45 | ↓ -40% |
| Clear Spring Health Plan | MCR | $437.62 | ↓ -39% |
| Pyramid Life | MGMCR | $445.95 | ↓ -38% |
| Align Senior Care | MGMCR | $445.95 | ↓ -38% |
| Virginia Health Network | WC | $466.70 | ↓ -35% |
| Virginia Health Network | COMM | $466.70 | ↓ -35% |
| CorVel | WorkersComp | $516.96 | ↓ -28% |
| Naphcare | GVT | $562.65 | ↓ -22% |
| OccuNet Workers Comp | WorkersComp | $574.40 | ↓ -20% |
| Multiplan | PHCS | $646.20 | ↓ -10% |
| 4Most Health Nework | COMM | $646.20 | ↓ -10% |
| Oscar | COMM | $1,041.95 | ↑ +45% |
| Anthem | HIX | $1,211.58 | ↑ +69% |
| Anthem | HPN | $1,537.08 | ↑ +114% |
| Anthem | PPO | $1,666.29 | ↑ +132% |
| Anthem | HMO | $1,666.29 | ↑ +132% |
| Cigna | HMO | $1,789.34 | ↑ +149% |
| Cigna | PPO | $1,789.34 | ↑ +149% |
| Cigna | IFP | $1,879.85 | ↑ +162% |
| Aetna | SharedSavings | not published by hospital | — |
| Aetna | Broad | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
| Optima Health | POS | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Infect ag na resp virus 12-25 targets at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $1,348.00 | $362.69 – $604.33 |
| Inova Alexandria Hospital | Alexandria | $1,981.00 | $213.69 – $2,595.28 |
| Inova Fairfax Hospital | Falls Church | $1,981.00 | $213.69 – $2,595.28 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,981.00 | $213.69 – $2,595.28 |
| Inova Loudoun Hospital | Leesburg | $1,981.00 | $213.69 – $2,595.28 |
| Inova Mount Vernon Hospital | Alexandria | $1,981.00 | $213.69 – $2,595.28 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,217.00 | $362.69 – $1,863.42 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $1,706.00 | $362.69 – $445.95 |