Mr safety implant&/fb assmt clin staff ea add 30 at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
not published by hospital
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.
not published by hospital
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.
$9.45 with Aetna vs $208.99 with Anthem — 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 |
|---|---|---|---|
| Aetna | MGMCR | $9.45 | — |
| Lifeworks | MCR | $11.97 | — |
| United | OptionsPPO | $13.10 | — |
| Universal Healthcare Group | MCR | $13.86 | — |
| Aetna | Broad | $20.16 | — |
| Aetna | SharedSavings | $20.79 | — |
| Virginia Health Network | ULTRA | $22.05 | — |
| United | GlobalBenefitPlan | $28.35 | — |
| Value Options | COMM | $37.80 | — |
| Naphcare | GVT | $40.95 | — |
| Virginia Health Network | WC | $40.95 | — |
| Virginia Health Network | COMM | $40.95 | — |
| CorVel | WorkersComp | $45.36 | — |
| OccuNet Workers Comp | WorkersComp | $50.40 | — |
| 4Most Health Nework | COMM | $56.70 | — |
| Multiplan | PHCS | $56.70 | — |
| United Behavioral Health | VACCN | $63.00 | — |
| Anthem | HIX | $151.93 | — |
| Anthem | HPN | $192.83 | — |
| Anthem | PPO | $208.99 | — |
| Anthem | HMO | $208.99 | — |
| Optima Health | PPO | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
| Optima Health | POS | not published by hospital | — |
Visitor-reported prices
Comments
Mr safety implant&/fb assmt clin staff ea add 30 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $18.50 | $16.49 – $28.86 |
| Inova Fairfax Hospital | Falls Church | $18.50 | $16.49 – $28.86 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $18.50 | $16.49 – $28.86 |
| Inova Loudoun Hospital | Leesburg | $18.50 | $16.49 – $28.86 |
| Inova Mount Vernon Hospital | Alexandria | $18.50 | $16.49 – $28.86 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $284.12 – $284.12 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $169.22 – $169.22 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $232.49 – $232.49 |