Occupational Therapy Evaluation (moderate complexity) at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$997.00
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.
$997.00
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.
$84.67 with TriAtlantic vs $897.30 with Multiplan — 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 |
|---|---|---|---|
| TriAtlantic | TRICR | $84.67 | ↓ -92% |
| United | VACCN | $87.66 | ↓ -91% |
| Humana | MCR | $87.66 | ↓ -91% |
| Devoted | MCR | $87.66 | ↓ -91% |
| United Behavioral Health | VACCN | $87.66 | ↓ -91% |
| Sentara Health | MCR | $87.66 | ↓ -91% |
| Aetna | MGMCR | $88.66 | ↓ -91% |
| Virginia Premier Health | MGMCR | $89.41 | ↓ -91% |
| United | MGMCR | $89.41 | ↓ -91% |
| Anthem | MGMCR | $90.29 | ↓ -91% |
| Evernorth Behavioral Health | MCR | $91.16 | ↓ -91% |
| Cigna HealthSpring | MCR | $91.16 | ↓ -91% |
| DaVita Village Health | MCR | $91.16 | ↓ -91% |
| Align Senior Care | MGMCR | $93.79 | ↓ -91% |
| Pyramid Life | MGMCR | $93.79 | ↓ -91% |
| Health Net | TRICR | $94.63 | ↓ -91% |
| Humana Military | TRCR | $96.62 | ↓ -90% |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $99.61 | ↓ -90% |
| Naphcare | GVT | $118.34 | ↓ -88% |
| Oscar | COMM | $169.49 | ↓ -83% |
| Lifeworks | MCR | $189.43 | ↓ -81% |
| United | OptionsPPO | $207.38 | ↓ -79% |
| Universal Healthcare Group | MCR | $219.34 | ↓ -78% |
| Virginia Health Network | ULTRA | $348.95 | ↓ -65% |
| United | GlobalBenefitPlan | $448.65 | ↓ -55% |
| Value Options | COMM | $598.20 | ↓ -40% |
| Virginia Health Network | WC | $648.05 | ↓ -35% |
| Virginia Health Network | COMM | $648.05 | ↓ -35% |
| CorVel | WorkersComp | $717.84 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $797.60 | ↓ -20% |
| 4Most Health Nework | COMM | $897.30 | ↓ -10% |
| Multiplan | PHCS | $897.30 | ↓ -10% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $212.50 | $113.16 – $382.25 |
| Inova Fairfax Hospital | Falls Church | $212.50 | $113.16 – $382.25 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $212.50 | $113.16 – $382.25 |
| Inova Loudoun Hospital | Leesburg | $212.50 | $113.16 – $382.25 |
| Inova Mount Vernon Hospital | Alexandria | $212.50 | $113.16 – $382.25 |
| Johnston Memorial Hospital | ABINGDON | $75.45 | $46.00 – $324.81 |
| Russell County Hospital | LEBANON | $75.45 | $46.00 – $324.81 |
| Sentara Martha Jefferson Hospital | Charlottesville | $207.50 | $101.60 – $104.59 |