Physical Therapy Re-Evaluation at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$386.00
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.
$386.00
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.
$56.76 with TriAtlantic vs $347.40 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 | $56.76 | ↓ -85% |
| United | VACCN | $58.77 | ↓ -85% |
| Humana | MCR | $58.77 | ↓ -85% |
| Devoted | MCR | $58.77 | ↓ -85% |
| United Behavioral Health | VACCN | $58.77 | ↓ -85% |
| Sentara Health | MCR | $58.77 | ↓ -85% |
| Aetna | MGMCR | $59.44 | ↓ -85% |
| Virginia Premier Health | MGMCR | $59.94 | ↓ -84% |
| United | MGMCR | $59.94 | ↓ -84% |
| Anthem | MGMCR | $60.53 | ↓ -84% |
| Evernorth Behavioral Health | MCR | $61.12 | ↓ -84% |
| Cigna HealthSpring | MCR | $61.12 | ↓ -84% |
| DaVita Village Health | MCR | $61.12 | ↓ -84% |
| Align Senior Care | MGMCR | $62.88 | ↓ -84% |
| Pyramid Life | MGMCR | $62.88 | ↓ -84% |
| Health Net | TRICR | $63.44 | ↓ -84% |
| Humana Military | TRCR | $64.78 | ↓ -83% |
| Oscar | COMM | $65.62 | ↓ -83% |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $66.78 | ↓ -83% |
| Lifeworks | MCR | $73.34 | ↓ -81% |
| Naphcare | GVT | $79.33 | ↓ -79% |
| United | OptionsPPO | $80.29 | ↓ -79% |
| Universal Healthcare Group | MCR | $84.92 | ↓ -78% |
| Virginia Health Network | ULTRA | $135.10 | ↓ -65% |
| United | GlobalBenefitPlan | $173.70 | ↓ -55% |
| Value Options | COMM | $231.60 | ↓ -40% |
| Virginia Health Network | WC | $250.90 | ↓ -35% |
| Virginia Health Network | COMM | $250.90 | ↓ -35% |
| CorVel | WorkersComp | $277.92 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $308.80 | ↓ -20% |
| 4Most Health Nework | COMM | $347.40 | ↓ -10% |
| Multiplan | PHCS | $347.40 | ↓ -10% |
Visitor-reported prices
Comments
Physical Therapy Re-Evaluation at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $183.00 | $76.38 – $348.87 |
| Inova Fairfax Hospital | Falls Church | $183.00 | $76.38 – $348.87 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $183.00 | $76.38 – $348.87 |
| Inova Loudoun Hospital | Leesburg | $183.00 | $76.38 – $348.87 |
| Inova Mount Vernon Hospital | Alexandria | $183.00 | $76.38 – $348.87 |
| Johnston Memorial Hospital | ABINGDON | $48.60 | $46.00 – $296.44 |
| Russell County Hospital | LEBANON | $48.60 | $46.00 – $296.45 |
| Sentara Martha Jefferson Hospital | Charlottesville | $90.00 | $68.12 – $70.12 |