Scan duplex abd/pelvis/retroperitoneal limited at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$2,070.00
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.
$2,070.00
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.
$351.90 with Oscar vs $1,863.00 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 |
|---|---|---|---|
| Oscar | COMM | $351.90 | ↓ -83% |
| Lifeworks | MCR | $393.30 | ↓ -81% |
| United | OptionsPPO | $430.56 | ↓ -79% |
| Universal Healthcare Group | MCR | $455.40 | ↓ -78% |
| Aetna | SharedSavings | $683.10 | ↓ -67% |
| Virginia Health Network | ULTRA | $724.50 | ↓ -65% |
| Cigna | HMO | $786.47 | ↓ -62% |
| Cigna | PPO | $786.47 | ↓ -62% |
| Cigna | IFP | $826.25 | ↓ -60% |
| United | GlobalBenefitPlan | $931.50 | ↓ -55% |
| Value Options | COMM | $1,242.00 | ↓ -40% |
| Virginia Health Network | COMM | $1,345.50 | ↓ -35% |
| Virginia Health Network | WC | $1,345.50 | ↓ -35% |
| CorVel | WorkersComp | $1,490.40 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $1,656.00 | ↓ -20% |
| Multiplan | PHCS | $1,863.00 | ↓ -10% |
| 4Most Health Nework | COMM | $1,863.00 | ↓ -10% |
| Aetna | Broad | not published by hospital | — |
| Optima Health | POS | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Scan duplex abd/pelvis/retroperitoneal limited at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $899.50 | $106.34 – $1,131.75 |
| Inova Fairfax Hospital | Falls Church | $899.50 | $106.34 – $1,131.75 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $899.50 | $106.34 – $1,131.75 |
| Inova Loudoun Hospital | Leesburg | $899.50 | $106.34 – $1,131.75 |
| Inova Mount Vernon Hospital | Alexandria | $899.50 | $106.34 – $1,131.75 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $786.47 – $786.47 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $697.35 – $919.31 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $740.57 – $740.57 |