Screening HIV antigen/antibody combination assay at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$1,069.00
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.
$1,069.00
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.
$20.95 with TriAtlantic vs $962.10 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 | $20.95 | ↓ -98% |
| Health Net | TRICR | $23.42 | ↓ -98% |
| Humana Military | TRCR | $23.91 | ↓ -98% |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $24.08 | ↓ -98% |
| UNITED | AllPayerAppendix | $24.08 | ↓ -98% |
| UNITED | NavigateCorePayer | $24.08 | ↓ -98% |
| UNITED | NewBusiness | $24.08 | ↓ -98% |
| UNITED | SmallBusiness | $24.08 | ↓ -98% |
| United Behavioral Health | VACCN | $24.08 | ↓ -98% |
| Devoted | MCR | $24.08 | ↓ -98% |
| United | VACCN | $24.08 | ↓ -98% |
| Humana | MCR | $24.08 | ↓ -98% |
| Sentara Health | MCR | $24.08 | ↓ -98% |
| Aetna | MGMCR | $24.35 | ↓ -98% |
| United | MGMCR | $24.56 | ↓ -98% |
| Virginia Premier Health | MGMCR | $24.56 | ↓ -98% |
| Anthem | MGMCR | $24.80 | ↓ -98% |
| Cigna HealthSpring | MCR | $25.04 | ↓ -98% |
| Evernorth Behavioral Health | MCR | $25.04 | ↓ -98% |
| DaVita Village Health | MCR | $25.04 | ↓ -98% |
| Clear Spring Health Plan | MCR | $25.28 | ↓ -98% |
| Pyramid Life | MGMCR | $25.77 | ↓ -98% |
| Align Senior Care | MGMCR | $25.77 | ↓ -98% |
| Naphcare | GVT | $32.51 | ↓ -97% |
| Oscar | COMM | $60.20 | ↓ -94% |
| Anthem | HIX | $70.00 | ↓ -93% |
| Anthem | HPN | $88.81 | ↓ -92% |
| Anthem | HMO | $96.27 | ↓ -91% |
| Anthem | PPO | $96.27 | ↓ -91% |
| Cigna | HMO | $103.37 | ↓ -90% |
| Cigna | PPO | $103.37 | ↓ -90% |
| Cigna | IFP | $108.59 | ↓ -90% |
| Lifeworks | MCR | $203.11 | ↓ -81% |
| United | OptionsPPO | $222.35 | ↓ -79% |
| Universal Healthcare Group | MCR | $235.18 | ↓ -78% |
| Virginia Health Network | ULTRA | $374.15 | ↓ -65% |
| United | GlobalBenefitPlan | $481.05 | ↓ -55% |
| Value Options | COMM | $641.40 | ↓ -40% |
| Virginia Health Network | WC | $694.85 | ↓ -35% |
| Virginia Health Network | COMM | $694.85 | ↓ -35% |
| CorVel | WorkersComp | $769.68 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $855.20 | ↓ -20% |
| 4Most Health Nework | COMM | $962.10 | ↓ -10% |
| Multiplan | PHCS | $962.10 | ↓ -10% |
| Aetna | SharedSavings | not published by hospital | — |
| Aetna | Broad | not published by hospital | — |
Visitor-reported prices
Comments
Screening HIV antigen/antibody combination assay at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $20.95 – $34.92 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $20.95 – $107.66 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $20.95 – $25.77 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $18.49 – $25.77 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $20.95 – $34.92 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $24.08 – $91.65 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $23.91 – $97.33 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $18.49 – $91.65 |