St treatment swallow dysfunction/oral at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$736.00
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.
$736.00
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.
$69.73 with TriAtlantic vs $662.40 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 | $69.73 | ↓ -91% |
| Health Net | TRICR | $77.94 | ↓ -89% |
| Humana Military | TRCR | $79.58 | ↓ -89% |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $82.04 | ↓ -89% |
| United Behavioral Health | VACCN | $84.95 | ↓ -88% |
| Humana | MCR | $84.95 | ↓ -88% |
| Sentara Health | MCR | $84.95 | ↓ -88% |
| Devoted | MCR | $84.95 | ↓ -88% |
| United | VACCN | $84.95 | ↓ -88% |
| Aetna | MGMCR | $85.92 | ↓ -88% |
| Virginia Premier Health | MGMCR | $86.65 | ↓ -88% |
| United | MGMCR | $86.65 | ↓ -88% |
| Anthem | MGMCR | $87.50 | ↓ -88% |
| Evernorth Behavioral Health | MCR | $88.35 | ↓ -88% |
| Cigna HealthSpring | MCR | $88.35 | ↓ -88% |
| DaVita Village Health | MCR | $88.35 | ↓ -88% |
| Clear Spring Health Plan | MCR | $89.20 | ↓ -88% |
| Pyramid Life | MGMCR | $90.90 | ↓ -88% |
| Align Senior Care | MGMCR | $90.90 | ↓ -88% |
| Naphcare | GVT | $114.68 | ↓ -84% |
| Oscar | COMM | $125.12 | ↓ -83% |
| Lifeworks | MCR | $139.84 | ↓ -81% |
| United | OptionsPPO | $153.09 | ↓ -79% |
| Universal Healthcare Group | MCR | $161.92 | ↓ -78% |
| Aetna | Broad | $235.52 | ↓ -68% |
| Aetna | SharedSavings | $242.88 | ↓ -67% |
| Virginia Health Network | ULTRA | $257.60 | ↓ -65% |
| United | GlobalBenefitPlan | $331.20 | ↓ -55% |
| Value Options | COMM | $441.60 | ↓ -40% |
| Virginia Health Network | WC | $478.40 | ↓ -35% |
| Virginia Health Network | COMM | $478.40 | ↓ -35% |
| CorVel | WorkersComp | $529.92 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $588.80 | ↓ -20% |
| 4Most Health Nework | COMM | $662.40 | ↓ -10% |
| Multiplan | PHCS | $662.40 | ↓ -10% |
| Optima Health | POS | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
Visitor-reported prices
Comments
St treatment swallow dysfunction/oral at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $333.00 | $69.73 – $89.25 |
| Inova Alexandria Hospital | Alexandria | $210.00 | $50.91 – $335.92 |
| Inova Fairfax Hospital | Falls Church | $210.00 | $50.91 – $335.92 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $210.00 | $50.91 – $335.92 |
| Inova Loudoun Hospital | Leesburg | $210.00 | $50.91 – $335.92 |
| Inova Mount Vernon Hospital | Alexandria | $210.00 | $50.91 – $335.92 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $550.00 | $61.53 – $90.90 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $507.60 | $79.58 – $90.90 |