Tc-99m exametazime diag at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$4,996.00
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.
$4,996.00
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.
$849.32 with Oscar vs $4,496.40 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 | $849.32 | ↓ -83% |
| Lifeworks | MCR | $949.24 | ↓ -81% |
| United | OptionsPPO | $1,039.17 | ↓ -79% |
| Universal Healthcare Group | MCR | $1,099.12 | ↓ -78% |
| Aetna | Broad | $1,598.72 | ↓ -68% |
| Aetna | SharedSavings | $1,648.68 | ↓ -67% |
| Virginia Health Network | ULTRA | $1,748.60 | ↓ -65% |
| Cigna | IFP | $1,835.66 | ↓ -63% |
| United | GlobalBenefitPlan | $2,248.20 | ↓ -55% |
| UNITED | AllPayerAppendix | $2,458.43 | ↓ -51% |
| UNITED | SmallBusiness | $2,458.43 | ↓ -51% |
| UNITED | NewBusiness | $2,458.43 | ↓ -51% |
| UNITED | NavigateCorePayer | $2,458.43 | ↓ -51% |
| Cigna | HMO | $2,692.30 | ↓ -46% |
| Cigna | PPO | $2,692.30 | ↓ -46% |
| Value Options | COMM | $2,997.60 | ↓ -40% |
| Virginia Health Network | WC | $3,247.40 | ↓ -35% |
| Virginia Health Network | COMM | $3,247.40 | ↓ -35% |
| CorVel | WorkersComp | $3,597.12 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $3,996.80 | ↓ -20% |
| Multiplan | PHCS | $4,496.40 | ↓ -10% |
| 4Most Health Nework | COMM | $4,496.40 | ↓ -10% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $6,224.00 | $2,458.43 – $2,458.43 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $3,424.00 | $2,458.43 – $2,458.43 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $2,570.00 | $2,458.43 – $2,458.43 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $2,751.00 | $2,783.13 – $2,783.13 |
| RESTON HOSPITAL CENTER | VIENNA | $4,749.24 | $1,590.91 – $2,458.43 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $4,709.88 | $1,835.66 – $2,458.43 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $4,318.82 | $1,590.91 – $2,458.43 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $1,835.66 – $2,458.43 |