Tc-99m tilmanocept diag at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$1,523.00
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.
$1,523.00
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.
$228.45 with Aetna vs $1,523.00 with United Behavioral Health — 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 |
|---|---|---|---|
| Aetna | MGMCR | $228.45 | ↓ -85% |
| Oscar | COMM | $258.91 | ↓ -83% |
| Lifeworks | MCR | $289.37 | ↓ -81% |
| United | OptionsPPO | $316.78 | ↓ -79% |
| Universal Healthcare Group | MCR | $335.06 | ↓ -78% |
| Aetna | Broad | $487.36 | ↓ -68% |
| Aetna | SharedSavings | $502.59 | ↓ -67% |
| Virginia Health Network | ULTRA | $533.05 | ↓ -65% |
| United | GlobalBenefitPlan | $685.35 | ↓ -55% |
| Cigna | IFP | $708.55 | ↓ -53% |
| Value Options | COMM | $913.80 | ↓ -40% |
| Virginia Health Network | WC | $989.95 | ↓ -35% |
| Virginia Health Network | COMM | $989.95 | ↓ -35% |
| Naphcare | GVT | $989.95 | ↓ -35% |
| Cigna | PPO | $1,039.21 | ↓ -32% |
| Cigna | HMO | $1,039.21 | ↓ -32% |
| CorVel | WorkersComp | $1,096.56 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $1,218.40 | ↓ -20% |
| 4Most Health Nework | COMM | $1,370.70 | ↓ -10% |
| Multiplan | PHCS | $1,370.70 | ↓ -10% |
| United Behavioral Health | VACCN | $1,523.00 | ↑ +0% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $633.87 | $112.32 – $1,052.16 |
| Inova Fairfax Hospital | Falls Church | $633.87 | $112.32 – $1,052.16 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $633.87 | $112.32 – $1,052.16 |
| Inova Loudoun Hospital | Leesburg | $633.87 | $112.32 – $1,052.16 |
| Inova Mount Vernon Hospital | Alexandria | $633.87 | $112.32 – $1,052.16 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,523.00 | $708.55 – $708.55 |
| RESTON HOSPITAL CENTER | VIENNA | $1,841.51 | $614.08 – $614.08 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $1,951.56 | $708.55 – $708.55 |