Tl-201 thallium diag per mci at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$829.00
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.
$829.00
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.
$34.98 with Cigna vs $829.00 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 |
|---|---|---|---|
| Cigna | IFP | $34.98 | ↓ -96% |
| Cigna | PPO | $51.30 | ↓ -94% |
| Cigna | HMO | $51.30 | ↓ -94% |
| Aetna | MGMCR | $124.35 | ↓ -85% |
| UNITED | SmallBusiness | $126.56 | ↓ -85% |
| UNITED | NewBusiness | $126.56 | ↓ -85% |
| UNITED | NavigateCorePayer | $126.56 | ↓ -85% |
| UNITED | AllPayerAppendix | $126.56 | ↓ -85% |
| Oscar | COMM | $140.93 | ↓ -83% |
| Lifeworks | MCR | $157.51 | ↓ -81% |
| United | OptionsPPO | $172.43 | ↓ -79% |
| Universal Healthcare Group | MCR | $182.38 | ↓ -78% |
| Aetna | Broad | $265.28 | ↓ -68% |
| Aetna | SharedSavings | $273.57 | ↓ -67% |
| Virginia Health Network | ULTRA | $290.15 | ↓ -65% |
| United | GlobalBenefitPlan | $373.05 | ↓ -55% |
| Value Options | COMM | $497.40 | ↓ -40% |
| Virginia Health Network | WC | $538.85 | ↓ -35% |
| Virginia Health Network | COMM | $538.85 | ↓ -35% |
| Naphcare | GVT | $538.85 | ↓ -35% |
| CorVel | WorkersComp | $596.88 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $663.20 | ↓ -20% |
| Multiplan | PHCS | $746.10 | ↓ -10% |
| 4Most Health Nework | COMM | $746.10 | ↓ -10% |
| United Behavioral Health | VACCN | $829.00 | ↑ +0% |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $373.00 | $126.56 – $126.56 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $603.00 | $143.28 – $143.28 |
| RESTON HOSPITAL CENTER | VIENNA | $533.66 | $30.31 – $126.56 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $562.68 | $34.98 – $126.56 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $485.25 | $30.31 – $126.56 |