Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
$2,481.00
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.
?
What you pay up front if you don't use insurance.
$2,481.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$37.98 with Cigna vs $2,550.00 with Lifeworks — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | HMO | $37.98 | ↓ -98% |
| Cigna | PPO | $37.98 | ↓ -98% |
| Cigna | IFP | $39.91 | ↓ -98% |
| Aetna | MGMCR | $372.15 | ↓ -85% |
| United | OptionsPPO | $516.05 | ↓ -79% |
| Virginia Health Network | ULTRA | $868.35 | ↓ -65% |
| United | GlobalBenefitPlan | $1,116.45 | ↓ -55% |
| Value Options | COMM | $1,488.60 | ↓ -40% |
| Naphcare | GVT | $1,612.65 | ↓ -35% |
| Virginia Health Network | WC | $1,612.65 | ↓ -35% |
| Virginia Health Network | COMM | $1,612.65 | ↓ -35% |
| CorVel | WorkersComp | $1,786.32 | ↓ -28% |
| OccuNet Workers Comp | WorkersComp | $1,984.80 | ↓ -20% |
| Universal Healthcare Group | MCR | $1,995.00 | ↓ -20% |
| 4Most Health Nework | COMM | $2,232.90 | ↓ -10% |
| Multiplan | PHCS | $2,232.90 | ↓ -10% |
| United Behavioral Health | VACCN | $2,481.00 | ↑ +0% |
| Lifeworks | MCR | $2,550.00 | ↑ +3% |
Visitor-reported prices
Comments
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $95.00 | $37.20 – $943.00 |
| Inova Fairfax Hospital | Falls Church | $95.00 | $37.20 – $943.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $95.00 | $37.20 – $943.00 |
| Inova Loudoun Hospital | Leesburg | $95.00 | $37.20 – $943.00 |
| Inova Mount Vernon Hospital | Alexandria | $95.00 | $37.20 – $943.00 |
| RESTON HOSPITAL CENTER | VIENNA | $837.32 | $33.69 – $33.69 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $2,540.79 | $35.77 – $35.77 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $2,481.00 | $37.98 – $37.98 |