TRICITIES HOSPITAL
411 W RANDOLPH RD, HOPEWELL, VA · HCA Virginia · · NPI 1285671248
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| CT scan for localization CPT 77011 | not published | not published | $166.38 – $166.38 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $20,098.00 | $20,098.00 | $256.01 – $828.27 | 2 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $16,308.00 | $16,308.00 | $231.10 – $828.27 | 2 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $11,436.00 | $11,436.00 | $220.35 – $517.79 | 2 |
| CT thoracic spine w/contrast CPT 72129 | $6,104.00 | $6,104.00 | $154.76 – $401.74 | 2 |
| CT thoracic spine without contrast CPT 72128 | $6,632.00 | $6,632.00 | $128.01 – $245.18 | 2 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $281.00 | $281.00 | $136.37 – $182.03 | 2 |
| CT t-spine w /wo contrast CPT 72130 | $6,498.00 | $6,498.00 | $161.28 – $401.74 | 2 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $147.32 – $828.27 | 2 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $128.01 – $245.18 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $153.78 – $401.74 | 2 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,021.51 – $1,622.40 | 19 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $141.86 – $433.61 | 3 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $147.54 – $433.61 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $7.03 – $34.67 | 22 |
| Culture afb any source CPT 87116 | $763.00 | $763.00 | $9.40 – $46.36 | 22 |
| Culture anaerobic additional method definitive id each CPT 87076 | $469.00 | $469.00 | $7.03 – $34.67 | 22 |
| Culture anaerobic except blood CPT 87075 | $740.00 | $740.00 | $8.24 – $40.68 | 22 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $8.41 – $41.48 | 22 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $18.84 – $54.77 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | $335.00 | $335.00 | $8.21 – $40.55 | 22 |
| Culture body fluid CPT 87070 | not published | not published | $7.51 – $36.98 | 22 |
| Culture fungi definitive id mold CPT 87107 | $645.00 | $645.00 | $8.98 – $44.31 | 22 |
| Culture fungi definitive id yeast CPT 87106 | $645.00 | $645.00 | $8.98 – $44.31 | 22 |
| Culture fungi other (except blood) CPT 87102 | $624.00 | $624.00 | $7.32 – $36.13 | 22 |
| Culture fungi skin/hair/nail CPT 87101 | $317.00 | $317.00 | $6.71 – $33.10 | 22 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $597.00 | $597.00 | $12.72 – $62.76 | 22 |
| Culture mycoplasma any source CPT 87109 | $863.00 | $863.00 | $13.40 – $66.05 | 22 |
| Culture of specimen by kit CPT 87084 | not published | not published | $23.55 – $116.24 | 22 |
| Culture quantitative aerobic other source CPT 87071 | $645.00 | $645.00 | $8.61 – $42.48 | 22 |
| Culture screening strep group a CPT 87081 | not published | not published | $5.77 – $28.48 | 22 |
| Culture type pulse field gel CPT 87152 | not published | not published | $6.73 – $33.23 | 22 |
| Culture typing added method CPT 87158 | not published | not published | $6.73 – $33.23 | 22 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $10.90 – $53.76 | 22 |
| Culture typing immunologic CPT 87147 | $222.00 | $222.00 | $4.50 – $22.26 | 22 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $189.76 – $936.17 | 22 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $30.54 – $150.65 | 22 |
| Culture urine each isolate CPT 87088 | $574.00 | $574.00 | $7.04 – $34.75 | 22 |
| Culture virus isolation CPT 87250 | not published | not published | $17.03 – $83.94 | 22 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,343.77 – $2,134.22 | 19 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,343.77 – $2,134.22 | 19 |
| Custom glove for term device HCPCS L6895 | not published | not published | $644.20 – $1,023.14 | 19 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,120.69 – $1,779.92 | 19 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $611.26 – $970.83 | 19 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,468.55 – $2,332.41 | 19 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,093.09 – $1,736.09 | 19 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $12.46 – $61.50 | 22 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $299.00 | $299.00 | $0.57 – $1.70 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | $432.00 | $432.00 | $11.27 – $55.61 | 22 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.68 – $1.56 | 6 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.97 – $4.82 | 6 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $60.69 – $195.25 | 6 |
| Cyclosporine 2 hour CPT 80158 | $901.00 | $901.00 | $15.71 – $77.49 | 22 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $120.00 | $120.00 | $0.63 – $1.40 | 6 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.72 – $4.80 | 6 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $282.56 – $336.92 | 5 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $336.92 – $444.74 | 5 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $1,250.84 | 19 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $750.52 | 19 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $1,935.83 | 19 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $750.52 | 19 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $750.52 | 19 |
| Cystatin c CPT 82610 | $443.00 | $443.00 | $16.12 – $79.52 | 22 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $2,142.30 | 22 |
| Cystine urine quantitative CPT 82131 | not published | not published | $20.00 – $98.69 | 22 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $41.45 – $828.27 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $1,122.00 | $1,122.00 | $0.69 – $2.23 | 6 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $659.79 – $659.79 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,042.48 – $4,980.09 | 22 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $36.88 – $181.96 | 22 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $35.42 – $174.76 | 22 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $4,980.09 | 19 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $3,863.87 | 19 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $4,658.05 | 17 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $10.43 – $51.45 | 22 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $549.00 | $549.00 | $12.52 – $61.76 | 22 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $610.00 | $610.00 | $14.66 – $72.32 | 22 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $11.68 – $57.59 | 22 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,540.21 – $4,792.07 | 6 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $26.13 – $128.94 | 22 |
| Cyto/molecular report CPT 88291 | not published | not published | $27.73 – $140.55 | 7 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $22.07 – $108.92 | 22 |
| Cytopath c/v automated CPT 88147 | not published | not published | $44.00 – $217.04 | 22 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $24.05 – $118.68 | 22 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $15.83 – $76.23 | 22 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $12.75 – $62.89 | 22 |
| Cytopath c/v manual CPT 88150 | not published | not published | $15.15 – $76.23 | 22 |
| Cytopath c/v redo CPT 88153 | not published | not published | $20.91 – $103.16 | 22 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $20.05 – $98.94 | 22 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $24.67 – $223.51 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $597.00 | $597.00 | $49.76 – $174.30 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $23.15 – $114.26 | 22 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $17.63 – $86.99 | 22 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $576.00 | $576.00 | $33.84 – $198.22 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $33.84 – $206.68 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $7.33 – $35.13 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $377.00 | $377.00 | $91.34 – $433.61 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $479.00 | $479.00 | $49.76 – $421.71 | 3 |
| Cytopath smear other source CPT 88160 | not published | not published | $24.67 – $231.97 | 3 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.76 – $382.36 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.