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 |
|---|---|---|---|---|
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $2,042,143.00 – $2,042,143.00 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $276.00 | $276.00 | $17.45 – $86.07 | 22 |
| #afb mycobacteria suscep. #1 CPT 87190 | $157.00 | $157.00 | $6.36 – $31.38 | 22 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $2,133.00 | $2,133.00 | $100.39 – $495.24 | 22 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $588.17 | 19 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $1,179.89 | 19 |
| Aflibercept injection HCPCS J0178 | not published | not published | $676.48 – $2,024.34 | 6 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $12.48 – $68.21 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $547.56 – $869.66 | 19 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,154.89 – $1,834.23 | 19 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $483.05 – $767.21 | 19 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $909.83 – $1,445.03 | 19 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $266.76 – $423.67 | 19 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $358.47 – $569.34 | 19 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $341.47 – $542.34 | 19 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $765.74 – $1,216.17 | 19 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $263.51 – $418.51 | 19 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $573.71 – $911.18 | 19 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,156.34 – $1,836.54 | 19 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $664.11 – $1,054.77 | 19 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $667.10 – $1,059.51 | 19 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $767.56 – $1,219.06 | 19 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $531.86 – $844.72 | 19 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,625.74 – $2,582.06 | 19 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $477.90 – $759.01 | 19 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $189.41 – $610.35 | 6 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,550.22 – $4,050.35 | 19 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,676.60 – $2,662.83 | 19 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $571.56 – $907.77 | 19 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,249.69 – $1,984.80 | 19 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $558.48 – $886.99 | 19 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $87.92 – $139.63 | 19 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $216.43 – $343.74 | 19 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $109.34 – $173.66 | 19 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,420.17 – $5,432.04 | 19 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $142.86 – $226.89 | 19 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $188.78 – $299.84 | 19 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $198.03 – $314.52 | 19 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,413.31 – $2,244.67 | 19 |
| Albumin body fluid quantitative each specimen CPT 82042 | $384.00 | $384.00 | $6.77 – $33.41 | 22 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $45.12 – $140.66 | 6 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $18.05 – $56.26 | 6 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $1,720.00 | $1,720.00 | $45.12 – $140.66 | 6 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $9.03 – $35.12 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $29.54 – $145.69 | 22 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $421.00 | $421.00 | $5.03 – $24.83 | 22 |
| Albumin serum plasma or whole blood CPT 82040 | $313.00 | $313.00 | $4.31 – $21.28 | 22 |
| Albuterol comp con HCPCS J7610 | not published | not published | $1.29 – $1.29 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.54 – $0.54 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $107.00 | $107.00 | $0.16 – $0.53 | 6 |
| Albuterol non-comp con HCPCS J7611 | $92.00 | $92.00 | $0.15 – $0.69 | 6 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.19 | 6 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.27 – $74.17 | 19 |
| Aldesleukin injection HCPCS J9015 | $17,221.00 | $17,221.00 | $6,490.26 – $8,848.01 | 2 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $109.22 – $538.83 | 22 |
| Alefacept HCPCS J0215 | not published | not published | $43.72 – $43.72 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,075.27 – $6,484.82 | 6 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $8.92 – $14.16 | 19 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $19.92 – $31.64 | 19 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $6.39 – $10.15 | 19 |
| Alglucerase injection HCPCS J0205 | not published | not published | $44.13 – $44.13 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $217.03 – $217.03 | 1 |
| Alkaline phosphatase CPT 84075 | $313.00 | $313.00 | $4.50 – $22.26 | 22 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $15.61 – $76.95 | 22 |
| Allergen egg white ige CPT 86003 | $171.00 | $171.00 | $4.54 – $22.38 | 22 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $6.94 – $34.21 | 22 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $70.35 – $336.92 | 5 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $86.85 – $336.92 | 5 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $336.92 – $336.92 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $20.80 – $336.92 | 5 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $134.58 – $336.92 | 5 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $4,231.00 | $4,231.00 | $336.92 – $336.92 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $109.17 – $336.92 | 5 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $209.97 – $336.92 | 5 |
| Alloskin HCPCS Q4115 | not published | not published | $10.52 – $336.92 | 5 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $32.19 – $336.92 | 5 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.39 – $14.23 | 6 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $56.05 – $276.56 | 22 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $14.79 – $72.99 | 22 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $14.59 – $71.99 | 22 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $1.27 – $11.00 | 2 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $27.01 – $27.01 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $77.74 – $248.65 | 6 |
| Alt/sgpt CPT 84460 | $313.00 | $313.00 | $4.62 – $22.80 | 22 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $3.91 – $12.22 | 6 |
| Aluminum - quest CPT 82108 | not published | not published | $22.18 – $109.38 | 22 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $31.74 – $37.34 | 4 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $12.29 – $14.46 | 4 |
| Amifostine HCPCS J0207 | $7,091.00 | $7,091.00 | $1,147.48 – $1,160.41 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $350.00 | $350.00 | $0.51 – $1.64 | 6 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.21 – $25.70 | 22 |
| Amino acid screen, urine CPT 82128 | not published | not published | $12.07 – $59.57 | 22 |
| Amino acid single qual CPT 82127 | not published | not published | $12.34 – $60.91 | 22 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $17.07 – $84.22 | 22 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $400.00 | $400.00 | $1.10 – $4.21 | 6 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.51 – $4.74 | 6 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $14.31 – $70.60 | 22 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $335.25 – $1,033.05 | 6 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $538.00 | $538.00 | $9.39 – $27.59 | 6 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.20 – $6.70 | 6 |
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.