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 |
|---|---|---|---|---|
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $10.31 – $103.22 | 5 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $342.65 – $544.21 | 19 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $18,399.95 – $29,223.45 | 19 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $16,666.38 – $26,470.13 | 19 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,343.77 – $2,134.22 | 19 |
| Intracranial complete study CPT 93886 | not published | not published | $1,484.77 – $1,484.77 | 1 |
| Intracranial limited study CPT 93888 | not published | not published | $877.35 – $877.35 | 1 |
| Intrinsic factor antibody CPT 86340 | $528.00 | $528.00 | $13.12 – $64.74 | 22 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $69.12 – $69.12 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $3,417.00 | $3,417.00 | $150.72 – $461.15 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $183.62 – $1,050.25 | 2 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $343.14 – $343.14 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.35 – $1.06 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.12 – $0.40 | 6 |
| Io radiation tx management CPT 77469 | not published | not published | $732.48 – $732.48 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $9,166.00 – $9,166.00 | 1 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.30 – $0.30 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $153.19 – $495.31 | 6 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.05 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $318.00 | $318.00 | $0.31 – $1.06 | 6 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $1,884.00 | $1,884.00 | $1.39 – $4.74 | 6 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $55.49 – $174.79 | 6 |
| Iron CPT 83540 | $199.00 | $199.00 | $5.63 – $27.81 | 22 |
| Iron binding capacity CPT 83550 | $266.00 | $266.00 | $7.61 – $37.52 | 22 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $1,267.00 | $1,267.00 | $14.65 – $47.91 | 6 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.98 – $29.53 | 22 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $2,342.00 | $2,342.00 | $0.20 – $0.64 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | $566.00 | $566.00 | $3.62 – $98.37 | 3 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.42 – $5.43 | 19 |
| Irrigation tray HCPCS A4320 | not published | not published | $6.47 – $10.27 | 19 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $67.03 – $223.40 | 6 |
| Ivc venogram s&i CPT 75825 | $6,799.00 | $6,799.00 | $141.99 – $6,438.74 | 3 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $159.58 – $159.58 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $117.11 – $2,408.81 | 3 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $62.60 – $831.91 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $62.60 – $725.90 | 3 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $115.78 – $370.95 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $795.11 | 19 |
| John cunningham antibody CPT 86711 | not published | not published | $14.70 – $72.53 | 22 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,211.59 – $1,924.29 | 19 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,099.85 – $1,746.82 | 19 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,818.20 – $2,887.73 | 19 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,051.89 – $1,670.65 | 19 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,283.98 – $2,039.27 | 19 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,255.50 – $1,994.03 | 19 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $985.77 – $1,565.64 | 19 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,077.39 – $3,299.39 | 19 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,752.03 – $2,782.63 | 19 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $178.41 – $283.35 | 19 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,031.49 – $1,638.25 | 19 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $4,177.93 – $6,635.53 | 19 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $962.25 – $1,528.28 | 19 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,779.78 – $2,826.71 | 19 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $336.92 – $637.68 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $13.46 – $66.43 | 22 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $7.11 – $35.08 | 22 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.42 – $0.87 | 6 |
| Kidney function study CPT 78725 | not published | not published | $46.96 – $848.52 | 3 |
| Kidney imaging morphology CPT 78700 | not published | not published | $55.32 – $893.64 | 3 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $174.18 – $1,773.15 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $3,977.00 | $3,977.00 | $119.75 – $1,112.14 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $2,437.00 | $2,437.00 | $94.03 – $477.61 | 3 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $44.61 – $70.85 | 19 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $8.47 – $13.46 | 19 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $536.13 | 19 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $14.76 – $23.44 | 19 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $19.76 – $336.92 | 5 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,759.27 – $2,794.14 | 19 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $19.87 – $31.56 | 19 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $129.58 – $205.81 | 19 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $101.72 – $161.55 | 19 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $84.30 – $133.89 | 19 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $605.63 – $961.89 | 19 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $723.33 – $1,148.82 | 19 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $146.14 – $232.11 | 19 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $146.14 – $232.11 | 19 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $123.84 – $196.68 | 19 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $88.88 – $141.17 | 19 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $132.69 – $210.75 | 19 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $273.69 – $828.27 | 2 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $207.67 – $1,609.16 | 2 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $173.44 – $517.79 | 2 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $300.08 – $476.60 | 19 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,570.72 – $2,494.67 | 19 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $947.97 – $1,505.60 | 19 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $448.39 – $712.15 | 19 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $758.44 – $1,204.58 | 19 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $567.76 – $901.73 | 19 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $462.41 – $734.41 | 19 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,062.52 – $3,275.76 | 19 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $2,569.62 – $4,081.16 | 19 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,238.94 – $1,967.73 | 19 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $989.24 – $1,571.14 | 19 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $14,822.22 – $23,541.17 | 19 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,098.52 – $1,744.71 | 19 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,831.03 – $2,908.10 | 19 |
| Knee X-ray CPT 73564 | not published | not published | $30.61 – $245.18 | 3 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $374.26 – $594.42 | 19 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $3,462.31 – $5,498.97 | 19 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $586.43 – $931.39 | 19 |
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.