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 |
|---|---|---|---|---|
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $586.43 – $931.39 | 19 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $1,009.97 – $1,604.07 | 19 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $72.85 – $115.71 | 19 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $92.82 – $147.42 | 19 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $914.82 – $1,452.95 | 19 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $624.14 – $991.28 | 19 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,048.11 – $1,664.64 | 19 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $213.78 – $339.53 | 19 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $758.22 – $1,204.23 | 19 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,163.96 – $1,848.65 | 19 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,585.68 – $2,518.44 | 19 |
| Kras gene addl variants CPT 81276 | not published | not published | $168.17 – $829.65 | 22 |
| Kras gene variants exon 2 CPT 81275 | $718.00 | $718.00 | $168.17 – $829.65 | 22 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,300.88 – $4,046.36 | 2 |
| Kyphosis pad HCPCS L1020 | not published | not published | $84.43 – $134.10 | 19 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $161.16 – $255.96 | 19 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.36 – $0.93 | 6 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $420.68 – $668.14 | 19 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $1,101.00 | $1,101.00 | $0.21 – $0.21 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $5.25 – $25.96 | 22 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $1.95 – $6.31 | 6 |
| Lactic acid CPT 83605 | not published | not published | $10.07 – $49.68 | 22 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $17.14 – $84.60 | 22 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $17.09 – $84.27 | 22 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $152.24 – $241.80 | 19 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $33.62 – $93.78 | 6 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.04 – $0.24 | 2 |
| Laronidase injection HCPCS J1931 | not published | not published | $32.82 – $105.87 | 6 |
| Laryngeal function studies CPT 92520 | not published | not published | $92.25 – $124.54 | 15 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $22.36 – $26.31 | 4 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $122.26 – $208.80 | 19 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $255.58 – $405.92 | 19 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $79.90 – $126.90 | 19 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $74.81 – $118.81 | 19 |
| Lead capillary CPT 83655 | $378.00 | $378.00 | $10.54 – $51.99 | 22 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $348.71 – $553.84 | 19 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $2.13 – $3.38 | 19 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.39 – $2.21 | 19 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.13 – $3.38 | 19 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,746.10 – $2,773.21 | 19 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,287.08 – $2,044.18 | 19 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,105.48 – $1,755.76 | 19 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,754.32 – $2,786.28 | 19 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $17.45 – $86.07 | 22 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $36.34 – $179.26 | 22 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,491.61 – $2,369.03 | 19 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,429.00 | $2,429.00 | $1,002.33 – $1,002.33 | 1 |
| Leishmania antibody CPT 86717 | not published | not published | $10.66 – $52.58 | 22 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | not published | $123.87 – $196.74 | 19 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $123.87 – $196.74 | 19 |
| Lepirudin HCPCS J1945 | not published | not published | $599.07 – $599.07 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $2.98 – $10.18 | 6 |
| Leukacyte transfusion CPT 86950 | not published | not published | $9.38 – $433.61 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.04 – $44.59 | 22 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $146.45 – $452.57 | 6 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,419.75 – $4,674.26 | 6 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,060.81 – $5,060.81 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $54.15 – $401.48 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $187.63 – $1,872.68 | 6 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $44.52 – $151.13 | 6 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.51 – $5.30 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.24 – $1.01 | 6 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $0.21 | 6 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.04 – $0.11 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $597.00 | $597.00 | $11.53 – $56.87 | 22 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $0.88 – $5.72 | 6 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $335.50 – $1,028.52 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,096.00 | $1,096.00 | $6.17 – $15.85 | 6 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.13 | 2 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $1,512.00 | $1,512.00 | $0.01 – $0.03 | 6 |
| Lidocaine therapeutic drug level CPT 80176 | $603.00 | $603.00 | $12.78 – $63.07 | 22 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $207.73 – $329.93 | 19 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $75.18 – $119.41 | 19 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $38.91 – $61.80 | 19 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $577.03 – $916.46 | 19 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $997.89 – $3,111.05 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $46.44 – $73.75 | 19 |
| Limited autopsy CPT 88036 | not published | not published | $13.60 – $306.34 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $12.08 – $271.83 | 3 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $132.71 – $210.78 | 19 |
| Lincomycin injection HCPCS J2010 | not published | not published | $5.30 – $14.31 | 6 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $2,308.00 | $2,308.00 | $2.95 – $7.26 | 6 |
| Lipase CPT 83690 | not published | not published | $5.99 – $29.58 | 22 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $29.47 – $145.38 | 22 |
| Lipoprotein blood quant CPT 83704 | $374.00 | $374.00 | $29.75 – $146.77 | 22 |
| Lipoprotein direct measurement hdl CPT 83718 | $288.00 | $288.00 | $7.12 – $35.13 | 22 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $9.14 – $45.10 | 22 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $29.75 – $146.77 | 22 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $438,975.70 – $1,489,833.29 | 5 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.47 – $56.59 | 22 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $164.75 – $261.66 | 19 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $66.09 – $104.96 | 19 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $515.58 – $818.86 | 19 |
| Lithium therapeutic drug level CPT 80178 | $277.00 | $277.00 | $5.75 – $28.40 | 22 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $153.32 – $756.40 | 22 |
| Liver elastography 91200 CPT 91200 | not published | not published | $313.99 – $313.99 | 1 |
| Liver Function Test CPT 80076 | not published | not published | $7.11 – $35.08 | 22 |
| Liver imaging CPT 78201 | not published | not published | $54.40 – $1,101.15 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $63.47 – $1,109.98 | 3 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $62.60 – $1,034.27 | 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.