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 |
|---|---|---|---|---|
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $72.84 – $848.52 | 3 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,900.23 – $4,606.24 | 19 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.79 – $2.76 | 6 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $130.12 – $130.12 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $180.20 – $586.23 | 6 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $115.03 – $182.70 | 19 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $532.00 | $532.00 | $1.33 – $3.74 | 6 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $51.47 – $81.74 | 19 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $79.46 – $126.20 | 19 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $6,900.00 | $6,900.00 | $161.28 – $401.74 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $7,028.00 | $7,028.00 | $154.76 – $828.27 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $6,632.00 | $6,632.00 | $128.01 – $245.18 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $8,058.00 | $8,058.00 | $291.16 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $7,811.00 | $7,811.00 | $226.92 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $7,811.00 | $7,811.00 | $189.03 – $517.79 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $1,648.00 | $1,648.00 | $29.63 – $245.18 | 3 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $402.73 – $543.69 | 15 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $16.07 – $42.14 | 2 |
| Lso corset front HCPCS L0972 | not published | not published | $117.97 – $187.37 | 19 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $55.39 – $87.98 | 19 |
| Lso full corset HCPCS L0976 | not published | not published | $156.19 – $248.06 | 19 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $165.12 – $262.25 | 19 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,344.72 – $2,135.73 | 19 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $784.34 – $1,245.71 | 19 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $106.94 – $169.84 | 19 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $934.94 – $1,484.91 | 19 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,384.06 – $2,198.22 | 19 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $292.37 – $464.36 | 19 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $189.35 – $300.74 | 19 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,066.91 – $1,694.51 | 19 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,095.31 – $1,739.61 | 19 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.13 – $94.40 | 22 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.93 – $3.06 | 19 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $62.13 – $98.69 | 19 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $84.60 – $134.37 | 19 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $111.95 – $3,947.38 | 3 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $81.33 – $129.17 | 19 |
| Lumbar sling HCPCS L1090 | not published | not published | $115.57 – $183.55 | 19 |
| Lumizyme injection HCPCS J0221 | not published | not published | $171.33 – $549.58 | 6 |
| Lung perfusion imaging CPT 78580 | $4,162.00 | $4,162.00 | $93.08 – $1,183.54 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $174.28 – $558.57 | 6 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $35.05 – $113.34 | 6 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $320.27 – $850.04 | 2 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $260.81 – $687.20 | 2 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $521.69 – $828.56 | 19 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $288.48 – $458.18 | 19 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $17.45 – $86.07 | 22 |
| Lymphatics/lymph node imaging CPT 78195 | $3,731.00 | $3,731.00 | $147.37 – $1,742.87 | 3 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $31.82 – $156.92 | 22 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $42.67 – $210.51 | 22 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $164.92 – $813.58 | 22 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $41.41 – $204.29 | 22 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $119.64 – $1,314.89 | 3 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $149.19 – $3,163.82 | 3 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $104.05 – $6,438.74 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $140.25 – $6,438.74 | 3 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $13.03 – $40.02 | 6 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.03 – $30.92 | 3 |
| Macroscopic exam arthropod CPT 87168 | $274.00 | $274.00 | $3.71 – $18.35 | 22 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $3.75 – $18.50 | 22 |
| Magnesium CPT 83735 | not published | not published | $5.83 – $28.81 | 22 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.42 – $1.09 | 6 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $202.94 – $517.79 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $11.47 – $56.59 | 22 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $1,012.00 | $1,012.00 | $1.92 – $2.37 | 5 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $3.13 – $7.05 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $66.72 – $105.96 | 19 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.41 – $21.79 | 22 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $41.25 – $142.44 | 6 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $3,323.10 – $3,323.10 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $93.97 – $149.24 | 19 |
| Mastectomy form HCPCS L8020 | not published | not published | $260.36 – $413.51 | 19 |
| Mastoids complete CPT 70130 | not published | not published | $44.27 – $298.04 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $73.40 – $336.92 | 5 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $6,801.68 – $6,801.68 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.27 – $336.92 | 5 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $30.54 – $150.65 | 22 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $23.75 – $117.17 | 22 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $37.28 – $183.93 | 22 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $12.58 – $62.09 | 22 |
| Mayo aathr protein s free CPT 85306 | $171.00 | $171.00 | $13.33 – $65.79 | 22 |
| Mayo activated protein c resistance assay CPT 85307 | $412.00 | $412.00 | $13.33 – $65.79 | 22 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $597.00 | $597.00 | $33.57 – $165.59 | 22 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $646.00 | $646.00 | $12.86 – $63.48 | 22 |
| Mayo alpha 1 antitrypsin CPT 82103 | $603.00 | $603.00 | $11.70 – $57.72 | 22 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $13.12 – $64.74 | 22 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $121.63 – $522.17 | 19 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $732.00 | $732.00 | $91.66 – $393.52 | 19 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $588.17 | 19 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,160.00 – $4,980.09 | 19 |
| Mayo androstenedione CPT 82157 | not published | not published | $25.48 – $125.70 | 22 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $597.00 | $597.00 | $12.71 – $62.68 | 22 |
| Mayo antithrombin iii antigen CPT 85301 | $552.00 | $552.00 | $9.41 – $46.44 | 22 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $13.10 – $64.58 | 22 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $26.85 – $132.48 | 22 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $30.54 – $150.65 | 22 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $8.86 – $43.72 | 22 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $144.84 – $621.86 | 19 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $921.40 | 19 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $11.23 – $55.41 | 22 |
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.