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 |
|---|---|---|---|---|
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $301.00 | $301.00 | $7.34 – $36.26 | 22 |
| Mayo pregnenolone CPT 84140 | not published | not published | $17.99 – $88.77 | 22 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $14.43 – $71.19 | 22 |
| Mayo proinsulin CPT 84206 | $896.00 | $896.00 | $23.23 – $114.60 | 22 |
| Mayo psaft prostate specific antigen free CPT 84154 | $751.00 | $751.00 | $16.01 – $78.92 | 22 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $16.01 – $79.00 | 22 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $11.63 – $57.34 | 22 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $31.82 – $157.00 | 22 |
| Mayo renin CPT 84244 | $763.00 | $763.00 | $19.13 – $94.40 | 22 |
| Mayo repu protein electrophoresis urine CPT 84166 | $807.00 | $807.00 | $15.51 – $76.56 | 22 |
| Mayo selenium CPT 84255 | $597.00 | $597.00 | $22.22 – $109.58 | 22 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $13.49 – $66.59 | 22 |
| Mayo serotonin CPT 84260 | $1,092.00 | $1,092.00 | $26.96 – $133.02 | 22 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $16.84 – $83.09 | 22 |
| Mayo sirolimus therapeutic drug level CPT 80195 | not published | not published | $11.95 – $58.90 | 22 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $92.03 – $230.07 | 17 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | not published | not published | $3.71 – $18.35 | 22 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $128.92 – $322.30 | 17 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $896.96 | 19 |
| Mayo tgrp testosterone free CPT 84402 | $856.00 | $856.00 | $22.17 – $109.38 | 22 |
| Mayo tgrp testosterone total CPT 84403 | $562.00 | $562.00 | $22.46 – $110.82 | 22 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $19.29 – $95.17 | 22 |
| Mayo thyroglobulin CPT 84432 | $597.00 | $597.00 | $13.97 – $68.95 | 22 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $8.86 – $43.72 | 22 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $10.78 – $53.17 | 22 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $44.63 – $220.15 | 22 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $345.00 | $345.00 | $12.32 – $60.75 | 22 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $11.78 – $58.13 | 22 |
| Mayo vasoactive intestinal peptide CPT 84586 | $916.00 | $916.00 | $30.74 – $151.66 | 22 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $561.00 | $561.00 | $17.61 – $86.92 | 22 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $14.85 – $73.24 | 22 |
| Mayo vitamin k CPT 84597 | $549.00 | $549.00 | $11.94 – $58.90 | 22 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $597.00 | $597.00 | $11.53 – $56.87 | 22 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $168.75 | 19 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $6.00 – $7.06 | 4 |
| Md service required for pmd HCPCS G0372 | not published | not published | $6.00 – $7.06 | 4 |
| Mecasermin injection HCPCS J2170 | not published | not published | $393.73 – $1,226.92 | 2 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $321.38 – $510.42 | 19 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $337.81 – $346.96 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $643.99 | 19 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $2,266.28 | 19 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $515.18 | 19 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $285.46 – $3,130.34 | 2 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.60 – $1.27 | 2 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.29 – $0.29 | 1 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.81 – $12.40 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $223.49 – $336.92 | 5 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $116.01 – $336.92 | 5 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $22.36 – $90.37 | 5 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $154.85 – $336.92 | 5 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $70,495.36 – $221,874.56 | 2 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $143.58 – $336.92 | 5 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $61.05 – $336.92 | 6 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $53.80 – $336.92 | 5 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $207.91 – $800.51 | 6 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $275.00 | $275.00 | $8.62 – $21.60 | 6 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $3.98 – $20.35 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $25.96 – $84.51 | 6 |
| Mercaptopurine 50 mg HCPCS S0108 | $127.00 | $127.00 | $3.06 – $3.06 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.37 – $1.01 | 6 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $336.92 – $336.92 | 1 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $19.31 – $19.31 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.16 – $4.51 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | not published | not published | $7.36 – $36.34 | 22 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | not published | not published | $9.19 – $45.31 | 22 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $11.95 – $58.90 | 22 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,736.08 – $2,757.31 | 19 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $364.27 – $578.54 | 19 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.39 – $5.04 | 6 |
| Methadone injection HCPCS J1230 | not published | not published | $17.77 – $46.91 | 6 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.33 – $0.33 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.41 – $12.03 | 6 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $134.00 | $134.00 | $0.17 – $0.40 | 6 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $253.00 | $253.00 | $2.19 – $6.84 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $597.00 | $597.00 | $33.57 – $165.59 | 22 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $87.87 – $87.87 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $25.68 – $44.52 | 2 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $5.03 – $26.00 | 2 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $362.00 | $362.00 | $18.10 – $56.60 | 6 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.52 – $5.57 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $53.00 | $53.00 | $0.20 – $0.37 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.09 – $0.32 | 6 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.21 – $0.69 | 6 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $56.00 | $56.00 | $0.96 – $2.86 | 6 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $830.00 | $830.00 | $0.32 – $0.32 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.08 | 6 |
| Metyrapone panel CPT 80436 | not published | not published | $79.33 – $391.33 | 22 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $535.13 | 19 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.24 – $0.66 | 6 |
| Microalbumin urine screen CPT 82044 | not published | not published | $5.42 – $26.75 | 22 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $34.96 – $172.45 | 22 |
| Microdissection laser CPT 88380 | not published | not published | $78.86 – $310.69 | 3 |
| Microdissection manual CPT 88381 | not published | not published | $180.05 – $753.50 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $19.57 – $96.50 | 22 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $4,649.48 – $7,384.47 | 19 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $1,496.41 | 19 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.11 – $0.37 | 6 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.14 – $0.48 | 6 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $92.53 – $362.96 | 3 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $38.38 – $38.38 | 1 |
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.