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 |
|---|---|---|---|---|
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.33 – $3.58 | 6 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $625.83 – $993.96 | 19 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.77 – $7.08 | 2 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.49 – $0.49 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $58.28 – $336.92 | 5 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $57.86 – $188.60 | 6 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.04 – $1.04 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $14,270.54 | 19 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,535.00 | $1,535.00 | $21.76 – $69.17 | 6 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $266.05 – $858.36 | 6 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $23.54 – $81.83 | 6 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $825.69 | 19 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $868.94 | 19 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $2,899.63 | 19 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $1,421.06 | 19 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $19.63 – $27.51 | 19 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.93 – $7.60 | 19 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $165.24 – $530.70 | 3 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $27.38 – $36.96 | 15 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $664.18 – $1,054.88 | 19 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $161.96 | 22 |
| Molded inner boot HCPCS L2280 | not published | not published | $444.63 – $706.19 | 19 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,487.81 – $3,951.23 | 19 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $3,654.30 – $5,803.89 | 19 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,266.88 – $2,012.11 | 19 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $3,974.70 – $6,312.76 | 19 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.14 – $14.06 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $9.65 – $30.08 | 6 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $298.90 – $474.73 | 19 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $359.10 – $570.33 | 19 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $19,153.82 – $30,420.77 | 19 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $564.09 – $1,496.64 | 6 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $274.55 | 19 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $645.35 | 19 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $1,179.89 | 19 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $1,293.76 | 19 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $1,214.45 | 19 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $3,633.23 | 19 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $8,586.37 | 19 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $3.94 – $8.06 | 6 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $5.64 – $17.94 | 6 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $9.08 – $9.08 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $8.35 – $35.78 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $2,346.00 | $2,346.00 | $149.16 – $1,041.65 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $631.00 | $631.00 | $291.26 – $846.69 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $998.00 | $998.00 | $149.16 – $433.61 | 3 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $544.82 – $1,736.76 | 6 |
| Mouth piece HCPCS A4617 | not published | not published | $3.76 – $5.97 | 19 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.11 – $182.75 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $665.00 | $665.00 | $149.16 – $1,407.18 | 3 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $85.84 – $404.88 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $149.16 – $433.61 | 3 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $645.35 | 19 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $17.45 – $86.07 | 22 |
| M.pneumon dna quant CPT 87582 | not published | not published | $263.35 – $1,299.19 | 22 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $144.85 – $237.20 | 2 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $208.89 – $672.82 | 6 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $205.63 – $665.75 | 6 |
| MRA chest w IV cont HCPCS C8909 | $5,680.00 | $5,680.00 | $828.27 – $828.27 | 1 |
| MRA chest wo IV cont HCPCS C8910 | $5,786.00 | $5,786.00 | $517.79 – $517.79 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $828.27 – $828.27 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $208.34 – $668.12 | 6 |
| MRA pelvis CPT 72198 | not published | not published | $209.96 – $672.03 | 6 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $828.27 – $828.27 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | $4,144.00 | $4,144.00 | $517.79 – $517.79 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $227.79 – $693.25 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $215.08 – $693.25 | 2 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $828.27 – $828.27 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $517.79 – $517.79 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $517.79 – $517.79 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $4,319.00 | $4,319.00 | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $828.27 – $828.27 | 1 |
| Mr elastography CPT 76391 | not published | not published | $138.19 – $517.79 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $401.74 – $471.77 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $428.29 – $1,086.50 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $401.74 – $430.78 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $182.68 – $517.79 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $267.17 – $639.07 | 2 |
| MRI breast without cont bi CPT 77047 | not published | not published | $201.96 – $517.79 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $292.08 – $635.92 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $297.70 – $517.79 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $331.46 – $828.27 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $381.73 – $1,609.16 | 2 |
| MRI chest without contrast CPT 71550 | $7,584.00 | $7,584.00 | $183.57 – $517.79 | 2 |
| MRI chest without & w/contrast CPT 71552 | $7,824.00 | $7,824.00 | $286.48 – $828.27 | 2 |
| MRI chest w IV cont CPT 71551 | not published | not published | $219.45 – $1,609.16 | 2 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,344.88 – $2,135.98 | 19 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $235.78 – $235.78 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $383.34 – $517.79 | 2 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $194.28 – $194.28 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $526.99 – $526.99 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $2,813.63 – $2,813.63 | 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.