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 |
|---|---|---|---|---|
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $204.79 – $828.27 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $171.52 – $517.79 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $273.69 – $828.27 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $7,584.00 | $7,584.00 | $170.54 – $517.79 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $7,824.00 | $7,824.00 | $272.71 – $828.27 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $7,584.00 | $7,584.00 | $205.74 – $828.27 | 2 |
| MRI tmj CPT 70336 | $7,584.00 | $7,584.00 | $184.44 – $517.79 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $173.44 – $517.79 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $274.64 – $828.27 | 2 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $206.71 – $828.27 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | $7,584.00 | $7,584.00 | $828.27 – $828.27 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $401.74 – $401.74 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | $7,824.00 | $7,824.00 | $828.27 – $828.27 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $828.27 – $828.27 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $76.56 – $198.11 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $95.20 – $206.53 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $151.93 – $151.93 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $76.75 – $133.65 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $63.00 | $63.00 | $31.59 – $55.10 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $95.87 – $543.87 | 2 |
| Mr spectroscopy CPT 76390 | not published | not published | $182.03 – $182.03 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $915.77 | 19 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $1,638.73 | 19 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $1,449.92 | 19 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $1,021.78 | 19 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $2,755.55 | 19 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $1,322.29 | 19 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $280.52 | 19 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $23.39 – $115.39 | 22 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $37.28 – $183.93 | 22 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.10 – $25.16 | 22 |
| Mucopolysaccharides CPT 83864 | not published | not published | $24.80 – $122.38 | 22 |
| Mucormycosis antibody CPT 86732 | not published | not published | $13.06 – $64.40 | 22 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $3,811.50 – $6,053.56 | 19 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $662.91 – $1,052.87 | 19 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $46.89 – $74.47 | 19 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $31.42 – $49.90 | 19 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $532.81 – $846.23 | 19 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $696.60 – $1,106.37 | 19 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,222.02 – $5,117.32 | 19 |
| Mumps antibody igg CPT 86735 | not published | not published | $11.36 – $56.00 | 22 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $41.98 – $207.14 | 22 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $17.45 – $86.07 | 22 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $37.28 – $183.93 | 22 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.13 – $0.40 | 6 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.32 – $0.85 | 6 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $11.53 – $56.87 | 22 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $753.04 | 19 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $165.81 – $1,609.16 | 3 |
| Myelography l-s spine CPT 72265 | not published | not published | $110.73 – $1,609.16 | 3 |
| Myelography neck spine CPT 72240 | not published | not published | $118.77 – $1,609.16 | 3 |
| Myelography thoracic spine CPT 72255 | not published | not published | $116.14 – $1,609.16 | 3 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | not published | not published | $10.03 – $49.47 | 22 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $195.91 – $3,330.77 | 2 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $215.00 – $3,330.77 | 2 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $263.75 – $6,188.63 | 2 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $277.39 – $6,188.63 | 2 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $228.58 – $3,330.77 | 2 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $239.71 – $5,063.63 | 2 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $205.06 – $3,330.77 | 2 |
| Nabilone oral HCPCS J8650 | not published | not published | $41.98 – $41.98 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $173.75 | $173.75 | $0.16 – $0.23 | 2 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $140.00 | $140.00 | $2.62 – $9.14 | 6 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | not published | not published | $0.19 – $0.19 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $3.50 – $11.24 | 6 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.94 – $10.63 | 2 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $1,445.81 – $2,296.28 | 19 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $20.71 – $64.95 | 6 |
| Natriuretic peptide CPT 83880 | not published | not published | $34.16 – $168.57 | 22 |
| Natural killer cells total count CPT 86357 | not published | not published | $32.84 – $161.96 | 22 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $6,182.00 | $6,182.00 | $160.30 – $401.74 | 2 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $6,764.00 | $6,764.00 | $154.76 – $828.27 | 2 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $6,632.00 | $6,632.00 | $128.01 – $245.18 | 2 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $8,058.00 | $8,058.00 | $291.16 – $828.27 | 2 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $7,811.00 | $7,811.00 | $228.33 – $828.27 | 2 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $7,811.00 | $7,811.00 | $188.06 – $517.79 | 2 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,044.00 | $4,044.00 | $227.79 – $828.27 | 2 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,914.00 | $3,914.00 | $189.90 – $828.27 | 2 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,914.00 | $3,914.00 | $151.93 – $517.79 | 2 |
| Neg pres wound ther drsg set HCPCS A6550 | not published | not published | $26.65 – $42.32 | 19 |
| Neisseria meningitidis CPT 86741 | not published | not published | $11.47 – $56.59 | 22 |
| Nelarabine injection HCPCS J9261 | not published | not published | $53.70 – $172.67 | 6 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $336.92 – $336.92 | 1 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | not published | not published | $0.86 – $3.74 | 2 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $55.04 – $336.92 | 5 |
| Nerve teasing preparations CPT 88362 | not published | not published | $513.13 – $1,907.43 | 3 |
| Nesiritide injection HCPCS J2325 | not published | not published | $63.26 – $79.66 | 2 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | not published | not published | $191.35 – $191.35 | 1 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $36.66 – $180.85 | 22 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $79.61 – $199.03 | 18 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $224.04 – $1,105.25 | 22 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $262.99 – $1,129.05 | 19 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $21.37 – $105.42 | 22 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $37.28 – $183.93 | 22 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.08 – $0.19 | 6 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $2,241.41 – $2,241.41 | 1 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $11.84 – $58.44 | 22 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $705.79 – $2,012.78 | 2 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $1,534.00 | $1,534.00 | $1.14 – $4.03 | 6 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $27.50 – $88.96 | 6 |
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.