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 |
|---|---|---|---|---|
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $10.43 – $51.45 | 22 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $19.55 – $49.40 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.31 – $59.44 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $347.66 – $1,007.50 | 6 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $20.54 – $101.31 | 22 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $36.35 – $114.11 | 6 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $24.25 – $75.45 | 6 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $10.48 – $16.93 | 6 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $25.43 – $40.39 | 19 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $267.93 – $425.53 | 19 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $464.01 – $736.97 | 19 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,189.80 – $1,889.68 | 19 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $651.34 – $1,034.48 | 19 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $251.31 – $399.14 | 19 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $298.06 – $473.39 | 19 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $98.06 – $155.75 | 19 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $251.31 – $399.14 | 19 |
| Orthopantogram CPT 70355 | not published | not published | $26.78 – $182.03 | 3 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $29.83 – $47.37 | 19 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $51.88 – $82.40 | 19 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $32.39 – $51.45 | 19 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $29.83 – $47.37 | 19 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $42.78 – $67.95 | 19 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $132.82 – $210.95 | 19 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $394.94 – $627.26 | 19 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $106.50 – $294.84 | 6 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $346.99 – $551.10 | 19 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $920.23 – $1,461.54 | 19 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $32.39 – $51.45 | 19 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $23.36 – $37.10 | 19 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $86.92 – $138.05 | 19 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $66.14 – $105.04 | 19 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $9.05 – $14.38 | 19 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $54.46 – $86.49 | 19 |
| Osmolality blood CPT 83930 | $359.00 | $359.00 | $5.75 – $28.40 | 22 |
| Osmolality urine CPT 83935 | $528.00 | $528.00 | $5.93 – $29.27 | 22 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.44 – $3.87 | 19 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $50.32 – $79.92 | 19 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.31 – $5.25 | 19 |
| Ost pch drain for barrier fl HCPCS A4425 | $29.00 | $29.00 | $4.33 – $6.88 | 19 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $5.76 – $9.15 | 19 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.09 – $3.32 | 19 |
| Ost skn barr extnd >4 sq HCPCS A4410 | $187.00 | $187.00 | $10.95 – $17.39 | 19 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $10.32 – $16.39 | 19 |
| Ot evaluation high complexity patient/family CPT 97167 | $1,045.00 | $1,045.00 | $84.65 – $120.51 | 19 |
| Ot evaluation low complexity patient/family CPT 97165 | $914.00 | $914.00 | $84.65 – $120.51 | 19 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $997.00 | $997.00 | $84.65 – $120.51 | 19 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $20.13 – $99.28 | 22 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $42.11 – $60.36 | 19 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $38.60 – $55.53 | 19 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $22.87 – $33.45 | 19 |
| Ot re-evaluation patient/family CPT 97168 | $385.00 | $385.00 | $58.45 – $82.22 | 19 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $29.10 – $42.29 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $726.00 | $726.00 | $17.48 – $28.50 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $726.00 | $726.00 | $18.31 – $26.99 | 19 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $24.24 – $35.06 | 19 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $26.96 – $39.45 | 19 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $314.00 | $314.00 | $26.95 – $39.07 | 19 |
| Outrigger HCPCS L1080 | not published | not published | $64.57 – $102.55 | 19 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $174.70 – $277.47 | 19 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $144.69 – $291.21 | 2 |
| Ovulation tests CPT 84830 | not published | not published | $11.05 – $54.56 | 22 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.54 – $1.51 | 6 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.04 – $0.13 | 6 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.99 – $6.20 | 2 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.99 – $0.99 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $319.00 | $319.00 | $1.50 – $7.13 | 2 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $135.12 – $414.25 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $326.52 – $737.34 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $588.17 | 19 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $2.26 – $3.59 | 19 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.11 – $0.27 | 6 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $11.10 – $21.68 | 6 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $2,904.38 | 19 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $1,293.76 | 19 |
| Palifermin injection HCPCS J2425 | not published | not published | $28.89 – $97.07 | 6 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $306.43 – $360.51 | 5 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $3,819.98 – $3,819.98 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $12.53 – $40.04 | 6 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,157.39 – $2,141.10 | 2 |
| Palonosetron hcl HCPCS J2469 | $5,499.00 | $5,499.00 | $0.42 – $0.93 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $1,122.00 | $1,122.00 | $11.80 – $29.92 | 6 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $140.18 – $460.23 | 6 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $1,522.00 | $1,522.00 | $4.87 – $23.03 | 2 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $40.16 – $121.74 | 2 |
| Parathormone (pth) intact CPT 83970 | $953.00 | $953.00 | $35.92 – $177.20 | 22 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $195.47 – $2,108.48 | 3 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $100.49 – $1,505.40 | 3 |
| Parathyroid planar img w/tomo spect CPT 78071 | $7,765.00 | $7,765.00 | $149.30 – $1,719.56 | 3 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $20.96 – $24.66 | 4 |
| Paricalcitol HCPCS J2501 | $1,028.00 | $1,028.00 | $0.69 – $2.57 | 6 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.17 – $21.01 | 5 |
| Passy muir valve metal trach HCPCS L8501 | $5,233.00 | $5,233.00 | $125.70 – $199.64 | 19 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $6.94 – $11.02 | 19 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $152.32 – $442.79 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $152.32 – $442.79 | 3 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $177.15 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $50.75 – $147.53 | 3 |
| Patten bottom HCPCS L2370 | not published | not published | $327.47 – $520.10 | 19 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $221.95 – $1,094.95 | 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.