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 |
|---|---|---|---|---|
| Pcv21 vaccine im CPT 90684 | not published | not published | $278.71 – $912.26 | 6 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $1,414.63 | 19 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $23.36 – $37.10 | 19 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $6,376.22 – $10,126.94 | 19 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,681.97 – $2,671.37 | 19 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,351.80 – $2,146.97 | 19 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,596.03 – $2,534.87 | 19 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,264.54 – $2,008.38 | 19 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $686.80 – $1,090.80 | 19 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $386.36 – $386.36 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $824.78 – $824.78 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $23,009.92 – $75,323.76 | 6 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $16.98 – $325.53 | 6 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $114.11 – $352.58 | 6 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $139.06 – $429.27 | 6 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $213.56 – $390.19 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $95.97 – $262.01 | 6 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $139.53 – $337.16 | 6 |
| Peginesatide injection HCPCS J0890 | not published | not published | $8.61 – $8.61 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,192.47 – $1,192.47 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,030.52 – $9,987.35 | 6 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $192.89 – $598.77 | 6 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $503.82 – $800.19 | 19 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $399.97 – $635.24 | 19 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $328.24 – $521.33 | 19 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $241.87 – $384.14 | 19 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $295.65 – $469.56 | 19 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $453.32 – $719.98 | 19 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $11,047.00 | $11,047.00 | $154.76 – $401.74 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $7,883.00 | $7,883.00 | $147.32 – $401.74 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $6,479.00 | $6,479.00 | $137.27 – $245.18 | 2 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,190.09 – $1,890.15 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | $7,824.00 | $7,824.00 | $279.94 – $828.27 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $219.45 – $828.27 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $7,584.00 | $7,584.00 | $184.55 – $517.79 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | $2,198.00 | $2,198.00 | $89.44 – $475.45 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,578.00 | $1,578.00 | $65.46 – $245.18 | 3 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $139.76 – $221.97 | 19 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $50.45 – $158.28 | 6 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $870.00 | $870.00 | $3.20 – $9.51 | 6 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $14.76 – $51.73 | 6 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $22.93 – $84.72 | 6 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.66 – $2.07 | 6 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $26.55 – $49.21 | 2 |
| Penile vascular study CPT 93980 | not published | not published | $378.10 – $378.10 | 1 |
| Penile vascular study CPT 93981 | not published | not published | $324.00 – $324.00 | 1 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.64 – $0.64 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $67.58 – $435.71 | 6 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $13.36 – $13.36 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $72.58 – $113.81 | 2 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $56.57 – $96.09 | 2 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,272.42 – $6,723.32 | 6 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $2,381.00 | $2,381.00 | $35.60 – $106.56 | 6 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $59.75 – $1,086.50 | 3 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $112.42 – $1,302.04 | 3 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $22.50 – $35.73 | 19 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,496.45 – $2,376.72 | 19 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.50 – $1.78 | 2 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.70 – $6.70 | 1 |
| Pertussis ag if CPT 87265 | not published | not published | $10.43 – $51.45 | 22 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $13.80 – $45.08 | 6 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $53.54 – $161.54 | 6 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $60.19 – $95.59 | 19 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $24.17 – $38.38 | 19 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $302.29 – $3,330.77 | 2 |
| Pet CT whole body initial CPT 78816 | not published | not published | $306.83 – $3,330.77 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | $10,851.00 | $10,851.00 | $184.36 – $3,330.77 | 2 |
| Pet image full body CPT 78813 | not published | not published | $244.28 – $3,330.77 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $189.96 – $2,938.37 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $238.82 – $3,330.77 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $271.76 – $3,330.77 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $848.52 – $848.52 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,277.74 – $1,503.22 | 4 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $15.74 – $34.68 | 19 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $22.06 – $47.78 | 19 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $8.10 – $18.94 | 19 |
| Ph body fluid CPT 83986 | $171.00 | $171.00 | $3.12 – $15.39 | 22 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $4.75 – $120.70 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $25.02 – $77.06 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $478.00 | $478.00 | $13.31 – $65.71 | 22 |
| Phentolaine mesylate inj HCPCS J2760 | $1,494.00 | $1,494.00 | $381.90 – $1,114.48 | 6 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 6 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $126.38 – $258.48 | 2 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.44 – $1.59 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $904.00 | $904.00 | $11.53 – $56.87 | 22 |
| Phosphorus CPT 84100 | not published | not published | $4.12 – $20.35 | 22 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $5.03 – $24.83 | 22 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.76 – $202.44 | 3 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $149.16 – $433.61 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $202.44 | 3 |
| Phys review of motion tests CPT 96004 | not published | not published | $85.82 – $100.96 | 4 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.08 – $7.45 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $7,403.00 | $7,403.00 | $658.73 – $918.20 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $1,179.89 | 19 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $703.09 – $1,116.67 | 19 |
| Pinworm exam CPT 87172 | not published | not published | $3.71 – $18.35 | 22 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.71 – $18.35 | 22 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $0.95 – $2.89 | 6 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $504.28 – $2,487.81 | 22 |
| Placental lactogen CPT 83632 | not published | not published | $17.59 – $86.79 | 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.