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 |
|---|---|---|---|---|
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $1,260.00 | $1,260.00 | $1.65 – $5.86 | 6 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $62.87 – $193.37 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $482.00 | $482.00 | $4.18 – $20.66 | 22 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $841.00 | $841.00 | $0.86 – $2.33 | 2 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $84.82 – $134.72 | 19 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $3,363.27 | 17 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,989.57 | 17 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $8,221.28 | 17 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $2,615.88 | 17 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.58 – $5.68 | 19 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $7.68 – $12.19 | 19 |
| Somatropin injection HCPCS J2941 | not published | not published | $166.49 – $436.99 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $7,473.88 | 17 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $2,242.18 | 17 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.86 – $66.49 | 2 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $162.84 – $258.63 | 19 |
| Special radiation dosimetry CPT 77331 | not published | not published | $55.73 – $55.73 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $111.46 – $111.46 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $129.09 – $129.09 | 1 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.86 – $14.06 | 22 |
| Specimen fat stain CPT 89125 | not published | not published | $5.12 – $25.24 | 22 |
| Speech evaluation complex CPT 70371 | not published | not published | $113.83 – $517.79 | 3 |
| Sperm antibody test CPT 89325 | not published | not published | $9.28 – $45.85 | 22 |
| Sperm evaluation test CPT 89329 | not published | not published | $17.05 – $84.09 | 22 |
| Sperm identification CPT 89257 | not published | not published | $49.76 – $221.66 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.76 – $221.66 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.76 – $221.66 | 3 |
| Spleen imaging CPT 78185 | not published | not published | $43.27 – $900.14 | 3 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $408.56 – $648.89 | 19 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $48.03 – $76.29 | 19 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $89.56 – $142.25 | 19 |
| Splint finger frog med HCPCS L3927 | not published | not published | $32.44 – $51.53 | 19 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.28 – $3.62 | 19 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $89.56 – $142.25 | 19 |
| Split blood or products CPT 86985 | not published | not published | $3.16 – $433.61 | 3 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $74.94 – $119.03 | 19 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $767.46 – $1,218.90 | 19 |
| Sputum specimen collection CPT 89220 | not published | not published | $81.49 – $433.61 | 3 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,016.25 – $10,987.80 | 2 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $938.37 – $1,103.97 | 4 |
| Srs cran les complex addl CPT 61799 | not published | not published | $201.26 – $236.78 | 4 |
| Srs cran les simple addl CPT 61797 | not published | not published | $145.82 – $171.55 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $753.04 | 19 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $224.27 – $356.20 | 19 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $1,241.00 | $1,241.00 | $89.91 – $149.77 | 19 |
| Stance phase only HCPCS L5858 | not published | not published | $18,986.02 – $30,154.28 | 19 |
| Standard control cable extra HCPCS L6655 | not published | not published | $78.17 – $124.16 | 19 |
| Staph a dna amp probe CPT 87640 | not published | not published | $30.54 – $150.65 | 22 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $171.07 – $271.70 | 19 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $58.04 – $92.18 | 19 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $58.04 – $92.18 | 19 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $581.00 | $581.00 | $83.86 – $141.13 | 19 |
| Stem cells total count CPT 86367 | not published | not published | $67.69 – $333.95 | 22 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $296.15 – $1,173.77 | 5 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.13 – $0.20 | 19 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.49 – $0.78 | 19 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.43 – $5.45 | 19 |
| Sternal pad HCPCS L1050 | not published | not published | $98.02 – $155.68 | 19 |
| St evaluate speech sound production CPT 92522 | $1,073.00 | $1,073.00 | $91.47 – $153.33 | 19 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $1,241.00 | $1,241.00 | $188.22 – $307.80 | 19 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $1,530.00 | $1,530.00 | $74.75 – $126.18 | 19 |
| St evaluation swallow function CPT 92610 | $1,353.00 | $1,353.00 | $70.19 – $115.61 | 19 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $15.90 – $25.26 | 19 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.78 – $1.24 | 19 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $149.16 – $698.65 | 3 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $291.26 – $846.69 | 3 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $149.16 – $698.65 | 3 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $149.16 – $698.65 | 3 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $130.83 – $207.79 | 19 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $11.32 – $17.98 | 19 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $4.00 – $6.35 | 19 |
| Strep a ag ia CPT 87430 | not published | not published | $14.63 – $72.19 | 22 |
| Strep a dna dir probe CPT 87650 | not published | not published | $17.45 – $86.07 | 22 |
| Strep a dna quant CPT 87652 | not published | not published | $36.34 – $179.26 | 22 |
| Strep b assay w/optic CPT 87802 | not published | not published | $11.08 – $54.61 | 22 |
| Strep b dna amp probe CPT 87653 | not published | not published | $30.54 – $150.65 | 22 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $83.48 – $83.48 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.02 – $54.36 | 22 |
| Streptomycin injection HCPCS J3000 | not published | not published | $21.75 – $89.78 | 6 |
| Streptozocin injection HCPCS J9320 | not published | not published | $374.03 – $464.68 | 2 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $1,308.62 | 19 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $1,000.66 | 19 |
| St treatment speech individual CPT 92507 | $818.00 | $818.00 | $63.21 – $103.75 | 19 |
| St treatment swallow dysfunction/oral CPT 92526 | $736.00 | $736.00 | $69.73 – $114.68 | 19 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $90.00 | $90.00 | $0.88 – $4.11 | 2 |
| Suction socket HCPCS L6686 | not published | not published | $674.53 – $1,071.31 | 19 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $453.69 – $720.56 | 19 |
| Sugars multiple quant CPT 84379 | not published | not published | $10.03 – $49.47 | 22 |
| Sugars single quant CPT 84378 | not published | not published | $10.03 – $49.47 | 22 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.05 – $0.11 | 6 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $2,419.00 | $2,419.00 | $39.63 – $502.18 | 2 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $2.95 – $4.68 | 19 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $21.99 – $34.92 | 19 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $64.95 – $103.15 | 19 |
| Supprelin la implant HCPCS J9226 | not published | not published | $38,430.20 – $114,441.15 | 6 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $50.11 – $58.95 | 4 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $43.40 – $51.06 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $294.00 | $294.00 | $24.67 – $71.72 | 3 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $423.00 | $423.00 | $24.67 – $112.49 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $549.00 | $549.00 | $49.76 – $144.65 | 3 |
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.