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 |
|---|---|---|---|---|
| Test for porphobilinogen CPT 84106 | not published | not published | $5.07 – $24.95 | 22 |
| Test for urine cystines CPT 82615 | not published | not published | $8.31 – $41.02 | 22 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $90.31 – $1,060.23 | 3 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $112.60 – $112.60 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $44.94 – $221.71 | 22 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.72 – $5.49 | 6 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $184.00 | $184.00 | $33.84 – $250.19 | 3 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $270.58 – $429.75 | 19 |
| Test socket above knee HCPCS L5624 | not published | not published | $421.55 – $669.52 | 19 |
| Test socket below knee HCPCS L5620 | not published | not published | $289.31 – $459.49 | 19 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $561.22 – $891.35 | 19 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $592.55 – $941.11 | 19 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $441.82 – $701.72 | 19 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $362.73 – $576.10 | 19 |
| Test socket symes HCPCS L5618 | not published | not published | $329.27 – $522.96 | 19 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $241.43 – $383.44 | 19 |
| Test urine for lactose CPT 83633 | not published | not published | $9.79 – $48.29 | 22 |
| Test urine for porphyrins CPT 84119 | not published | not published | $11.63 – $57.34 | 22 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.89 – $19.22 | 22 |
| Tetanus ig im CPT 90389 | not published | not published | $763.42 – $2,084.99 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | $3,031.00 | $3,031.00 | $489.40 – $1,559.63 | 6 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $15.10 – $47.22 | 6 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $588.17 | 19 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $3,260.76 | 19 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $12,534.38 | 19 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $2,566.92 | 19 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $149.16 – $698.65 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $149.16 – $698.65 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $149.16 – $698.65 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.76 – $221.66 | 3 |
| Theophylline therapeutic drug level CPT 80198 | $574.00 | $574.00 | $12.31 – $60.70 | 22 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $29.96 – $42.74 | 19 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $26.13 – $36.96 | 19 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $284.91 – $1,014.15 | 3 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $117.32 – $465.88 | 5 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $75.57 – $297.56 | 5 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $48.98 – $193.95 | 5 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $281.00 | $281.00 | $1.50 – $4.80 | 6 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $5.00 – $5.00 | 1 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $280.53 – $445.55 | 19 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $412.96 – $655.87 | 19 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $229.49 – $364.49 | 19 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $317.44 – $504.17 | 19 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $102.16 – $102.16 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $208.29 – $257.30 | 5 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $163.52 – $259.71 | 19 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $176.54 – $280.38 | 19 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $182.04 – $289.13 | 19 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $4,076.00 – $6,473.64 | 19 |
| Thoracic pad HCPCS L1060 | not published | not published | $117.57 – $186.73 | 19 |
| Thor rib belt custom fabrica HCPCS L0220 | not published | not published | $137.74 – $218.77 | 19 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $42.42 – $583.62 | 3 |
| Thrombin time CPT 85670 | $288.00 | $288.00 | $5.02 – $24.77 | 22 |
| Thrombin time titer CPT 85675 | not published | not published | $5.96 – $29.40 | 22 |
| Thrombomodulin CPT 85337 | not published | not published | $15.03 – $74.17 | 22 |
| Thromboplastin inhibition CPT 85705 | $457.00 | $457.00 | $8.38 – $41.35 | 22 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | not published | not published | $5.63 – $27.81 | 22 |
| Thromboxane urine CPT 84431 | not published | not published | $30.56 – $150.73 | 22 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $723.37 – $1,148.88 | 19 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $1,267.59 – $2,013.23 | 19 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $469.83 – $746.20 | 19 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $712.23 – $1,131.19 | 19 |
| Thyroglobulin antibody CPT 86800 | $516.00 | $516.00 | $13.85 – $68.28 | 22 |
| Thyroid imaging CPT 78013 | not published | not published | $46.04 – $999.65 | 3 |
| Thyroid met imaging CPT 78015 | not published | not published | $85.66 – $1,170.56 | 3 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $88.62 – $1,429.18 | 3 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $105.05 – $1,594.09 | 3 |
| Thyroid met uptake CPT 78020 | not published | not published | $72.00 – $72.00 | 1 |
| Thyroid (TSH) Test CPT 84443 | not published | not published | $14.62 – $72.11 | 22 |
| Thyroid Ultrasound CPT 76536 | $1,339.00 | $1,339.00 | $72.90 – $544.69 | 3 |
| Thyroid uptake measurement CPT 78012 | $3,884.00 | $3,884.00 | $23.96 – $848.52 | 3 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,766.90 – $5,632.95 | 6 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $43.87 – $216.45 | 22 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $12.86 – $63.48 | 22 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $54.25 – $86.16 | 19 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $2,062.23 – $3,275.30 | 19 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $357.39 – $357.39 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $357.39 – $357.39 | 1 |
| Tigecycline injection HCPCS J3243 | $1,672.00 | $1,672.00 | $0.26 – $1.48 | 6 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $5,351.96 – $8,500.17 | 19 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $3.66 – $3.66 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.02 – $9.14 | 6 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $491,955.35 – $1,501,307.95 | 5 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $160.35 – $519.59 | 6 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $51.33 – $51.33 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $130.80 – $645.30 | 22 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $122.47 – $604.16 | 22 |
| Tissue culture tumor CPT 88239 | not published | not published | $128.38 – $633.35 | 22 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $3.71 – $18.35 | 22 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $2,205.00 | $2,205.00 | $336.92 – $336.92 | 1 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $10.03 – $49.47 | 22 |
| Tl-201 thallium diag per mci HCPCS A9505 | $829.00 | $829.00 | $34.98 – $126.56 | 2 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $909.29 – $1,444.16 | 19 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $783.04 – $1,243.65 | 19 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,023.47 – $1,625.51 | 19 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,273.04 – $2,021.88 | 19 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $514.98 – $817.91 | 19 |
| Tlso corset front HCPCS L0970 | not published | not published | $131.34 – $208.60 | 19 |
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.