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 |
|---|---|---|---|---|
| X-ray ribs 3 views bilateral CPT 71110 | $1,460.00 | $1,460.00 | $37.02 – $245.18 | 3 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $34.93 – $245.18 | 3 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,596.00 | $1,596.00 | $41.45 – $245.18 | 3 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,377.00 | $1,377.00 | $28.63 – $245.18 | 3 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,377.00 | $1,377.00 | $23.06 – $182.03 | 3 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $25.01 – $245.18 | 3 |
| X-ray sella turcica CPT 70240 | not published | not published | $24.91 – $182.03 | 3 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $20.26 – $182.03 | 3 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,563.00 | $1,563.00 | $28.68 – $182.03 | 3 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $65.97 – $1,086.50 | 3 |
| X-ray skull < 4 views CPT 70250 | $1,337.00 | $1,337.00 | $23.98 – $245.18 | 3 |
| X-ray skull > 4 views complete CPT 70260 | $2,065.00 | $2,065.00 | $36.12 – $245.18 | 3 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $74.72 – $401.90 | 3 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $2,364.00 | $2,364.00 | $103.10 – $544.69 | 3 |
| X-ray small intestine follow-through study CPT 74248 | $1,871.00 | $1,871.00 | $88.43 – $88.43 | 1 |
| X-ray spine single view CPT 72020 | $930.00 | $930.00 | $21.18 – $182.03 | 3 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $28.68 – $200.69 | 3 |
| X-ray sternum > 2 views CPT 71120 | $1,438.00 | $1,438.00 | $25.83 – $182.03 | 3 |
| X-ray surgical specimen CPT 76098 | $1,002.00 | $1,002.00 | $40.55 – $1,086.50 | 3 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,648.00 | $1,648.00 | $68.20 – $646.35 | 3 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,721.00 | $1,721.00 | $31.48 – $269.93 | 3 |
| X-ray thoracic spine 2 views CPT 72070 | $1,596.00 | $1,596.00 | $26.78 – $245.18 | 3 |
| X-ray thoracic spine 3 views CPT 72072 | $1,900.00 | $1,900.00 | $28.63 – $245.18 | 3 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,738.00 | $1,738.00 | $27.76 – $182.03 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $380.00 | $380.00 | $34.98 – $196.37 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $624.00 | $624.00 | $41.50 – $358.62 | 3 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $21.18 – $182.03 | 3 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $17.46 – $182.03 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $3,840.00 | $3,840.00 | $115.21 – $629.06 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $3,840.00 | $3,840.00 | $104.38 – $551.16 | 3 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $23.11 – $182.03 | 3 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $74.69 – $436.51 | 3 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $48.53 – $57.09 | 4 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $336.92 – $2,929.02 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $11.24 – $55.41 | 22 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.27 – $4.21 | 6 |
| Yersinia antibody CPT 86793 | not published | not published | $11.47 – $56.59 | 22 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $71,547.78 – $150,585.06 | 2 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $60.77 – $336.92 | 5 |
| Ziconotide injection HCPCS J2278 | not published | not published | $8.24 – $28.01 | 6 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.28 – $4.00 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | $101.00 | $101.00 | $1.63 – $1.63 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $44.65 – $220.27 | 22 |
| Zika virus igm antibody CPT 86794 | not published | not published | $14.66 – $72.32 | 22 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.52 – $2.42 | 19 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $1,021.00 | $1,021.00 | $4.40 – $24.25 | 6 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.06 – $19.13 | 6 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $89.23 – $89.23 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $5,666.00 | $5,666.00 | $8.09 – $13.46 | 6 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $250.10 – $378.84 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $829.65 | 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.