Vaccine dtap < 7 years im at HENRICO DOCTORS HOSPITAL
1602 SKIPWITH ROAD, RICHMOND, VA · HCA Virginia · · NPI 1194762294
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$27.02 with TriAtlantic vs $596.00 with United Behavioral Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| TriAtlantic | TRICR | $27.02 | — |
| Health Net | TRICR | $28.61 | — |
| Humana Military | TRCR | $30.84 | — |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $31.79 | — |
| Cigna | IFP | $34.80 | — |
| Cigna | PPO | $51.04 | — |
| Cigna | HMO | $51.04 | — |
| Aetna | MGMCR | $89.40 | — |
| UNITED | AllPayerAppendix | $98.16 | — |
| UNITED | NavigateCorePayer | $98.16 | — |
| UNITED | NewBusiness | $98.16 | — |
| UNITED | SmallBusiness | $98.16 | — |
| United | OptionsPPO | $123.97 | — |
| Virginia Health Network | ULTRA | $208.60 | — |
| United | GlobalBenefitPlan | $268.20 | — |
| Greenvbrier Sporting Club | COMM | $357.60 | — |
| Virginia Health Network | COMM | $387.40 | — |
| Virginia Health Network | WC | $387.40 | — |
| CorVel | WorkersComp | $429.12 | — |
| OccuNet Workers Comp | WorkersComp | $476.80 | — |
| 4Most Health Nework | COMM | $536.40 | — |
| Multiplan | PHCS | $536.40 | — |
| United Behavioral Health | VACCN | $596.00 | — |
| Optima Health | POS | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine dtap < 7 years im at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $149.48 | $27.02 – $98.16 |
| Inova Alexandria Hospital | Alexandria | $29.33 | $29.80 – $40.32 |
| Inova Fairfax Hospital | Falls Church | $29.33 | $29.80 – $40.32 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $29.33 | $29.80 – $40.32 |
| Inova Loudoun Hospital | Leesburg | $29.33 | $29.80 – $40.32 |
| Inova Mount Vernon Hospital | Alexandria | $29.33 | $29.80 – $40.32 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $170.00 | $27.02 – $98.16 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $50.00 | $23.84 – $98.16 |