Supplies, drugs & other prices at TriCities Hospital

Hopewell, VA · every code in this section with a posted price and a Medicare benchmark.

23 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $19,097 $19,097 25.0×
2d tte w or w/o fol w/con,co (C8923) $5,543 $5,543 7.2×
2d tte w or w/o fol w/con,fu (C8924) $1,807 $1,807 5.3×
Admin influenza virus vac (G0008) $177 $177 3.9×
Admin pneumococcal vaccine (G0009) $177 $177 3.9×
Direct refer hospital observ (G0379) $1,940.50 $1,940.50 3.3×
Drug test def 1-7 classes (G0480) $1,603 $1,603 14.0×
Drug test def 8-14 classes (G0481) $2,332 $2,332 14.9×
Elec stim other than wound (G0283) $296 $296 23.3×
Hiv combination assay (G0475) $1,069 $1,069 44.4×
Mra w/cont, chest (C8909) $5,680 $5,680 16.7×
Mra w/cont, lwr ext (C8912) $4,144.50 $4,144.50 12.2×
Mra w/o cont, chest (C8910) $5,786 $5,786 24.9×
Mra w/o cont, lwr ext (C8913) $4,106.50 $4,106.50 17.6×
Mra w/o cont, pelvis (C8919) $4,144 $4,144 17.8×
Mra w/o fol w/cont, pelvis (C8920) $4,319 $4,319 12.7×
Mri w/cont, breast, bi (C8906) $7,584 $7,584 22.3×
Mri w/o fol w/cont, breast, (C8908) $7,824 $7,824 23.0×
Pathogen test for platelets (P9100) $184 $184 3.2×
Psa screening (G0103) $636 $636 32.9×
Tomosynthesis, mammo (G0279) $43 $43 3.4×
Tte w or wo fol wcon,doppler (C8929) $9,170 $9,170 12.0×
Unsched dialysis esrd pt hos (G0257) $3,350 $3,350 5.0×