How many shoppable procedure prices are published for Henrico Doctors' Hospital?

Henrico Doctors' Hospital in Richmond, VA currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Henrico Doctors' Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Henrico Doctors' Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Henrico Doctors' Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Henrico Doctors' Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 686 Beds · urban Updated: 2026-09-01

Henrico Doctors' Hospital

1602 Skipwith Road, Richmond, VA 23229 · 124 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.31×vs. Fair Market Price

Typical commercial prices here are +31% above the fair benchmark (1.31×) even after accounting for local nurse/doctor wages and patient complexity.

63/100 · Caution

63/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness45

Price Logic97

Peer Alignment69

Clean Billing88

Real Cash Discount6

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.31× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +45% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Henrico Doctors' Hospital prices routine shoppable procedures at 2.0× Medicare (median 1.30× Fair BaseRate) while upper-quartile commercial rates jump +45% to 1.88× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#48 of 75 in VA · 62nd State Percentile#2,284 of 3,385 in U.S. · 67th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 71% patient recommendation (71/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.31× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.30× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.88×) jump +45% above the median procedure ratio (Q50 1.30×)
Unnegotiated chargemaster list prices average 19.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.55× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+45% Upper Tail

Q25 0.96× · Q50 1.30× · Q75 1.88×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 71/100Fair

Procedure Prices at Henrico Doctors' Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$44,359	$30,775	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$28,876	$17,936	1.6×
Total hip replacement CPT Code: `27130`	—	$27,975	$13,413	2.1×
Total knee replacement CPT Code: `27447`	—	$27,975	$13,523	2.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,101	$19,432	1.3×
Trauma team activation HCPCS Code: `G0390`	$22,903	$22,903	$1,453	15.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,784	$19,087	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$11,521	$6,109	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$8,401	$8,401	$583	14.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$8,403	$3,372	2.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,548	$8,223	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$7,120	$2,540	2.8×
Breast lump removal CPT Code: `19120`	—	$6,987	$3,875	1.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$6,922	$2,680	2.6×
C-section delivery (full package) CPT Code: `59510`	—	$6,922	$2,975	2.3×
Bunion correction surgery CPT Code: `28296`	—	$6,922	$3,446	2.0×
Inguinal hernia repair CPT Code: `49505`	—	$6,922	$3,629	1.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,910	$1,256	3.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,336	$981	3.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,336	$987	3.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,380	$855	2.8×
Blood transfusion CPT Code: `36430`	$6,355	$2,197	$498	4.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$11,342	$2,072	$1,021	2.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$1,012	$1,012	$181	5.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,429	$1,002	$272	3.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$898	$898	$64	14.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$16,308	$872	$448	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$8,058	$862	$511	1.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$824	$824	$185	4.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$783	$783	$166	4.7×
Family therapy session CPT Code: `90847`	$802	$802	$173	4.6×
Rabies immune globulin HCPCS Code: `90375`	—	$578	$322	1.8×
MRI, knee or other leg joint CPT Code: `73721`	$7,584	$559	$369	1.5×
Group therapy session CPT Code: `90853`	$533	$533	$100	5.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$11,436	$518	$303	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$7,811	$529	$343	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$7,811	$520	$338	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$8,262	$443	$258	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$7,344	$404	$242	1.7×
New patient office visit (30-44 min) CPT Code: `99203`	$352	$352	$110	3.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$370	$370	$201	1.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$337	$337	$86	3.9×
CT scan, sinuses CPT Code: `70486`	$7,156	$335	$166	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,339	$348	$132	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$315	$315	$123	2.6×
CT scan, chest (no contrast) CPT Code: `71250`	$8,531	$315	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$6,632	$319	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$6,415	$316	$168	unverified
CT scan, pelvis CPT Code: `72192`	$6,479	$313	$163	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,465	$325	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$2,198	$308	$130	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$252	$252	$87	2.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,606	$249	$126	2.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,375	$260	$151	1.7×
CT scan, head (no contrast) CPT Code: `70450`	$4,660	$265	$160	1.7×
X-ray, lower back CPT Code: `72110`	$2,089	$224	$112	2.0×
X-ray, hip CPT Code: `73502`	$1,078	$182	$93	2.0×
X-ray, hand CPT Code: `73130`	$1,187	$159	$93	1.7×
X-ray, ankle CPT Code: `73610`	$1,278	$155	$93	1.7×
X-ray, shoulder CPT Code: `73030`	$1,900	$149	$92	1.6×
X-ray, foot CPT Code: `73630`	$1,119	$142	$92	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,337	$166	$93	unverified
X-ray, chest (two views) CPT Code: `71046`	$1,119	$138	$93	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$750	$132	$148	0.9×
X-ray, chest (single view) CPT Code: `71045`	$841	$106	$92	1.2×
X-ray, pelvis CPT Code: `72170`	$1,337	$117	$110	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$750	$104	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$6,590	$6,590	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,862	$316	$203	1.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$177	$177	$49	3.6×
Colorectal cancer screening HCPCS Code: `G0010`	$177	$177	$49	3.6×
Pneumococcal vaccine HCPCS Code: `90732`	$579	$202	$140	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$2,075	$164	$111	1.5×
Drug screening test HCPCS Code: `G0480`	$1,603	$117	$116	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$833	$84	$56	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$819	$76	$86	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$61	$34	$25	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$596	$51	$39	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$301	$48	$37	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$507	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$880	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$580	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$557	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$896	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$277	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$384	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$313	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$286	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$295	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$438	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$549	$7	$7	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Prosthetic fitting and training CPT Code: `97761`	$368	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$368	$43	$51	0.8×
Blood test, magnesium CPT Code: `83735`	$335	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$417	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$636	$19	$19	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$31	$34	0.9×
Blood test, sodium CPT Code: `84295`	$482	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$156	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$409	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$734	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$669	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$525	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$636	$20	$20	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$632	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$603	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$478	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$1,386	$24	$27	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$296	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$358	$33	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$358	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$359	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$305	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$212	$4	$5	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$43	$28	$35	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$358	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$358	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$140	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$12	$25	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$177	$21	$48	0.4×
Blood antibody screen CPT Code: `86850`	$330	$10	$46	0.2×

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Henrico Doctors' Hospital (Zero PHI Required)

CMS CCN: 490118

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $44,359

1. Amount on Your Bill or Quote ($) Pre-filled with Henrico Doctors' Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Henrico Doctors' Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$75,687 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($106,462) is $75,687 above the denoised Fair BaseRate ($30,775) and 4.5× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 621113733

Public IRS & CMS ownership records classify Henrico Doctors' Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite71/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait141 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Henrico Doctors' Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-05·administrative_or_closure
Met Requirements
Recorded
2025-04-15·administrative_or_closure
Met Requirements
Recorded
2023-12-12·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,322 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Henrico Doctors' Hospital.

Price Index: 0.95× regional baseline

Quality: 67/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-63.0%

Evernorth Behavioral Health

-52.7%

Health Net

+66.0%

Universal Healthcare Group

+68.3%

Median Household Income$86,397U.S. Census ACS

Local Uninsured Share6.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 63/100 · Caution CMS CCN 490118 EIN 621113733

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (62-1113733_PARHAM-DOCTORS-HOSPITAL_standardcharges.json) Verify on CMS Medicare.gov (CCN 490118) ↗ Verify IRS Form 990 (EIN 621113733) ↗ CMS HCRIS Cost Reports ↗

Published MRF File62-1113733_PARHAM-DOCTORS-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 381.50 MB

Validated Rate Rows4,355 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490118

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy