Richmond, VA · hospital rates, itemized

Tonsillectomy (under age 12) at VCU Medical Center

1250 East Marshall Street, Richmond VA 23219 | 1250 East Marshall Street, Richmond VA 23219 | 1250 East Marshall Street, Richmond VA 23219 | 1250 East Marshall Street, Richmond VA 23219. From the hospital's federally required price file (v3.0.0), file date January 2, 2026source file. Last verified by PriceCheck: July 19, 2026. CPT 42820.

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Medicare plans

Payer / planFacility rateRate type
AetnaMedicare Advantage $4,372 negotiated rate
AnthemMedicare Advantage $4,372 negotiated rate
CignaMedicare Advantage $4,416 negotiated rate
SentaraMedicare Advantage $4,425 negotiated rate
HumanaMedicare Advantage $4,591 negotiated rate

Medicaid plans

Payer / planFacility rateRate type
AnthemManaged Medicaid $3,156 negotiated rate
SentaraManaged Medicaid $3,156 negotiated rate
AetnaManaged Medicaid $3,188 negotiated rate
What these numbers are — and aren't. These are facility rates hospitals publish under the CMS Hospital Price Transparency rule (45 CFR Part 180). They are price information, not a quote or guarantee. Physician, anesthesia, radiology, and pathology services usually bill separately. Your actual cost depends on your insurance plan, deductible, and how the visit is coded. How we read hospital price files →

Common questions

Where do these prices come from?

Directly from the machine-readable file VCU Medical Center publishes under the CMS Hospital Price Transparency rule (45 CFR Part 180), file date January 2, 2026. These are price disclosures, not quotes.