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Short Term Acute Care HospitalProprietary

John Randolph Medical Center

HCA Healthcare · Hopewell, VA

411 West Randolph Road, Hopewell, VA 23860(804) 541-1600

3 of 5

CMS star rating

147

Beds

4,563

Inpatient discharges a year

$172.3M

Net patient revenue a year

33

In-network payers

About this hospital

John Randolph Medical Center is a 147-bed proprietary hospital in Hopewell, VA, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 519 disclosed rate categories.

  • Disproportionate share hospital
CCN
490020
NPI
1285671248
Health system
HCA Healthcare
Teaching
No Medicare-funded residents
County
Hopewell city
Metro area
Richmond, VA MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11301)
In Medicare since
1966
Last CMS survey
2010

Prices for common services

The 24 services John Randolph Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$6,850 - $15,278

from 4 insurers · median $11,066

Aetna$6,850
Insurer A*$9,672
Insurer B*$12,461
Insurer C*$15,278
Medicare $5,580Nearby hospitals $20,83047% below nearby hospitals

26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$828 - $3,425

from 4 insurers · median $1,206

Blue Cross$1,086
Insurer A*$828
Insurer B*$1,326
Insurer C*$3,425
Medicare $322Nearby hospitals $1,255In line with nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Inguinal hernia repair, age 5 or older

CPT 49505

$5,397 - $9,856

from 4 insurers · median $7,239

Aetna$5,397
Insurer A*$5,478
Insurer B*$9,000
Insurer C*$9,856
Medicare $3,305Nearby hospitals $12,85344% below nearby hospitals

27 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$20,189 - $68,421

from 4 insurers · median $51,816

Aetna$20,189
Insurer A*$46,028
Insurer B*$57,603
Insurer C*$68,421
Medicare $27,950Nearby hospitals $71,90228% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at John Randolph Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
344%
64
Insurer B*24
294%
714
Insurer C*24
232%
114
Insurer D*24
203%
320

How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for John Randolph Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    3 of 5 stars

    • 132 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.23%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 35 services
    • 341 affiliated clinicians
    See doctors and services
  • Finances

    $172.3M net patient revenue

    • Operating margin on patient care 38.6%
    • $6.9M unreimbursed and uncompensated care
    • $50.9M net income
    See finances
  • Ownership and leadership

    Owned by HCA Health Services Of Virginia, Inc.

    • Private (for profit)
    • Joseph Francis Mazzo, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for John Randolph Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
61-1272888Columbiahca John Randolph INC55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 50 more1285671248 Columbia/hca John Randolph Inc.1952762650 Columbia/hca John Randolph Inc.1093752057 Columbia/hca John Randolph Inc.and 3 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

411 West Randolph Road, Hopewell, VA 23860

(804) 541-1600

Get directions

Frequently asked questions

About John Randolph Medical Center's rates and hospital price transparency.

How much does an MRI cost at John Randolph Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at John Randolph Medical Center range from $828 to $1,950 across 4 insurers. Aetna's rate is $966. The median at nearby comparable hospitals is $1,255. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at John Randolph Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at John Randolph Medical Center range from $828 to $3,425 across 4 insurers. Blue Cross Blue Shield's rate is $1,086. The median at nearby comparable hospitals is $1,255. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at John Randolph Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at John Randolph Medical Center range from $3,813 to $5,630 across 4 insurers. Cigna's rate is $4,816. The median at nearby comparable hospitals is $5,889. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at John Randolph Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at John Randolph Medical Center range from $122 to $360 across 4 insurers. Blue Cross Blue Shield's rate is $360. The median at nearby comparable hospitals is $557. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at John Randolph Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at John Randolph Medical Center range from $33,465 to $47,214 across 4 insurers. Aetna's rate is $47,214. The median at nearby comparable hospitals is $39,988. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is John Randolph Medical Center's CMS star rating?

John Randolph Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is John Randolph Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at John Randolph Medical Center for fiscal year 2027.

Does Medicare penalize John Randolph Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts John Randolph Medical Center's base inpatient payments by an estimated 0.23% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at John Randolph Medical Center?

In 2024, the most common were heart failure and shock with mcc (67 discharges), simple pneumonia and pleurisy with mcc (58 discharges), septicemia or severe sepsis without mv >96 hours with mcc (56 discharges).

What is John Randolph Medical Center's case mix index?

John Randolph Medical Center's Medicare case mix index is 1.40 for fiscal year 2027, higher than 17% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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