Chest X-ray at LEWISGALE HOSPITAL-MONTGOMERY
1145 W Main St, CHRISTIANSBURG, VA · HCA Virginia · · NPI 1275570376
$1,187.00
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.
$1,187.00
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.
$42.39 with Anthem vs $1,068.30 with American Postal Workers Union — 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 |
|---|---|---|---|
| Anthem | HIX | $42.39 | ↓ -96% |
| Anthem | HMO | $47.10 | ↓ -96% |
| Anthem | PPO | $47.10 | ↓ -96% |
| United | AllPayerAppendix | $182.03 | ↓ -85% |
| Cigna | NPR | $206.54 | ↓ -83% |
| Lifeworks | MCR | $225.53 | ↓ -81% |
| Universal Healthcare Group | MCR | $261.14 | ↓ -78% |
| Virginia Health Network | ULTRA | $415.45 | ↓ -65% |
| United | OptionsPPO | $459.37 | ↓ -61% |
| United | GlobalBenefitPlan | $534.15 | ↓ -55% |
| Greenvbrier Sporting Club | COMM | $712.20 | ↓ -40% |
| Virginia Health Network | COMM | $842.77 | ↓ -29% |
| Virginia Health Network | WC | $842.77 | ↓ -29% |
| CorVel | WorkersComp | $854.64 | ↓ -28% |
| Richfield Retirement Community | COMM | $890.25 | ↓ -25% |
| Richfield Nursing Center | COMM | $890.25 | ↓ -25% |
| Multiplan | PHCS | $913.99 | ↓ -23% |
| OccuNet Workers Comp | WorkersComp | $949.60 | ↓ -20% |
| Community Care Network | COMM | $949.60 | ↓ -20% |
| One Health Plan | PPO | $949.60 | ↓ -20% |
| One Health Plan | POS | $949.60 | ↓ -20% |
| Graham-White Manufacturing | COMM | $949.60 | ↓ -20% |
| PHCS | COMM | $1,008.95 | ↓ -15% |
| Patients Choice | COMM | $1,044.56 | ↓ -12% |
| Star Transportation | COMM | $1,068.30 | ↓ -10% |
| 4Most | COMM | $1,068.30 | ↓ -10% |
| American Postal Workers Union | COMM | $1,068.30 | ↓ -10% |
| Optima Health | HMO | not published by hospital | — |
| Optima Health | POS | not published by hospital | — |
| Aetna | Broad | not published by hospital | — |
| Cigna | PPO | not published by hospital | — |
| Aetna | SharedSavings | not published by hospital | — |
| Cigna | HMO | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Chest X-ray at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $1,294.00 | $51.81 – $182.03 |
| Inova Alexandria Hospital | Alexandria | $247.00 | $80.04 – $325.55 |
| Inova Fairfax Hospital | Falls Church | $247.00 | $80.04 – $325.55 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $247.00 | $80.04 – $325.55 |
| Inova Loudoun Hospital | Leesburg | $247.00 | $80.04 – $325.55 |
| Inova Mount Vernon Hospital | Alexandria | $247.00 | $80.04 – $325.55 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $1,710.00 | $35.03 – $182.03 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $1,152.00 | $45.83 – $182.03 |