Fluoroscopy (Live X-ray Guidance, up to 1 hour) at LEWISGALE HOSPITAL-MONTGOMERY

1145 W Main St, CHRISTIANSBURG, VA · HCA Virginia · · NPI 1275570376

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 2026

$3,169.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$3,169.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$64.94 with Anthem vs $2,852.10 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 →

Payer
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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
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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 $64.94 ↓ -98%
Anthem PPO $72.15 ↓ -98%
Anthem HMO $72.15 ↓ -98%
United AllPayerAppendix $517.79 ↓ -84%
Cigna NPR $551.41 ↓ -83%
Lifeworks MCR $602.11 ↓ -81%
Universal Healthcare Group MCR $697.18 ↓ -78%
Virginia Health Network ULTRA $1,109.15 ↓ -65%
United OptionsPPO $1,226.40 ↓ -61%
United GlobalBenefitPlan $1,426.05 ↓ -55%
Greenvbrier Sporting Club COMM $1,901.40 ↓ -40%
Multiplan PHCS $2,123.23 ↓ -33%
Virginia Health Network COMM $2,249.99 ↓ -29%
Virginia Health Network WC $2,249.99 ↓ -29%
CorVel WorkersComp $2,281.68 ↓ -28%
Richfield Retirement Community COMM $2,376.75 ↓ -25%
Richfield Nursing Center COMM $2,376.75 ↓ -25%
One Health Plan POS $2,535.20 ↓ -20%
Community Care Network COMM $2,535.20 ↓ -20%
Graham-White Manufacturing COMM $2,535.20 ↓ -20%
OccuNet Workers Comp WorkersComp $2,535.20 ↓ -20%
One Health Plan PPO $2,535.20 ↓ -20%
PHCS COMM $2,693.65 ↓ -15%
Patients Choice COMM $2,788.72 ↓ -12%
Star Transportation COMM $2,852.10 ↓ -10%
4Most COMM $2,852.10 ↓ -10%
American Postal Workers Union COMM $2,852.10 ↓ -10%

Visitor-reported prices

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Fluoroscopy (Live X-ray Guidance, up to 1 hour) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $569.00 $167.33 – $749.94
Inova Fairfax Hospital Falls Church $569.00 $167.33 – $749.94
Inova Fair Oaks Hospital VA 22033-1709 $569.00 $167.33 – $749.94
Inova Loudoun Hospital Leesburg $569.00 $167.33 – $749.94
Inova Mount Vernon Hospital Alexandria $569.00 $167.33 – $749.94
Johnston Memorial Hospital ABINGDON $69.30 $42.72 – $507.50
Russell County Hospital LEBANON $69.30 $52.37 – $507.50
Sentara Martha Jefferson Hospital Charlottesville $189.50 $237.46 – $244.44

All Virginia hospitals for this procedure →