Injection,onabotulinumtoxina at LEWISGALE HOSPITAL-MONTGOMERY

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

Source: hospital's published price file ↗ · Published Mar 7, 2026 · Ingested Sep 10, 2026

not published by hospital

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.

not published by hospital

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.

$5.51 with TriAtlantic vs $44.10 with 4Most — 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
TriAtlantic TRICR $5.51
Health Net TRICR $5.83
Humana Military TRCR $6.29
Cigna NPR $8.53
Virginia Health Network ULTRA $17.15
United AllPayerAppendix $17.25
United OptionsPPO $18.96
Cigna PPO $20.38
Cigna HMO $20.38
United GlobalBenefitPlan $22.05
Greenvbrier Sporting Club COMM $29.40
Virginia Health Network COMM $34.79
Virginia Health Network WC $34.79
CorVel WorkersComp $35.28
Richfield Retirement Community COMM $36.75
Richfield Nursing Center COMM $36.75
Multiplan PHCS $37.73
One Health Plan PPO $39.20
One Health Plan POS $39.20
Graham-White Manufacturing COMM $39.20
Community Care Network COMM $39.20
OccuNet Workers Comp WorkersComp $39.20
PHCS COMM $41.65
Patients Choice COMM $43.12
Star Transportation COMM $44.10
American Postal Workers Union COMM $44.10
4Most COMM $44.10

Visitor-reported prices

visitor-reported
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Injection,onabotulinumtoxina at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $3,125.00 $5.51 – $17.25
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $7,905.00 $5.51 – $17.25
RESTON HOSPITAL CENTER VIENNA $5,241.63 $5.67 – $17.25
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $7,440.12 $6.29 – $17.25
LEWISGALE HOSPITAL-PULASKI PULASKI not published $4.86 – $17.25
LEWISGALE MEDICAL CENTER ROANOKE not published $5.51 – $19.53
TRICITIES HOSPITAL HOPEWELL not published $5.51 – $17.25
STONESPRINGS HOSPITAL CENTER Dulles not published $4.86 – $17.25

All Virginia hospitals for this procedure →