Neck (Cervical Spine) X-ray (4 to 5 views) 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

$2,323.00

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.

$2,323.00

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.

$55.25 with Anthem vs $2,090.70 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 $55.25 ↓ -98%
Anthem PPO $61.38 ↓ -97%
Anthem HMO $61.38 ↓ -97%
United AllPayerAppendix $245.18 ↓ -89%
Cigna NPR $404.20 ↓ -83%
Lifeworks MCR $441.37 ↓ -81%
Universal Healthcare Group MCR $511.06 ↓ -78%
Virginia Health Network ULTRA $813.05 ↓ -65%
United OptionsPPO $899.00 ↓ -61%
United GlobalBenefitPlan $1,045.35 ↓ -55%
Greenvbrier Sporting Club COMM $1,393.80 ↓ -40%
Multiplan PHCS $1,556.41 ↓ -33%
Virginia Health Network COMM $1,649.33 ↓ -29%
Virginia Health Network WC $1,649.33 ↓ -29%
CorVel WorkersComp $1,672.56 ↓ -28%
Richfield Retirement Community COMM $1,742.25 ↓ -25%
Richfield Nursing Center COMM $1,742.25 ↓ -25%
One Health Plan POS $1,858.40 ↓ -20%
Community Care Network COMM $1,858.40 ↓ -20%
Graham-White Manufacturing COMM $1,858.40 ↓ -20%
OccuNet Workers Comp WorkersComp $1,858.40 ↓ -20%
One Health Plan PPO $1,858.40 ↓ -20%
PHCS COMM $1,974.55 ↓ -15%
Patients Choice COMM $2,044.24 ↓ -12%
Star Transportation COMM $2,090.70 ↓ -10%
4Most COMM $2,090.70 ↓ -10%
American Postal Workers Union COMM $2,090.70 ↓ -10%

Visitor-reported prices

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Neck (Cervical Spine) X-ray (4 to 5 views) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $521.00 $80.04 – $686.68
Inova Fairfax Hospital Falls Church $521.00 $80.04 – $686.68
Inova Fair Oaks Hospital VA 22033-1709 $521.00 $80.04 – $686.68
Inova Loudoun Hospital Leesburg $521.00 $80.04 – $686.68
Inova Mount Vernon Hospital Alexandria $521.00 $80.04 – $686.68
Johnston Memorial Hospital ABINGDON $72.75 $29.36 – $222.37
Russell County Hospital LEBANON $72.75 $52.44 – $222.37
Sentara Martha Jefferson Hospital Charlottesville $348.50 $104.04 – $107.10

All Virginia hospitals for this procedure →