Plastic mod low ext pad/line 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.

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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.

$127.15 with TriAtlantic vs $160.06 with Pyramid Life — 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 $127.15
Health Net TRICR $134.63
Humana Military TRCR $145.10
United Mine Workers MCR $149.59
Devoted MCR $149.59
United VACCN $149.59
Sentara Health MCR $149.59
Good Samaritan Hospice COMM $149.59
Humana MCR $149.59
United MGMCR $150.34
Aetna MGMCR $151.30
Virginia Premier Health MGMCR $152.58
Anthem MGMCR $154.08
Cigna HealthSpring MCR $155.57
Clear Spring Health Plan MCR $157.07
Align Senior Care MGMCR $160.06
Pyramid Life MGMCR $160.06

Visitor-reported prices

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Plastic mod low ext pad/line at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $127.15 – $201.95
LEWISGALE MEDICAL CENTER ROANOKE not published $127.15 – $160.06
TRICITIES HOSPITAL HOPEWELL not published $127.15 – $201.95
RESTON HOSPITAL CENTER VIENNA not published $145.10 – $160.06
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $145.10 – $160.06
STONESPRINGS HOSPITAL CENTER Dulles not published $112.19 – $160.06
HENRICO DOCTORS HOSPITAL RICHMOND not published $127.15 – $160.06

All Virginia hospitals for this procedure →