Tc-99m sestamibi p study dose 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

$1,248.00

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.

$1,248.00

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.

$187.20 with Aetna vs $1,194.04 with United — 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
Aetna MGMCR $187.20 ↓ -85%
Cigna NPR $217.15 ↓ -83%
Lifeworks MCR $237.12 ↓ -81%
Universal Healthcare Group MCR $274.56 ↓ -78%
Virginia Health Network ULTRA $436.80 ↓ -65%
Aetna SharedSavings $449.28 ↓ -64%
United OptionsPPO $482.98 ↓ -61%
Cigna PPO $519.17 ↓ -58%
Cigna HMO $519.17 ↓ -58%
United GlobalBenefitPlan $561.60 ↓ -55%
Aetna Broad $661.44 ↓ -47%
Greenvbrier Sporting Club COMM $748.80 ↓ -40%
Virginia Health Network WC $886.08 ↓ -29%
Virginia Health Network COMM $886.08 ↓ -29%
CorVel WorkersComp $898.56 ↓ -28%
Richfield Retirement Community COMM $936.00 ↓ -25%
Richfield Nursing Center COMM $936.00 ↓ -25%
Multiplan PHCS $960.96 ↓ -23%
Graham-White Manufacturing COMM $998.40 ↓ -20%
OccuNet Workers Comp WorkersComp $998.40 ↓ -20%
One Health Plan PPO $998.40 ↓ -20%
One Health Plan POS $998.40 ↓ -20%
Community Care Network COMM $998.40 ↓ -20%
PHCS COMM $1,060.80 ↓ -15%
Patients Choice COMM $1,098.24 ↓ -12%
Star Transportation COMM $1,123.20 ↓ -10%
4Most COMM $1,123.20 ↓ -10%
American Postal Workers Union COMM $1,123.20 ↓ -10%
United AllPayerAppendix $1,194.04 ↓ -4%

Visitor-reported prices

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Tc-99m sestamibi p study dose at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $13.54 $21.11 – $743.46
Inova Fairfax Hospital Falls Church $13.54 $21.11 – $743.46
Inova Fair Oaks Hospital VA 22033-1709 $13.54 $21.11 – $743.46
Inova Loudoun Hospital Leesburg $13.54 $21.11 – $743.46
Inova Mount Vernon Hospital Alexandria $13.54 $21.11 – $743.46
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,094.00 $104.23 – $1,194.04
LEWISGALE HOSPITAL-PULASKI PULASKI $1,340.00 $1,194.04 – $1,194.04
TRICITIES HOSPITAL HOPEWELL $1,094.00 $104.23 – $1,194.04

All Virginia hospitals for this procedure →