Ultrasound Guidance for a Needle Procedure 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

$2,351.00

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.

$2,351.00

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.

$133.69 with Anthem vs $2,115.90 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 $133.69 ↓ -94%
Anthem PPO $148.53 ↓ -94%
Anthem HMO $148.53 ↓ -94%
Aetna MGMCR $352.65 ↓ -85%
Cigna NPR $409.07 ↓ -83%
Lifeworks MCR $446.69 ↓ -81%
Universal Healthcare Group MCR $517.22 ↓ -78%
Virginia Health Network ULTRA $822.85 ↓ -65%
United OptionsPPO $909.84 ↓ -61%
United GlobalBenefitPlan $1,057.95 ↓ -55%
Greenvbrier Sporting Club COMM $1,410.60 ↓ -40%
Multiplan PHCS $1,575.17 ↓ -33%
Virginia Health Network COMM $1,669.21 ↓ -29%
Virginia Health Network WC $1,669.21 ↓ -29%
CorVel WorkersComp $1,692.72 ↓ -28%
Richfield Retirement Community COMM $1,763.25 ↓ -25%
Richfield Nursing Center COMM $1,763.25 ↓ -25%
OccuNet Workers Comp WorkersComp $1,880.80 ↓ -20%
Community Care Network COMM $1,880.80 ↓ -20%
Graham-White Manufacturing COMM $1,880.80 ↓ -20%
One Health Plan POS $1,880.80 ↓ -20%
One Health Plan PPO $1,880.80 ↓ -20%
PHCS COMM $1,998.35 ↓ -15%
Patients Choice COMM $2,068.88 ↓ -12%
Star Transportation COMM $2,115.90 ↓ -10%
4Most COMM $2,115.90 ↓ -10%
American Postal Workers Union COMM $2,115.90 ↓ -10%

Visitor-reported prices

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Ultrasound Guidance for a Needle Procedure at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $422.00 $155.87 – $556.20
Inova Fairfax Hospital Falls Church $422.00 $155.87 – $556.20
Inova Fair Oaks Hospital VA 22033-1709 $422.00 $155.87 – $556.20
Inova Loudoun Hospital Leesburg $422.00 $155.87 – $556.20
Inova Mount Vernon Hospital Alexandria $422.00 $155.87 – $556.20
Johnston Memorial Hospital ABINGDON $101.55 $50.23 – $144.64
Russell County Hospital LEBANON $101.55 $87.26 – $144.64
Sentara Martha Jefferson Hospital Charlottesville $404.00 not published

All Virginia hospitals for this procedure →