Vaccine tdap >=7 years im 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

$409.00

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.

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What you pay up front if you don't use insurance.

$409.00

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.

$33.21 with TriAtlantic vs $368.10 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
TriAtlantic TRICR $33.21 ↓ -92%
Health Net TRICR $35.16 ↓ -91%
Humana Military TRCR $37.90 ↓ -91%
Aetna MGMCR $61.35 ↓ -85%
Cigna NPR $71.17 ↓ -83%
United AllPayerAppendix $105.18 ↓ -74%
Virginia Health Network ULTRA $143.15 ↓ -65%
United OptionsPPO $158.28 ↓ -61%
Cigna HMO $170.14 ↓ -58%
Cigna PPO $170.14 ↓ -58%
United GlobalBenefitPlan $184.05 ↓ -55%
Greenvbrier Sporting Club COMM $245.40 ↓ -40%
Virginia Health Network COMM $290.39 ↓ -29%
Virginia Health Network WC $290.39 ↓ -29%
CorVel WorkersComp $294.48 ↓ -28%
Richfield Retirement Community COMM $306.75 ↓ -25%
Richfield Nursing Center COMM $306.75 ↓ -25%
Multiplan PHCS $314.93 ↓ -23%
One Health Plan PPO $327.20 ↓ -20%
Graham-White Manufacturing COMM $327.20 ↓ -20%
OccuNet Workers Comp WorkersComp $327.20 ↓ -20%
Community Care Network COMM $327.20 ↓ -20%
One Health Plan POS $327.20 ↓ -20%
PHCS COMM $347.65 ↓ -15%
Patients Choice COMM $359.92 ↓ -12%
Star Transportation COMM $368.10 ↓ -10%
4Most COMM $368.10 ↓ -10%
American Postal Workers Union COMM $368.10 ↓ -10%
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Vaccine tdap >=7 years im at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $520.00 $33.21 – $105.18
Inova Alexandria Hospital Alexandria $41.40 $36.65 – $61.81
Inova Fairfax Hospital Falls Church $41.40 $36.65 – $61.81
Inova Fair Oaks Hospital VA 22033-1709 $41.40 $36.65 – $61.81
Inova Loudoun Hospital Leesburg $41.40 $36.65 – $61.81
Inova Mount Vernon Hospital Alexandria $41.40 $36.65 – $61.81
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $833.00 $33.21 – $105.18
LEWISGALE HOSPITAL-PULASKI PULASKI $244.00 $29.30 – $105.18

All Virginia hospitals for this procedure →