_afb id by dna probe rflx ast at LEWISGALE HOSPITAL-ALLEGHANY
1 Alleghany Reg Hospital LN, LOW MOOR, VA · HCA Virginia · · NPI 1538100029
$328.00
Cash price 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.
$328.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$17.45 with TriAtlantic vs $295.20 with One Health Plan — 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 →
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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 ?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 ?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 | $17.45 | ↓ -95% |
| Health Net | TRICR | $18.48 | ↓ -94% |
| Humana Military | TRCR | $19.91 | ↓ -94% |
| Sentara Health | MCR | $20.05 | ↓ -94% |
| United Behavioral Health | VACCN | $20.05 | ↓ -94% |
| Aetna | MGMCR | $20.05 | ↓ -94% |
| United Mine Workers | MCR | $20.05 | ↓ -94% |
| Devoted | MCR | $20.05 | ↓ -94% |
| United | VACCN | $20.05 | ↓ -94% |
| United | AllPayerAppendix | $20.05 | ↓ -94% |
| Good Samaritan Hospice | COMM | $20.05 | ↓ -94% |
| Humana | MCR | $20.05 | ↓ -94% |
| United | MGMCR | $20.15 | ↓ -94% |
| Virginia Premier Health | MGMCR | $20.45 | ↓ -94% |
| Anthem | MGMCR | $20.65 | ↓ -94% |
| Cigna HealthSpring | MCR | $20.85 | ↓ -94% |
| Clear Spring Health Plan | MCR | $21.05 | ↓ -94% |
| Align Senior Care | MGMCR | $21.45 | ↓ -93% |
| Greenbrier Sporting Club | COMM | $29.07 | ↓ -91% |
| Lifeworks | MCR | $62.32 | ↓ -81% |
| Universal Healthcare Group | MCR | $72.16 | ↓ -78% |
| Anthem | HIX | $113.18 | ↓ -65% |
| Virginia Health Network | ULTRA | $114.80 | ↓ -65% |
| United | OptionsPPO | $124.64 | ↓ -62% |
| Anthem | PPO | $125.75 | ↓ -62% |
| Anthem | HMO | $125.75 | ↓ -62% |
| United | GlobalBenefitPlan | $147.60 | ↓ -55% |
| Aetna | Broad | $177.12 | ↓ -46% |
| Greenvbrier Sporting Club | COMM | $196.80 | ↓ -40% |
| Virginia Health Network | WC | $232.88 | ↓ -29% |
| Virginia Health Network | COMM | $232.88 | ↓ -29% |
| CorVel | WorkersComp | $236.16 | ↓ -28% |
| CSX Hotels | Product | $262.40 | ↓ -20% |
| OccuNet Workers Comp | WorkersComp | $262.40 | ↓ -20% |
| Health Payors Organization | COMM | $278.80 | ↓ -15% |
| 4Most | COMM | $295.20 | ↓ -10% |
| Multiplan | PHCS | $295.20 | ↓ -10% |
| American Postal Workers Union | COMM | $295.20 | ↓ -10% |
| C&O Employees Hospital Assn | COMM | $295.20 | ↓ -10% |
| Community Care Network | COMM | $295.20 | ↓ -10% |
| Alleghany Highland Community | COMM | $295.20 | ↓ -10% |
| One Health Plan | PPO | $295.20 | ↓ -10% |
| One Health Plan | POS | $295.20 | ↓ -10% |
| Aetna | SharedSavings | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
| Optima Health | POS | not published by hospital | — |
Visitor-reported prices
Comments
_afb id by dna probe rflx ast at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $204.00 | $11.72 – $256.67 |
| Inova Fairfax Hospital | Falls Church | $204.00 | $11.72 – $256.67 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $204.00 | $11.72 – $256.67 |
| Inova Loudoun Hospital | Leesburg | $204.00 | $11.72 – $256.67 |
| Inova Mount Vernon Hospital | Alexandria | $204.00 | $11.72 – $256.67 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $276.00 | $17.45 – $89.64 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $461.00 | $17.45 – $29.07 |
| TRICITIES HOSPITAL | HOPEWELL | $276.00 | $17.45 – $86.07 |