Amino acid screen, urine at LEWISGALE HOSPITAL-ALLEGHANY

1 Alleghany Reg Hospital LN, LOW MOOR, VA · HCA Virginia · · NPI 1538100029

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.

Full explanation →

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.

$12.07 with TriAtlantic vs $86.99 with Anthem — 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 $12.07
Health Net TRICR $12.78
Humana Military TRCR $13.77
United Mine Workers MCR $13.87
United Behavioral Health VACCN $13.87
Aetna MGMCR $13.87
Devoted MCR $13.87
United VACCN $13.87
United AllPayerAppendix $13.87
Sentara Health MCR $13.87
Good Samaritan Hospice COMM $13.87
Humana MCR $13.87
United MGMCR $13.94
Virginia Premier Health MGMCR $14.15
Anthem MGMCR $14.29
Cigna HealthSpring MCR $14.42
Clear Spring Health Plan MCR $14.56
Align Senior Care MGMCR $14.84
Greenbrier Sporting Club COMM $20.11
Anthem HIX $78.30
Anthem PPO $86.99
Anthem HMO $86.99
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

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Amino acid screen, urine at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $77.00 $13.87 – $96.88
Inova Fairfax Hospital Falls Church $77.00 $13.87 – $96.88
Inova Fair Oaks Hospital VA 22033-1709 $77.00 $13.87 – $96.88
Inova Loudoun Hospital Leesburg $77.00 $13.87 – $96.88
Inova Mount Vernon Hospital Alexandria $77.00 $13.87 – $96.88
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $245.00 $12.07 – $14.84
LEWISGALE HOSPITAL-PULASKI PULASKI $247.00 $10.65 – $14.84
LEWISGALE MEDICAL CENTER ROANOKE $200.00 $12.07 – $20.11

All Virginia hospitals for this procedure →