Ankle X-ray 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.

$43.12 with Anthem vs $1,173.60 with 4Most — 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 $43.12
Anthem HMO $47.93
Anthem PPO $47.93
United AllPayerAppendix $182.03
Lifeworks MCR $247.76
Universal Healthcare Group MCR $286.88
Virginia Health Network ULTRA $456.40
United OptionsPPO $495.52
United GlobalBenefitPlan $586.80
Aetna Broad $704.16
Greenvbrier Sporting Club COMM $782.40
Virginia Health Network WC $925.84
Virginia Health Network COMM $925.84
CorVel WorkersComp $938.88
CSX Hotels Product $1,043.20
OccuNet Workers Comp WorkersComp $1,043.20
Health Payors Organization COMM $1,108.40
Multiplan PHCS $1,173.60
Alleghany Highland Community COMM $1,173.60
American Postal Workers Union COMM $1,173.60
C&O Employees Hospital Assn COMM $1,173.60
Community Care Network COMM $1,173.60
One Health Plan PPO $1,173.60
One Health Plan POS $1,173.60
4Most COMM $1,173.60
Optima Health HMO not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital
Cigna HMO not published by hospital
Cigna PPO not published by hospital
Aetna SharedSavings not published by hospital

Visitor-reported prices

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Ankle X-ray at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $339.00 $80.04 – $446.80
Inova Fairfax Hospital Falls Church $339.00 $80.04 – $446.80
Inova Fair Oaks Hospital VA 22033-1709 $339.00 $80.04 – $446.80
Inova Loudoun Hospital Leesburg $339.00 $80.04 – $446.80
Inova Mount Vernon Hospital Alexandria $339.00 $80.04 – $446.80
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $25.68 – $183.40
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $35.28 – $182.03
LEWISGALE HOSPITAL-PULASKI PULASKI not published $29.15 – $182.03

All Virginia hospitals for this procedure →