Assay of lap enzyme 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.

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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.

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The hospital's undiscounted list price — almost no one pays this.

$8.53 with TriAtlantic vs $61.53 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.

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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 $8.53
Health Net TRICR $9.04
Humana Military TRCR $9.74
United Mine Workers MCR $9.81
United Behavioral Health VACCN $9.81
Aetna MGMCR $9.81
Devoted MCR $9.81
United VACCN $9.81
United AllPayerAppendix $9.81
Sentara Health MCR $9.81
Good Samaritan Hospice COMM $9.81
Humana MCR $9.81
United MGMCR $9.86
Virginia Premier Health MGMCR $10.01
Anthem MGMCR $10.10
Cigna HealthSpring MCR $10.20
Clear Spring Health Plan MCR $10.30
Align Senior Care MGMCR $10.50
Greenbrier Sporting Club COMM $14.22
Anthem HIX $55.38
Anthem PPO $61.53
Anthem HMO $61.53
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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Assay of lap enzyme at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $141.00 $6.47 – $177.41
Inova Fairfax Hospital Falls Church $141.00 $6.47 – $177.41
Inova Fair Oaks Hospital VA 22033-1709 $141.00 $6.47 – $177.41
Inova Loudoun Hospital Leesburg $141.00 $6.47 – $177.41
Inova Mount Vernon Hospital Alexandria $141.00 $6.47 – $177.41
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $8.53 – $43.86
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $8.53 – $10.50
LEWISGALE HOSPITAL-PULASKI PULASKI not published $7.53 – $10.50

All Virginia hospitals for this procedure →