Calculus analysis qual at LEWISGALE HOSPITAL-ALLEGHANY
1 Alleghany Reg Hospital LN, LOW MOOR, VA · HCA Virginia · · NPI 1538100029
$477.00
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.
$477.00
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.
$10.08 with TriAtlantic vs $429.30 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 | $10.08 | ↓ -98% |
| Health Net | TRICR | $10.67 | ↓ -98% |
| Humana Military | TRCR | $11.50 | ↓ -98% |
| Sentara Health | MCR | $11.58 | ↓ -98% |
| United Behavioral Health | VACCN | $11.58 | ↓ -98% |
| Aetna | MGMCR | $11.58 | ↓ -98% |
| United Mine Workers | MCR | $11.58 | ↓ -98% |
| Devoted | MCR | $11.58 | ↓ -98% |
| United | VACCN | $11.58 | ↓ -98% |
| United | AllPayerAppendix | $11.58 | ↓ -98% |
| Good Samaritan Hospice | COMM | $11.58 | ↓ -98% |
| Humana | MCR | $11.58 | ↓ -98% |
| United | MGMCR | $11.64 | ↓ -98% |
| Virginia Premier Health | MGMCR | $11.81 | ↓ -98% |
| Anthem | MGMCR | $11.93 | ↓ -97% |
| Cigna HealthSpring | MCR | $12.04 | ↓ -97% |
| Clear Spring Health Plan | MCR | $12.16 | ↓ -97% |
| Align Senior Care | MGMCR | $12.39 | ↓ -97% |
| Greenbrier Sporting Club | COMM | $16.79 | ↓ -96% |
| Anthem | HIX | $65.37 | ↓ -86% |
| Anthem | HMO | $72.63 | ↓ -85% |
| Anthem | PPO | $72.63 | ↓ -85% |
| Lifeworks | MCR | $90.63 | ↓ -81% |
| Universal Healthcare Group | MCR | $104.94 | ↓ -78% |
| Virginia Health Network | ULTRA | $166.95 | ↓ -65% |
| United | OptionsPPO | $181.26 | ↓ -62% |
| United | GlobalBenefitPlan | $214.65 | ↓ -55% |
| Aetna | Broad | $257.58 | ↓ -46% |
| Greenvbrier Sporting Club | COMM | $286.20 | ↓ -40% |
| Virginia Health Network | WC | $338.67 | ↓ -29% |
| Virginia Health Network | COMM | $338.67 | ↓ -29% |
| CorVel | WorkersComp | $343.44 | ↓ -28% |
| CSX Hotels | Product | $381.60 | ↓ -20% |
| OccuNet Workers Comp | WorkersComp | $381.60 | ↓ -20% |
| Health Payors Organization | COMM | $405.45 | ↓ -15% |
| 4Most | COMM | $429.30 | ↓ -10% |
| Multiplan | PHCS | $429.30 | ↓ -10% |
| American Postal Workers Union | COMM | $429.30 | ↓ -10% |
| C&O Employees Hospital Assn | COMM | $429.30 | ↓ -10% |
| Community Care Network | COMM | $429.30 | ↓ -10% |
| Alleghany Highland Community | COMM | $429.30 | ↓ -10% |
| One Health Plan | PPO | $429.30 | ↓ -10% |
| One Health Plan | POS | $429.30 | ↓ -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
Calculus analysis qual at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $111.00 | $11.58 – $139.66 |
| Inova Fairfax Hospital | Falls Church | $111.00 | $11.58 – $139.66 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $111.00 | $11.58 – $139.66 |
| Inova Loudoun Hospital | Leesburg | $111.00 | $11.58 – $139.66 |
| Inova Mount Vernon Hospital | Alexandria | $111.00 | $11.58 – $139.66 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $10.08 – $51.77 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $10.08 – $12.39 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $8.89 – $12.39 |