Cell function assay w/stim at LEWISGALE HOSPITAL-ALLEGHANY
1 Alleghany Reg Hospital LN, LOW MOOR, VA · HCA Virginia · · NPI 1538100029
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$118.23 with TriAtlantic vs $852.11 with Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $118.23 | — |
| Health Net | TRICR | $125.18 | — |
| Humana Military | TRCR | $134.92 | — |
| United Mine Workers | MCR | $135.86 | — |
| United Behavioral Health | VACCN | $135.86 | — |
| Aetna | MGMCR | $135.86 | — |
| Devoted | MCR | $135.86 | — |
| United | VACCN | $135.86 | — |
| United | AllPayerAppendix | $135.86 | — |
| Sentara Health | MCR | $135.86 | — |
| Good Samaritan Hospice | COMM | $135.86 | — |
| Humana | MCR | $135.86 | — |
| United | MGMCR | $136.54 | — |
| Virginia Premier Health | MGMCR | $138.58 | — |
| Anthem | MGMCR | $139.94 | — |
| Cigna HealthSpring | MCR | $141.29 | — |
| Clear Spring Health Plan | MCR | $142.65 | — |
| Align Senior Care | MGMCR | $145.37 | — |
| Greenbrier Sporting Club | COMM | $197.00 | — |
| Anthem | HIX | $766.93 | — |
| Anthem | PPO | $852.11 | — |
| Anthem | HMO | $852.11 | — |
| 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
Cell function assay w/stim at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $421.00 | $48.37 – $871.71 |
| Inova Fairfax Hospital | Falls Church | $421.00 | $48.37 – $871.71 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $421.00 | $48.37 – $871.71 |
| Inova Loudoun Hospital | Leesburg | $421.00 | $48.37 – $871.71 |
| Inova Mount Vernon Hospital | Alexandria | $421.00 | $48.37 – $871.71 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $393.00 | $118.23 – $197.00 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $118.23 – $607.43 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $118.23 – $145.37 |