Abdominal X-ray (2 views) at LEWISGALE HOSPITAL-PULASKI

2400 Lee Hwy, PULASKI, VA · HCA Virginia · · NPI 1205882396

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 2026

$1,497.00

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.

$1,497.00

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.

$37.79 with Anthem vs $1,347.30 with American Postal Workers Union — 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 $37.79 ↓ -97%
Anthem HMO $41.98 ↓ -97%
Anthem PPO $41.98 ↓ -97%
United AllPayerAppendix $245.18 ↓ -84%
Lifeworks MCR $284.43 ↓ -81%
Universal Healthcare Group MCR $329.34 ↓ -78%
United OptionsPPO $500.00 ↓ -67%
Virginia Health Network ULTRA $523.95 ↓ -65%
Aetna Broad-POC $673.65 ↓ -55%
United GlobalBenefitPlan $673.65 ↓ -55%
Aetna Broad $673.65 ↓ -55%
Greenvbrier Sporting Club COMM $898.20 ↓ -40%
Multiplan PHCS $998.05 ↓ -33%
Virginia Health Network COMM $1,062.87 ↓ -29%
Virginia Health Network WC $1,062.87 ↓ -29%
CorVel WorkersComp $1,077.84 ↓ -28%
Richfield Nursing Center COMM $1,122.75 ↓ -25%
Richfield Retirement Community COMM $1,122.75 ↓ -25%
One Health Plan POS $1,197.60 ↓ -20%
Community Care Network COMM $1,197.60 ↓ -20%
Graham-White Manufacturing COMM $1,197.60 ↓ -20%
OccuNet Workers Comp WorkersComp $1,197.60 ↓ -20%
One Health Plan PPO $1,197.60 ↓ -20%
Patients Choice COMM $1,317.36 ↓ -12%
Star Transportation COMM $1,347.30 ↓ -10%
PHCS COMM $1,347.30 ↓ -10%
4Most COMM $1,347.30 ↓ -10%
American Postal Workers Union COMM $1,347.30 ↓ -10%

Visitor-reported prices

visitor-reported
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Abdominal X-ray (2 views) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $281.50 $80.04 – $371.02
Inova Fairfax Hospital Falls Church $281.50 $80.04 – $371.02
Inova Fair Oaks Hospital VA 22033-1709 $281.50 $80.04 – $371.02
Inova Loudoun Hospital Leesburg $281.50 $80.04 – $371.02
Inova Mount Vernon Hospital Alexandria $281.50 $80.04 – $371.02
Johnston Memorial Hospital ABINGDON $69.30 $18.51 – $222.37
Russell County Hospital LEBANON $69.30 $48.61 – $222.37
Sentara Martha Jefferson Hospital Charlottesville $330.00 $104.04 – $107.10

All Virginia hospitals for this procedure →