Aluminum - quest at LEWISGALE HOSPITAL-PULASKI

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

Source: hospital's published price file ↗ · Published Mar 7, 2026 · Ingested Sep 10, 2026

$540.00

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.

$540.00

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.

$19.57 with Humana Military vs $486.00 with PHCS — 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
Humana Military TRCR $19.57 ↓ -96%
TriAtlantic TRICR $22.18 ↓ -96%
Health Net TRICR $23.48 ↓ -96%
Good Samaritan Hospice COMM $25.48 ↓ -95%
Humana MCR $25.48 ↓ -95%
United AllPayerAppendix $25.48 ↓ -95%
United VACCN $25.48 ↓ -95%
Sentara Health MCR $25.48 ↓ -95%
Devoted MCR $25.48 ↓ -95%
Magellan MCR $25.48 ↓ -95%
United Mine Workers MCR $25.48 ↓ -95%
United MGMCR $25.61 ↓ -95%
Aetna MGMCR $25.77 ↓ -95%
Virginia Premier Health MGMCR $25.99 ↓ -95%
Anthem MGMCR $26.24 ↓ -95%
Cigna HealthSpring MCR $26.50 ↓ -95%
Evernorth Behavioral Health MCR $26.50 ↓ -95%
Clear Spring Health Plan MCR $26.75 ↓ -95%
Pyramid Life MGMCR $27.26 ↓ -95%
Align Senior Care MGMCR $27.26 ↓ -95%
Lifeworks MCR $102.60 ↓ -81%
Anthem HIX $109.31 ↓ -80%
Universal Healthcare Group MCR $118.80 ↓ -78%
Anthem PPO $121.46 ↓ -78%
Anthem HMO $121.46 ↓ -78%
United OptionsPPO $180.36 ↓ -67%
Virginia Health Network ULTRA $189.00 ↓ -65%
Aetna Broad $243.00 ↓ -55%
United GlobalBenefitPlan $243.00 ↓ -55%
Greenvbrier Sporting Club COMM $324.00 ↓ -40%
Virginia Health Network WC $383.40 ↓ -29%
Virginia Health Network COMM $383.40 ↓ -29%
CorVel WorkersComp $388.80 ↓ -28%
Richfield Retirement Community COMM $405.00 ↓ -25%
Richfield Nursing Center COMM $405.00 ↓ -25%
Multiplan PHCS $415.80 ↓ -23%
One Health Plan POS $432.00 ↓ -20%
Community Care Network COMM $432.00 ↓ -20%
One Health Plan PPO $432.00 ↓ -20%
Graham-White Manufacturing COMM $432.00 ↓ -20%
OccuNet Workers Comp WorkersComp $432.00 ↓ -20%
Patients Choice COMM $475.20 ↓ -12%
Star Transportation COMM $486.00 ↓ -10%
4Most COMM $486.00 ↓ -10%
American Postal Workers Union COMM $486.00 ↓ -10%
PHCS COMM $486.00 ↓ -10%
Aetna SharedSavings not published by hospital
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Aluminum - quest at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $651.00 $22.18 – $36.95
Inova Alexandria Hospital Alexandria $220.00 $14.43 – $276.80
Inova Fairfax Hospital Falls Church $220.00 $14.43 – $276.80
Inova Fair Oaks Hospital VA 22033-1709 $220.00 $14.43 – $276.80
Inova Loudoun Hospital Leesburg $220.00 $14.43 – $276.80
Inova Mount Vernon Hospital Alexandria $220.00 $14.43 – $276.80
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $713.00 $22.18 – $113.92
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $555.00 $22.18 – $27.26

All Virginia hospitals for this procedure →