Amino acid screen, urine 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

$247.00

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.

$247.00

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.

$10.65 with Humana Military vs $222.30 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 $10.65 ↓ -96%
TriAtlantic TRICR $12.07 ↓ -95%
Health Net TRICR $12.78 ↓ -95%
Good Samaritan Hospice COMM $13.87 ↓ -94%
Humana MCR $13.87 ↓ -94%
United AllPayerAppendix $13.87 ↓ -94%
United VACCN $13.87 ↓ -94%
Sentara Health MCR $13.87 ↓ -94%
Devoted MCR $13.87 ↓ -94%
Magellan MCR $13.87 ↓ -94%
United Mine Workers MCR $13.87 ↓ -94%
United MGMCR $13.94 ↓ -94%
Aetna MGMCR $14.03 ↓ -94%
Virginia Premier Health MGMCR $14.15 ↓ -94%
Anthem MGMCR $14.29 ↓ -94%
Cigna HealthSpring MCR $14.42 ↓ -94%
Evernorth Behavioral Health MCR $14.42 ↓ -94%
Clear Spring Health Plan MCR $14.56 ↓ -94%
Pyramid Life MGMCR $14.84 ↓ -94%
Align Senior Care MGMCR $14.84 ↓ -94%
Lifeworks MCR $46.93 ↓ -81%
Universal Healthcare Group MCR $54.34 ↓ -78%
Anthem HIX $59.50 ↓ -76%
Anthem PPO $66.12 ↓ -73%
Anthem HMO $66.12 ↓ -73%
United OptionsPPO $82.50 ↓ -67%
Virginia Health Network ULTRA $86.45 ↓ -65%
Aetna Broad $111.15 ↓ -55%
United GlobalBenefitPlan $111.15 ↓ -55%
Greenvbrier Sporting Club COMM $148.20 ↓ -40%
Virginia Health Network WC $175.37 ↓ -29%
Virginia Health Network COMM $175.37 ↓ -29%
CorVel WorkersComp $177.84 ↓ -28%
Richfield Retirement Community COMM $185.25 ↓ -25%
Richfield Nursing Center COMM $185.25 ↓ -25%
Multiplan PHCS $190.19 ↓ -23%
One Health Plan POS $197.60 ↓ -20%
Community Care Network COMM $197.60 ↓ -20%
One Health Plan PPO $197.60 ↓ -20%
Graham-White Manufacturing COMM $197.60 ↓ -20%
OccuNet Workers Comp WorkersComp $197.60 ↓ -20%
Patients Choice COMM $217.36 ↓ -12%
Star Transportation COMM $222.30 ↓ -10%
4Most COMM $222.30 ↓ -10%
American Postal Workers Union COMM $222.30 ↓ -10%
PHCS COMM $222.30 ↓ -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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Amino acid screen, urine at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $77.00 $13.87 – $96.88
Inova Fairfax Hospital Falls Church $77.00 $13.87 – $96.88
Inova Fair Oaks Hospital VA 22033-1709 $77.00 $13.87 – $96.88
Inova Loudoun Hospital Leesburg $77.00 $13.87 – $96.88
Inova Mount Vernon Hospital Alexandria $77.00 $13.87 – $96.88
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $245.00 $12.07 – $14.84
LEWISGALE MEDICAL CENTER ROANOKE $200.00 $12.07 – $20.11
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $12.07 – $20.11

All Virginia hospitals for this procedure →