Anaplsma phgcytophlm amp prb 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

$829.00

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.

$829.00

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.

$26.95 with Humana Military vs $746.10 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
Humana Military TRCR $26.95 ↓ -97%
TriAtlantic TRICR $30.54 ↓ -96%
Health Net TRICR $32.34 ↓ -96%
Good Samaritan Hospice COMM $35.09 ↓ -96%
Humana MCR $35.09 ↓ -96%
Sentara Health MCR $35.09 ↓ -96%
Magellan MCR $35.09 ↓ -96%
United Mine Workers MCR $35.09 ↓ -96%
Devoted MCR $35.09 ↓ -96%
United VACCN $35.09 ↓ -96%
United AllPayerAppendix $35.09 ↓ -96%
United MGMCR $35.27 ↓ -96%
Aetna MGMCR $35.49 ↓ -96%
Virginia Premier Health MGMCR $35.79 ↓ -96%
Anthem MGMCR $36.14 ↓ -96%
Cigna HealthSpring MCR $36.49 ↓ -96%
Evernorth Behavioral Health MCR $36.49 ↓ -96%
Clear Spring Health Plan MCR $36.84 ↓ -96%
Pyramid Life MGMCR $37.55 ↓ -95%
Align Senior Care MGMCR $37.55 ↓ -95%
Anthem HIX $150.54 ↓ -82%
Lifeworks MCR $157.51 ↓ -81%
Anthem HMO $167.27 ↓ -80%
Anthem PPO $167.27 ↓ -80%
Universal Healthcare Group MCR $182.38 ↓ -78%
United OptionsPPO $276.89 ↓ -67%
Virginia Health Network ULTRA $290.15 ↓ -65%
United GlobalBenefitPlan $373.05 ↓ -55%
Aetna Broad $373.05 ↓ -55%
Greenvbrier Sporting Club COMM $497.40 ↓ -40%
Virginia Health Network COMM $588.59 ↓ -29%
Virginia Health Network WC $588.59 ↓ -29%
CorVel WorkersComp $596.88 ↓ -28%
Richfield Retirement Community COMM $621.75 ↓ -25%
Richfield Nursing Center COMM $621.75 ↓ -25%
Multiplan PHCS $638.33 ↓ -23%
One Health Plan PPO $663.20 ↓ -20%
OccuNet Workers Comp WorkersComp $663.20 ↓ -20%
Graham-White Manufacturing COMM $663.20 ↓ -20%
Community Care Network COMM $663.20 ↓ -20%
One Health Plan POS $663.20 ↓ -20%
Patients Choice COMM $729.52 ↓ -12%
Star Transportation COMM $746.10 ↓ -10%
PHCS COMM $746.10 ↓ -10%
4Most COMM $746.10 ↓ -10%
American Postal Workers Union COMM $746.10 ↓ -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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Anaplsma phgcytophlm amp prb at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $533.00 $30.54 – $50.88
Inova Alexandria Hospital Alexandria $255.00 $35.09 – $320.84
Inova Fairfax Hospital Falls Church $255.00 $35.09 – $320.84
Inova Fair Oaks Hospital VA 22033-1709 $255.00 $35.09 – $320.84
Inova Loudoun Hospital Leesburg $255.00 $35.09 – $320.84
Inova Mount Vernon Hospital Alexandria $255.00 $35.09 – $320.84
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $953.00 $30.54 – $156.89
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $544.00 $30.54 – $37.55

All Virginia hospitals for this procedure →