Assay of urine urobilinogen 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

$56.00

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.

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What you pay up front if you don't use insurance.

$56.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$7.33 with Humana Military vs $50.40 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 $7.33 ↓ -87%
TriAtlantic TRICR $8.31 ↓ -85%
Health Net TRICR $8.80 ↓ -84%
Good Samaritan Hospice COMM $9.55 ↓ -83%
Humana MCR $9.55 ↓ -83%
United AllPayerAppendix $9.55 ↓ -83%
United VACCN $9.55 ↓ -83%
Sentara Health MCR $9.55 ↓ -83%
Devoted MCR $9.55 ↓ -83%
Magellan MCR $9.55 ↓ -83%
United Mine Workers MCR $9.55 ↓ -83%
United MGMCR $9.60 ↓ -83%
Aetna MGMCR $9.66 ↓ -83%
Virginia Premier Health MGMCR $9.74 ↓ -83%
Anthem MGMCR $9.84 ↓ -82%
Cigna HealthSpring MCR $9.93 ↓ -82%
Evernorth Behavioral Health MCR $9.93 ↓ -82%
Clear Spring Health Plan MCR $10.03 ↓ -82%
Pyramid Life MGMCR $10.22 ↓ -82%
Align Senior Care MGMCR $10.22 ↓ -82%
Lifeworks MCR $10.64 ↓ -81%
Universal Healthcare Group MCR $12.32 ↓ -78%
United OptionsPPO $18.70 ↓ -67%
Virginia Health Network ULTRA $19.60 ↓ -65%
United GlobalBenefitPlan $25.20 ↓ -55%
Aetna Broad $25.20 ↓ -55%
Greenvbrier Sporting Club COMM $33.60 ↓ -40%
Virginia Health Network COMM $39.76 ↓ -29%
Virginia Health Network WC $39.76 ↓ -29%
CorVel WorkersComp $40.32 ↓ -28%
Anthem HIX $40.97 ↓ -27%
Richfield Retirement Community COMM $42.00 ↓ -25%
Richfield Nursing Center COMM $42.00 ↓ -25%
Multiplan PHCS $43.12 ↓ -23%
Community Care Network COMM $44.80 ↓ -20%
OccuNet Workers Comp WorkersComp $44.80 ↓ -20%
One Health Plan PPO $44.80 ↓ -20%
One Health Plan POS $44.80 ↓ -20%
Graham-White Manufacturing COMM $44.80 ↓ -20%
Anthem PPO $45.52 ↓ -19%
Anthem HMO $45.52 ↓ -19%
Patients Choice COMM $49.28 ↓ -12%
4Most COMM $50.40 ↓ -10%
Star Transportation COMM $50.40 ↓ -10%
PHCS COMM $50.40 ↓ -10%
American Postal Workers Union COMM $50.40 ↓ -10%
Optima Health HMO not published by hospital
Aetna SharedSavings not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Assay of urine urobilinogen at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $109.00 $6.47 – $137.14
Inova Fairfax Hospital Falls Church $109.00 $6.47 – $137.14
Inova Fair Oaks Hospital VA 22033-1709 $109.00 $6.47 – $137.14
Inova Loudoun Hospital Leesburg $109.00 $6.47 – $137.14
Inova Mount Vernon Hospital Alexandria $109.00 $6.47 – $137.14
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $8.31 – $13.85
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $8.31 – $42.70
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $8.31 – $10.22

All Virginia hospitals for this procedure →