Blood smear microscopic w manual differential wbc count 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

$177.00

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.

$177.00

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.

$2.92 with Humana Military vs $159.30 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 $2.92 ↓ -98%
TriAtlantic TRICR $3.31 ↓ -98%
Health Net TRICR $3.50 ↓ -98%
United AllPayerAppendix $3.80 ↓ -98%
United Mine Workers MCR $3.80 ↓ -98%
United VACCN $3.80 ↓ -98%
Good Samaritan Hospice COMM $3.80 ↓ -98%
Magellan MCR $3.80 ↓ -98%
Devoted MCR $3.80 ↓ -98%
Humana MCR $3.80 ↓ -98%
Sentara Health MCR $3.80 ↓ -98%
United MGMCR $3.82 ↓ -98%
Aetna MGMCR $3.84 ↓ -98%
Virginia Premier Health MGMCR $3.88 ↓ -98%
Anthem MGMCR $3.91 ↓ -98%
Evernorth Behavioral Health MCR $3.95 ↓ -98%
Cigna HealthSpring MCR $3.95 ↓ -98%
Clear Spring Health Plan MCR $3.99 ↓ -98%
Align Senior Care MGMCR $4.07 ↓ -98%
Pyramid Life MGMCR $4.07 ↓ -98%
Anthem HIX $16.30 ↓ -91%
Anthem HMO $18.11 ↓ -90%
Anthem PPO $18.11 ↓ -90%
Lifeworks MCR $33.63 ↓ -81%
Universal Healthcare Group MCR $38.94 ↓ -78%
United OptionsPPO $59.12 ↓ -67%
Virginia Health Network ULTRA $61.95 ↓ -65%
United GlobalBenefitPlan $79.65 ↓ -55%
Aetna Broad $79.65 ↓ -55%
Greenvbrier Sporting Club COMM $106.20 ↓ -40%
Virginia Health Network WC $125.67 ↓ -29%
Virginia Health Network COMM $125.67 ↓ -29%
CorVel WorkersComp $127.44 ↓ -28%
Richfield Nursing Center COMM $132.75 ↓ -25%
Richfield Retirement Community COMM $132.75 ↓ -25%
Multiplan PHCS $136.29 ↓ -23%
One Health Plan PPO $141.60 ↓ -20%
One Health Plan POS $141.60 ↓ -20%
Graham-White Manufacturing COMM $141.60 ↓ -20%
OccuNet Workers Comp WorkersComp $141.60 ↓ -20%
Community Care Network COMM $141.60 ↓ -20%
Patients Choice COMM $155.76 ↓ -12%
Star Transportation COMM $159.30 ↓ -10%
4Most COMM $159.30 ↓ -10%
American Postal Workers Union COMM $159.30 ↓ -10%
PHCS COMM $159.30 ↓ -10%
Aetna SharedSavings not published by hospital
Optima Health PPO not published by hospital
Optima Health POS not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

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Blood smear microscopic w manual differential wbc count at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $290.00 $3.31 – $5.51
Inova Alexandria Hospital Alexandria $43.50 $3.80 – $54.73
Inova Fairfax Hospital Falls Church $43.50 $3.80 – $54.73
Inova Fair Oaks Hospital VA 22033-1709 $43.50 $3.80 – $54.73
Inova Loudoun Hospital Leesburg $43.50 $3.80 – $54.73
Inova Mount Vernon Hospital Alexandria $43.50 $3.80 – $54.73
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $291.00 $3.31 – $16.99
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $106.00 $3.31 – $4.07

All Virginia hospitals for this procedure →