(both sides) smear without diff 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

$129.00

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.

$129.00

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.

$2.63 with Humana Military vs $116.10 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 $2.63 ↓ -98%
TriAtlantic TRICR $2.98 ↓ -98%
Health Net TRICR $3.16 ↓ -98%
United AllPayerAppendix $3.43 ↓ -97%
United Mine Workers MCR $3.43 ↓ -97%
United VACCN $3.43 ↓ -97%
Good Samaritan Hospice COMM $3.43 ↓ -97%
Magellan MCR $3.43 ↓ -97%
Devoted MCR $3.43 ↓ -97%
Humana MCR $3.43 ↓ -97%
Sentara Health MCR $3.43 ↓ -97%
United MGMCR $3.45 ↓ -97%
Aetna MGMCR $3.47 ↓ -97%
Virginia Premier Health MGMCR $3.50 ↓ -97%
Anthem MGMCR $3.53 ↓ -97%
Evernorth Behavioral Health MCR $3.57 ↓ -97%
Cigna HealthSpring MCR $3.57 ↓ -97%
Clear Spring Health Plan MCR $3.60 ↓ -97%
Align Senior Care MGMCR $3.67 ↓ -97%
Pyramid Life MGMCR $3.67 ↓ -97%
Anthem HIX $14.71 ↓ -89%
Anthem HMO $16.35 ↓ -87%
Anthem PPO $16.35 ↓ -87%
Lifeworks MCR $24.51 ↓ -81%
Universal Healthcare Group MCR $28.38 ↓ -78%
United OptionsPPO $43.09 ↓ -67%
Virginia Health Network ULTRA $45.15 ↓ -65%
United GlobalBenefitPlan $58.05 ↓ -55%
Aetna Broad $58.05 ↓ -55%
Greenvbrier Sporting Club COMM $77.40 ↓ -40%
Virginia Health Network WC $91.59 ↓ -29%
Virginia Health Network COMM $91.59 ↓ -29%
CorVel WorkersComp $92.88 ↓ -28%
Richfield Nursing Center COMM $96.75 ↓ -25%
Richfield Retirement Community COMM $96.75 ↓ -25%
Multiplan PHCS $99.33 ↓ -23%
One Health Plan PPO $103.20 ↓ -20%
One Health Plan POS $103.20 ↓ -20%
Graham-White Manufacturing COMM $103.20 ↓ -20%
OccuNet Workers Comp WorkersComp $103.20 ↓ -20%
Community Care Network COMM $103.20 ↓ -20%
Patients Choice COMM $113.52 ↓ -12%
Star Transportation COMM $116.10 ↓ -10%
4Most COMM $116.10 ↓ -10%
American Postal Workers Union COMM $116.10 ↓ -10%
PHCS COMM $116.10 ↓ -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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(both sides) smear without diff wbc count at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $42.50 $3.43 – $53.47
Inova Fairfax Hospital Falls Church $42.50 $3.43 – $53.47
Inova Fair Oaks Hospital VA 22033-1709 $42.50 $3.43 – $53.47
Inova Loudoun Hospital Leesburg $42.50 $3.43 – $53.47
Inova Mount Vernon Hospital Alexandria $42.50 $3.43 – $53.47
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $98.00 $2.98 – $3.67
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $2.98 – $4.97
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $2.98 – $15.34

All Virginia hospitals for this procedure →