Chromo high res and frag x - sendout 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

$1,153.00

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.

$1,153.00

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.

$57.04 with Sentara Health vs $1,037.70 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
Sentara Health MCR $57.04 ↓ -95%
Magellan MCR $57.04 ↓ -95%
Devoted MCR $57.04 ↓ -95%
Humana MCR $57.04 ↓ -95%
United Mine Workers MCR $57.04 ↓ -95%
Good Samaritan Hospice COMM $57.04 ↓ -95%
United AllPayerAppendix $57.04 ↓ -95%
United VACCN $57.04 ↓ -95%
United MGMCR $57.33 ↓ -95%
Aetna MGMCR $57.69 ↓ -95%
Virginia Premier Health MGMCR $58.18 ↓ -95%
Anthem MGMCR $58.75 ↓ -95%
Evernorth Behavioral Health MCR $59.32 ↓ -95%
Cigna HealthSpring MCR $59.32 ↓ -95%
Clear Spring Health Plan MCR $59.89 ↓ -95%
Pyramid Life MGMCR $61.03 ↓ -95%
Align Senior Care MGMCR $61.03 ↓ -95%
Lifeworks MCR $219.07 ↓ -81%
Anthem HIX $244.70 ↓ -79%
Universal Healthcare Group MCR $253.66 ↓ -78%
Anthem HMO $271.91 ↓ -76%
Anthem PPO $271.91 ↓ -76%
United OptionsPPO $385.10 ↓ -67%
Virginia Health Network ULTRA $403.55 ↓ -65%
United GlobalBenefitPlan $518.85 ↓ -55%
Aetna Broad $518.85 ↓ -55%
Greenvbrier Sporting Club COMM $691.80 ↓ -40%
Virginia Health Network COMM $818.63 ↓ -29%
Virginia Health Network WC $818.63 ↓ -29%
CorVel WorkersComp $830.16 ↓ -28%
Richfield Nursing Center COMM $864.75 ↓ -25%
Richfield Retirement Community COMM $864.75 ↓ -25%
Multiplan PHCS $887.81 ↓ -23%
Graham-White Manufacturing COMM $922.40 ↓ -20%
One Health Plan PPO $922.40 ↓ -20%
OccuNet Workers Comp WorkersComp $922.40 ↓ -20%
Community Care Network COMM $922.40 ↓ -20%
One Health Plan POS $922.40 ↓ -20%
Patients Choice COMM $1,014.64 ↓ -12%
Star Transportation COMM $1,037.70 ↓ -10%
4Most COMM $1,037.70 ↓ -10%
American Postal Workers Union COMM $1,037.70 ↓ -10%
PHCS COMM $1,037.70 ↓ -10%
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital
Aetna SharedSavings not published by hospital

Visitor-reported prices

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Chromo high res and frag x - sendout at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $269.00 $51.70 – $990.44
Inova Fairfax Hospital Falls Church $269.00 $51.70 – $990.44
Inova Fair Oaks Hospital VA 22033-1709 $269.00 $51.70 – $990.44
Inova Loudoun Hospital Leesburg $269.00 $51.70 – $990.44
Inova Mount Vernon Hospital Alexandria $269.00 $51.70 – $990.44
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $405.00 $57.04 – $255.03
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $652.00 $57.04 – $61.03
LEWISGALE MEDICAL CENTER ROANOKE $1,578.00 $57.04 – $82.71

All Virginia hospitals for this procedure →