Chromosome analysis 45 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

not published by hospital

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.

not published by hospital

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.

$115.40 with Humana Military vs $716.43 with Anthem — 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 $115.40
TriAtlantic TRICR $130.79
Health Net TRICR $138.48
United Mine Workers MCR $150.29
Humana MCR $150.29
Devoted MCR $150.29
United VACCN $150.29
United AllPayerAppendix $150.29
Sentara Health MCR $150.29
Good Samaritan Hospice COMM $150.29
Magellan MCR $150.29
United MGMCR $151.04
Aetna MGMCR $152.00
Virginia Premier Health MGMCR $153.30
Anthem MGMCR $154.80
Evernorth Behavioral Health MCR $156.30
Cigna HealthSpring MCR $156.30
Clear Spring Health Plan MCR $157.80
Align Senior Care MGMCR $160.81
Pyramid Life MGMCR $160.81
Anthem HIX $644.74
Anthem PPO $716.43
Anthem HMO $716.43
Optima Health POS not published by hospital
Optima Health PPO not published by hospital
Optima Health HMO not published by hospital
Aetna SharedSavings not published by hospital

Visitor-reported prices

visitor-reported
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Chromosome analysis 45 at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $1,729.00 $150.29 – $2,175.43
Inova Fairfax Hospital Falls Church $1,729.00 $150.29 – $2,175.43
Inova Fair Oaks Hospital VA 22033-1709 $1,729.00 $150.29 – $2,175.43
Inova Loudoun Hospital Leesburg $1,729.00 $150.29 – $2,175.43
Inova Mount Vernon Hospital Alexandria $1,729.00 $150.29 – $2,175.43
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $130.79 – $217.92
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $130.79 – $671.95
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $130.79 – $160.81

All Virginia hospitals for this procedure →