Clostridium toxin a w/optic at LEWISGALE HOSPITAL-PULASKI
2400 Lee Hwy, PULASKI, VA · HCA Virginia · · NPI 1205882396
not published by hospital
Cash price 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.
not published by hospital
Gross charge 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.
$12.29 with Humana Military vs $76.27 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 →
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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 ?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 ?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 | $12.29 | — |
| TriAtlantic | TRICR | $13.92 | — |
| Health Net | TRICR | $14.74 | — |
| United Mine Workers | MCR | $16.00 | — |
| Humana | MCR | $16.00 | — |
| Devoted | MCR | $16.00 | — |
| United | VACCN | $16.00 | — |
| United | AllPayerAppendix | $16.00 | — |
| Sentara Health | MCR | $16.00 | — |
| Good Samaritan Hospice | COMM | $16.00 | — |
| Magellan | MCR | $16.00 | — |
| United | MGMCR | $16.08 | — |
| Aetna | MGMCR | $16.18 | — |
| Virginia Premier Health | MGMCR | $16.32 | — |
| Anthem | MGMCR | $16.48 | — |
| Evernorth Behavioral Health | MCR | $16.64 | — |
| Cigna HealthSpring | MCR | $16.64 | — |
| Clear Spring Health Plan | MCR | $16.80 | — |
| Align Senior Care | MGMCR | $17.12 | — |
| Pyramid Life | MGMCR | $17.12 | — |
| Anthem | HIX | $68.64 | — |
| Anthem | PPO | $76.27 | — |
| Anthem | HMO | $76.27 | — |
| 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
Comments
Clostridium toxin a w/optic at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $13.92 – $23.20 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $13.92 – $71.54 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $13.92 – $17.12 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $13.92 – $23.20 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $13.92 – $68.70 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $16.00 – $62.48 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $15.89 – $64.69 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $12.29 – $62.48 |