Consultation pathology during surgery at LEWISGALE HOSPITAL-PULASKI
2400 Lee Hwy, PULASKI, VA · HCA Virginia · · NPI 1205882396
$545.00
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.
$545.00
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.
$33.84 with United vs $490.50 with American Postal Workers Union — 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 |
|---|---|---|---|
| United | AllPayerAppendix | $33.84 | ↓ -94% |
| Lifeworks | MCR | $103.55 | ↓ -81% |
| Universal Healthcare Group | MCR | $119.90 | ↓ -78% |
| Anthem | HIX | $145.17 | ↓ -73% |
| Anthem | PPO | $161.32 | ↓ -70% |
| Anthem | HMO | $161.32 | ↓ -70% |
| United | OptionsPPO | $182.03 | ↓ -67% |
| Virginia Health Network | ULTRA | $190.75 | ↓ -65% |
| Aetna | Broad | $245.25 | ↓ -55% |
| United | GlobalBenefitPlan | $245.25 | ↓ -55% |
| Greenvbrier Sporting Club | COMM | $327.00 | ↓ -40% |
| Virginia Health Network | COMM | $386.95 | ↓ -29% |
| Virginia Health Network | WC | $386.95 | ↓ -29% |
| CorVel | WorkersComp | $392.40 | ↓ -28% |
| Richfield Retirement Community | COMM | $408.75 | ↓ -25% |
| Richfield Nursing Center | COMM | $408.75 | ↓ -25% |
| Multiplan | PHCS | $419.65 | ↓ -23% |
| One Health Plan | PPO | $436.00 | ↓ -20% |
| Community Care Network | COMM | $436.00 | ↓ -20% |
| OccuNet Workers Comp | WorkersComp | $436.00 | ↓ -20% |
| Graham-White Manufacturing | COMM | $436.00 | ↓ -20% |
| One Health Plan | POS | $436.00 | ↓ -20% |
| Patients Choice | COMM | $479.60 | ↓ -12% |
| Star Transportation | COMM | $490.50 | ↓ -10% |
| PHCS | COMM | $490.50 | ↓ -10% |
| 4Most | COMM | $490.50 | ↓ -10% |
| American Postal Workers Union | COMM | $490.50 | ↓ -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
Comments
Consultation pathology during surgery at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $142.00 | $33.84 – $151.30 |
| RESTON HOSPITAL CENTER | VIENNA | $172.74 | $33.84 – $163.11 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $186.56 | $33.84 – $164.63 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $142.00 | $33.84 – $144.77 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $33.84 – $191.03 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $33.84 – $143.96 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $33.84 – $189.98 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $33.84 – $144.77 |