Cortisol acth stimulation test - 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

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.

$25.05 with Humana Military vs $155.50 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 $25.05
TriAtlantic TRICR $28.39
Health Net TRICR $30.06
United VACCN $32.62
Sentara Health MCR $32.62
Good Samaritan Hospice COMM $32.62
United Mine Workers MCR $32.62
Magellan MCR $32.62
Humana MCR $32.62
Devoted MCR $32.62
United AllPayerAppendix $32.62
United MGMCR $32.78
Aetna MGMCR $32.99
Virginia Premier Health MGMCR $33.27
Anthem MGMCR $33.60
Cigna HealthSpring MCR $33.92
Evernorth Behavioral Health MCR $33.92
Clear Spring Health Plan MCR $34.25
Align Senior Care MGMCR $34.90
Pyramid Life MGMCR $34.90
Anthem HIX $139.94
Anthem PPO $155.50
Anthem HMO $155.50
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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Cortisol acth stimulation test - sendout at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $620.00 $28.39 – $47.30
Inova Alexandria Hospital Alexandria $249.00 $32.62 – $313.29
Inova Fairfax Hospital Falls Church $249.00 $32.62 – $313.29
Inova Fair Oaks Hospital VA 22033-1709 $249.00 $32.62 – $313.29
Inova Loudoun Hospital Leesburg $249.00 $32.62 – $313.29
Inova Mount Vernon Hospital Alexandria $249.00 $32.62 – $313.29
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $28.39 – $145.84
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $28.39 – $34.90

All Virginia hospitals for this procedure →