Culture afb any source 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

$315.00

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.

$315.00

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.

$8.29 with Humana Military vs $283.50 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
Humana Military TRCR $8.29 ↓ -97%
TriAtlantic TRICR $9.40 ↓ -97%
Health Net TRICR $9.95 ↓ -97%
United AllPayerAppendix $10.80 ↓ -97%
United Mine Workers MCR $10.80 ↓ -97%
United VACCN $10.80 ↓ -97%
Good Samaritan Hospice COMM $10.80 ↓ -97%
Magellan MCR $10.80 ↓ -97%
Devoted MCR $10.80 ↓ -97%
Humana MCR $10.80 ↓ -97%
Sentara Health MCR $10.80 ↓ -97%
United MGMCR $10.85 ↓ -97%
Aetna MGMCR $10.92 ↓ -97%
Virginia Premier Health MGMCR $11.02 ↓ -97%
Anthem MGMCR $11.12 ↓ -96%
Evernorth Behavioral Health MCR $11.23 ↓ -96%
Cigna HealthSpring MCR $11.23 ↓ -96%
Clear Spring Health Plan MCR $11.34 ↓ -96%
Align Senior Care MGMCR $11.56 ↓ -96%
Pyramid Life MGMCR $11.56 ↓ -96%
Anthem HIX $46.33 ↓ -85%
Anthem HMO $51.48 ↓ -84%
Anthem PPO $51.48 ↓ -84%
Lifeworks MCR $59.85 ↓ -81%
Universal Healthcare Group MCR $69.30 ↓ -78%
United OptionsPPO $105.21 ↓ -67%
Virginia Health Network ULTRA $110.25 ↓ -65%
United GlobalBenefitPlan $141.75 ↓ -55%
Aetna Broad $141.75 ↓ -55%
Greenvbrier Sporting Club COMM $189.00 ↓ -40%
Virginia Health Network WC $223.65 ↓ -29%
Virginia Health Network COMM $223.65 ↓ -29%
CorVel WorkersComp $226.80 ↓ -28%
Richfield Nursing Center COMM $236.25 ↓ -25%
Richfield Retirement Community COMM $236.25 ↓ -25%
Multiplan PHCS $242.55 ↓ -23%
One Health Plan PPO $252.00 ↓ -20%
One Health Plan POS $252.00 ↓ -20%
Graham-White Manufacturing COMM $252.00 ↓ -20%
OccuNet Workers Comp WorkersComp $252.00 ↓ -20%
Community Care Network COMM $252.00 ↓ -20%
Patients Choice COMM $277.20 ↓ -12%
Star Transportation COMM $283.50 ↓ -10%
4Most COMM $283.50 ↓ -10%
American Postal Workers Union COMM $283.50 ↓ -10%
PHCS COMM $283.50 ↓ -10%
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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Culture afb any source at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $545.00 $9.40 – $15.66
Inova Alexandria Hospital Alexandria $93.50 $10.80 – $117.64
Inova Fairfax Hospital Falls Church $93.50 $10.80 – $117.64
Inova Fair Oaks Hospital VA 22033-1709 $93.50 $10.80 – $117.64
Inova Loudoun Hospital Leesburg $93.50 $10.80 – $117.64
Inova Mount Vernon Hospital Alexandria $93.50 $10.80 – $117.64
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $763.00 $9.40 – $48.29
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $294.00 $9.40 – $11.56

All Virginia hospitals for this procedure →