Cytopath c/v index add-on 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

$94.00

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.

$94.00

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.

$11.25 with Humana Military vs $84.60 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 →

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 $11.25 ↓ -88%
TriAtlantic TRICR $12.75 ↓ -86%
Health Net TRICR $13.50 ↓ -86%
Good Samaritan Hospice COMM $14.65 ↓ -84%
Humana MCR $14.65 ↓ -84%
United AllPayerAppendix $14.65 ↓ -84%
United VACCN $14.65 ↓ -84%
Sentara Health MCR $14.65 ↓ -84%
Devoted MCR $14.65 ↓ -84%
Magellan MCR $14.65 ↓ -84%
United Mine Workers MCR $14.65 ↓ -84%
United MGMCR $14.72 ↓ -84%
Aetna MGMCR $14.82 ↓ -84%
Virginia Premier Health MGMCR $14.94 ↓ -84%
Anthem MGMCR $15.09 ↓ -84%
Cigna HealthSpring MCR $15.24 ↓ -84%
Evernorth Behavioral Health MCR $15.24 ↓ -84%
Clear Spring Health Plan MCR $15.38 ↓ -84%
Pyramid Life MGMCR $15.68 ↓ -83%
Align Senior Care MGMCR $15.68 ↓ -83%
Lifeworks MCR $17.86 ↓ -81%
Universal Healthcare Group MCR $20.68 ↓ -78%
United OptionsPPO $31.40 ↓ -67%
Virginia Health Network ULTRA $32.90 ↓ -65%
Aetna Broad $42.30 ↓ -55%
United GlobalBenefitPlan $42.30 ↓ -55%
Greenvbrier Sporting Club COMM $56.40 ↓ -40%
Anthem HIX $62.85 ↓ -33%
Virginia Health Network WC $66.74 ↓ -29%
Virginia Health Network COMM $66.74 ↓ -29%
CorVel WorkersComp $67.68 ↓ -28%
Anthem PPO $69.84 ↓ -26%
Anthem HMO $69.84 ↓ -26%
Richfield Retirement Community COMM $70.50 ↓ -25%
Richfield Nursing Center COMM $70.50 ↓ -25%
Multiplan PHCS $72.38 ↓ -23%
OccuNet Workers Comp WorkersComp $75.20 ↓ -20%
One Health Plan PPO $75.20 ↓ -20%
Graham-White Manufacturing COMM $75.20 ↓ -20%
One Health Plan POS $75.20 ↓ -20%
Community Care Network COMM $75.20 ↓ -20%
Patients Choice COMM $82.72 ↓ -12%
Star Transportation COMM $84.60 ↓ -10%
PHCS COMM $84.60 ↓ -10%
4Most COMM $84.60 ↓ -10%
American Postal Workers Union COMM $84.60 ↓ -10%
Optima Health PPO not published by hospital
Aetna SharedSavings 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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Cytopath c/v index add-on at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $29.00 $14.65 – $37.92
Inova Fairfax Hospital Falls Church $29.00 $14.65 – $37.92
Inova Fair Oaks Hospital VA 22033-1709 $29.00 $14.65 – $37.92
Inova Loudoun Hospital Leesburg $29.00 $14.65 – $37.92
Inova Mount Vernon Hospital Alexandria $29.00 $14.65 – $37.92
LEWISGALE MEDICAL CENTER ROANOKE $178.00 $12.75 – $21.24
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $12.75 – $21.24
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $12.75 – $65.50

All Virginia hospitals for this procedure →