Drug test def 1-7 classes 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

$513.00

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.

$513.00

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.

$87.86 with Humana Military vs $545.49 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 $87.86 ↓ -83%
Lifeworks MCR $97.47 ↓ -81%
TriAtlantic TRICR $99.58 ↓ -81%
Health Net TRICR $105.44 ↓ -79%
Universal Healthcare Group MCR $112.86 ↓ -78%
Magellan MCR $114.43 ↓ -78%
Humana MCR $114.43 ↓ -78%
Devoted MCR $114.43 ↓ -78%
United VACCN $114.43 ↓ -78%
United AllPayerAppendix $114.43 ↓ -78%
Sentara Health MCR $114.43 ↓ -78%
Good Samaritan Hospice COMM $114.43 ↓ -78%
United Mine Workers MCR $114.43 ↓ -78%
United MGMCR $115.00 ↓ -78%
Aetna MGMCR $115.73 ↓ -77%
Virginia Premier Health MGMCR $116.72 ↓ -77%
Anthem MGMCR $117.86 ↓ -77%
Evernorth Behavioral Health MCR $119.01 ↓ -77%
Cigna HealthSpring MCR $119.01 ↓ -77%
Clear Spring Health Plan MCR $120.15 ↓ -77%
Align Senior Care MGMCR $122.44 ↓ -76%
Pyramid Life MGMCR $122.44 ↓ -76%
United OptionsPPO $171.34 ↓ -67%
Virginia Health Network ULTRA $179.55 ↓ -65%
Aetna Broad $230.85 ↓ -55%
United GlobalBenefitPlan $230.85 ↓ -55%
Greenvbrier Sporting Club COMM $307.80 ↓ -40%
Virginia Health Network WC $364.23 ↓ -29%
Virginia Health Network COMM $364.23 ↓ -29%
CorVel WorkersComp $369.36 ↓ -28%
Richfield Nursing Center COMM $384.75 ↓ -25%
Richfield Retirement Community COMM $384.75 ↓ -25%
Multiplan PHCS $395.01 ↓ -23%
Graham-White Manufacturing COMM $410.40 ↓ -20%
OccuNet Workers Comp WorkersComp $410.40 ↓ -20%
Community Care Network COMM $410.40 ↓ -20%
One Health Plan PPO $410.40 ↓ -20%
One Health Plan POS $410.40 ↓ -20%
Patients Choice COMM $451.44 ↓ -12%
Star Transportation COMM $461.70 ↓ -10%
PHCS COMM $461.70 ↓ -10%
4Most COMM $461.70 ↓ -10%
American Postal Workers Union COMM $461.70 ↓ -10%
Anthem HIX $490.90 ↓ -4%
Anthem HMO $545.49 ↑ +6%
Anthem PPO $545.49 ↑ +6%
Aetna SharedSavings not published by hospital

Visitor-reported prices

visitor-reported
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Drug test def 1-7 classes at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $1,009.00 $99.58 – $165.92
Inova Alexandria Hospital Alexandria $403.00 $82.49 – $507.05
Inova Fairfax Hospital Falls Church $403.00 $82.49 – $507.05
Inova Fair Oaks Hospital VA 22033-1709 $403.00 $82.49 – $507.05
Inova Loudoun Hospital Leesburg $403.00 $82.49 – $507.05
Inova Mount Vernon Hospital Alexandria $403.00 $82.49 – $507.05
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,603.00 $99.58 – $511.62
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $421.00 $99.58 – $122.44

All Virginia hospitals for this procedure →