Evaluation of speech fluency 92521 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

$714.00

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.

$714.00

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.

$97.14 with Humana Military vs $642.60 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 $97.14 ↓ -86%
TriAtlantic TRICR $110.09 ↓ -85%
Health Net TRICR $116.57 ↓ -84%
Sentara Health MCR $134.29 ↓ -81%
Good Samaritan Hospice COMM $134.29 ↓ -81%
Magellan MCR $134.29 ↓ -81%
United VACCN $134.29 ↓ -81%
Humana MCR $134.29 ↓ -81%
United Mine Workers MCR $134.29 ↓ -81%
Devoted MCR $134.29 ↓ -81%
United MGMCR $134.96 ↓ -81%
Lifeworks MCR $135.66 ↓ -81%
Aetna MGMCR $135.82 ↓ -81%
Virginia Premier Health MGMCR $136.98 ↓ -81%
Anthem MGMCR $138.32 ↓ -81%
Evernorth Behavioral Health MCR $139.66 ↓ -80%
Cigna HealthSpring MCR $139.66 ↓ -80%
Clear Spring Health Plan MCR $141.00 ↓ -80%
Align Senior Care MGMCR $143.69 ↓ -80%
Pyramid Life MGMCR $143.69 ↓ -80%
Universal Healthcare Group MCR $157.08 ↓ -78%
United OptionsPPO $238.48 ↓ -67%
Virginia Health Network ULTRA $249.90 ↓ -65%
Aetna Broad $321.30 ↓ -55%
United GlobalBenefitPlan $321.30 ↓ -55%
Greenvbrier Sporting Club COMM $428.40 ↓ -40%
Virginia Health Network COMM $506.94 ↓ -29%
Virginia Health Network WC $506.94 ↓ -29%
CorVel WorkersComp $514.08 ↓ -28%
Richfield Retirement Community COMM $535.50 ↓ -25%
Richfield Nursing Center COMM $535.50 ↓ -25%
Multiplan PHCS $549.78 ↓ -23%
One Health Plan PPO $571.20 ↓ -20%
One Health Plan POS $571.20 ↓ -20%
Graham-White Manufacturing COMM $571.20 ↓ -20%
OccuNet Workers Comp WorkersComp $571.20 ↓ -20%
Community Care Network COMM $571.20 ↓ -20%
Patients Choice COMM $628.32 ↓ -12%
Star Transportation COMM $642.60 ↓ -10%
4Most COMM $642.60 ↓ -10%
American Postal Workers Union COMM $642.60 ↓ -10%
PHCS COMM $642.60 ↓ -10%
Optima Health HMO not published by hospital
Aetna SharedSavings not published by hospital
Optima Health POS not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Evaluation of speech fluency 92521 at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $354.00 $110.09 – $141.43
Inova Alexandria Hospital Alexandria $411.50 $120.48 – $517.75
Inova Fairfax Hospital Falls Church $411.50 $120.48 – $517.75
Inova Fair Oaks Hospital VA 22033-1709 $411.50 $120.48 – $517.75
Inova Loudoun Hospital Leesburg $411.50 $120.48 – $517.75
Inova Mount Vernon Hospital Alexandria $411.50 $120.48 – $517.75
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,073.00 $110.09 – $181.29
LEWISGALE MEDICAL CENTER ROANOKE $989.00 $110.09 – $143.69

All Virginia hospitals for this procedure →