Fluoroscopy (Live X-ray Guidance, up to 1 hour) at LEWISGALE HOSPITAL-PULASKI

2400 Lee Hwy, PULASKI, VA · HCA Virginia · · NPI 1205882396

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 2026

$3,056.00

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.

$3,056.00

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.

$53.88 with Anthem vs $2,750.40 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
Anthem HIX $53.88 ↓ -98%
Anthem HMO $59.84 ↓ -98%
Anthem PPO $59.84 ↓ -98%
United AllPayerAppendix $517.79 ↓ -83%
Lifeworks MCR $580.64 ↓ -81%
Universal Healthcare Group MCR $672.32 ↓ -78%
United OptionsPPO $1,020.70 ↓ -67%
Virginia Health Network ULTRA $1,069.60 ↓ -65%
Aetna Broad-POC $1,375.20 ↓ -55%
United GlobalBenefitPlan $1,375.20 ↓ -55%
Aetna Broad $1,375.20 ↓ -55%
Greenvbrier Sporting Club COMM $1,833.60 ↓ -40%
Multiplan PHCS $2,037.44 ↓ -33%
Virginia Health Network COMM $2,169.76 ↓ -29%
Virginia Health Network WC $2,169.76 ↓ -29%
CorVel WorkersComp $2,200.32 ↓ -28%
Richfield Nursing Center COMM $2,292.00 ↓ -25%
Richfield Retirement Community COMM $2,292.00 ↓ -25%
One Health Plan POS $2,444.80 ↓ -20%
Community Care Network COMM $2,444.80 ↓ -20%
Graham-White Manufacturing COMM $2,444.80 ↓ -20%
OccuNet Workers Comp WorkersComp $2,444.80 ↓ -20%
One Health Plan PPO $2,444.80 ↓ -20%
Patients Choice COMM $2,689.28 ↓ -12%
Star Transportation COMM $2,750.40 ↓ -10%
PHCS COMM $2,750.40 ↓ -10%
4Most COMM $2,750.40 ↓ -10%
American Postal Workers Union COMM $2,750.40 ↓ -10%

Visitor-reported prices

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Fluoroscopy (Live X-ray Guidance, up to 1 hour) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $569.00 $167.33 – $749.94
Inova Fairfax Hospital Falls Church $569.00 $167.33 – $749.94
Inova Fair Oaks Hospital VA 22033-1709 $569.00 $167.33 – $749.94
Inova Loudoun Hospital Leesburg $569.00 $167.33 – $749.94
Inova Mount Vernon Hospital Alexandria $569.00 $167.33 – $749.94
Johnston Memorial Hospital ABINGDON $69.30 $42.72 – $507.50
Russell County Hospital LEBANON $69.30 $52.37 – $507.50
Sentara Martha Jefferson Hospital Charlottesville $189.50 $237.46 – $244.44

All Virginia hospitals for this procedure →