Histamine 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

not published by hospital

Cash price

?

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.

not published by hospital

Gross charge

?

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.

$22.67 with Humana Military vs $1,107.00 with PHCS — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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 $22.67
TriAtlantic TRICR $25.70
Health Net TRICR $27.21
United AllPayerAppendix $29.53
United Mine Workers MCR $29.53
United VACCN $29.53
Good Samaritan Hospice COMM $29.53
Magellan MCR $29.53
Devoted MCR $29.53
Humana MCR $29.53
Sentara Health MCR $29.53
United MGMCR $29.68
Aetna MGMCR $29.87
Virginia Premier Health MGMCR $30.12
Anthem MGMCR $30.42
Evernorth Behavioral Health MCR $30.71
Cigna HealthSpring MCR $30.71
Clear Spring Health Plan MCR $31.01
Align Senior Care MGMCR $31.60
Pyramid Life MGMCR $31.60
Anthem HIX $126.68
Anthem HMO $140.77
Anthem PPO $140.77
Lifeworks MCR $233.70
Universal Healthcare Group MCR $270.60
United OptionsPPO $410.82
Virginia Health Network ULTRA $430.50
United GlobalBenefitPlan $553.50
Aetna Broad $553.50
Greenvbrier Sporting Club COMM $738.00
Virginia Health Network WC $873.30
Virginia Health Network COMM $873.30
CorVel WorkersComp $885.60
Richfield Nursing Center COMM $922.50
Richfield Retirement Community COMM $922.50
Multiplan PHCS $947.10
One Health Plan PPO $984.00
One Health Plan POS $984.00
Graham-White Manufacturing COMM $984.00
OccuNet Workers Comp WorkersComp $984.00
Community Care Network COMM $984.00
Patients Choice COMM $1,082.40
Star Transportation COMM $1,107.00
4Most COMM $1,107.00
American Postal Workers Union COMM $1,107.00
PHCS COMM $1,107.00
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

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Histamine at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $898.00 $25.70 – $42.82
Inova Alexandria Hospital Alexandria $253.00 $29.53 – $318.32
Inova Fairfax Hospital Falls Church $253.00 $29.53 – $318.32
Inova Fair Oaks Hospital VA 22033-1709 $253.00 $29.53 – $318.32
Inova Loudoun Hospital Leesburg $253.00 $29.53 – $318.32
Inova Mount Vernon Hospital Alexandria $253.00 $29.53 – $318.32
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $916.00 $25.70 – $132.03
LEWISGALE MEDICAL CENTER ROANOKE $519.00 $25.70 – $42.82

All Virginia hospitals for this procedure →