Immunofixation electrophoresis serum 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

$744.00

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.

$744.00

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.

$17.15 with Humana Military vs $669.60 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 $17.15 ↓ -98%
TriAtlantic TRICR $19.44 ↓ -97%
Health Net TRICR $20.58 ↓ -97%
United AllPayerAppendix $22.34 ↓ -97%
United Mine Workers MCR $22.34 ↓ -97%
United VACCN $22.34 ↓ -97%
Good Samaritan Hospice COMM $22.34 ↓ -97%
Magellan MCR $22.34 ↓ -97%
Devoted MCR $22.34 ↓ -97%
Humana MCR $22.34 ↓ -97%
Sentara Health MCR $22.34 ↓ -97%
United MGMCR $22.45 ↓ -97%
Aetna MGMCR $22.59 ↓ -97%
Virginia Premier Health MGMCR $22.79 ↓ -97%
Anthem MGMCR $23.01 ↓ -97%
Evernorth Behavioral Health MCR $23.23 ↓ -97%
Cigna HealthSpring MCR $23.23 ↓ -97%
Clear Spring Health Plan MCR $23.46 ↓ -97%
Align Senior Care MGMCR $23.90 ↓ -97%
Pyramid Life MGMCR $23.90 ↓ -97%
Anthem HIX $95.84 ↓ -87%
Anthem HMO $106.49 ↓ -86%
Anthem PPO $106.49 ↓ -86%
Lifeworks MCR $141.36 ↓ -81%
Universal Healthcare Group MCR $163.68 ↓ -78%
United OptionsPPO $248.50 ↓ -67%
Virginia Health Network ULTRA $260.40 ↓ -65%
United GlobalBenefitPlan $334.80 ↓ -55%
Aetna Broad $334.80 ↓ -55%
Greenvbrier Sporting Club COMM $446.40 ↓ -40%
Virginia Health Network WC $528.24 ↓ -29%
Virginia Health Network COMM $528.24 ↓ -29%
CorVel WorkersComp $535.68 ↓ -28%
Richfield Nursing Center COMM $558.00 ↓ -25%
Richfield Retirement Community COMM $558.00 ↓ -25%
Multiplan PHCS $572.88 ↓ -23%
One Health Plan PPO $595.20 ↓ -20%
One Health Plan POS $595.20 ↓ -20%
Graham-White Manufacturing COMM $595.20 ↓ -20%
OccuNet Workers Comp WorkersComp $595.20 ↓ -20%
Community Care Network COMM $595.20 ↓ -20%
Patients Choice COMM $654.72 ↓ -12%
Star Transportation COMM $669.60 ↓ -10%
4Most COMM $669.60 ↓ -10%
American Postal Workers Union COMM $669.60 ↓ -10%
PHCS COMM $669.60 ↓ -10%
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

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Immunofixation electrophoresis serum at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $664.00 $19.44 – $32.39
Inova Alexandria Hospital Alexandria $192.50 $13.38 – $242.20
Inova Fairfax Hospital Falls Church $192.50 $13.38 – $242.20
Inova Fair Oaks Hospital VA 22033-1709 $192.50 $13.38 – $242.20
Inova Loudoun Hospital Leesburg $192.50 $13.38 – $242.20
Inova Mount Vernon Hospital Alexandria $192.50 $13.38 – $242.20
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $645.00 $19.44 – $99.88
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $330.00 $19.44 – $23.90

All Virginia hospitals for this procedure →