In situ hybridization per specimen each additional single probe stain 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

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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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

$27.15 with Aetna vs $522.27 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
Aetna MGMCR $27.15
Lifeworks MCR $34.39
Universal Healthcare Group MCR $39.82
United OptionsPPO $60.45
Virginia Health Network ULTRA $63.35
United GlobalBenefitPlan $81.45
Aetna Broad $81.45
Greenvbrier Sporting Club COMM $108.60
United AllPayerAppendix $109.56
Virginia Health Network COMM $128.51
Virginia Health Network WC $128.51
CorVel WorkersComp $130.32
Richfield Nursing Center COMM $135.75
Richfield Retirement Community COMM $135.75
Multiplan PHCS $139.37
One Health Plan PPO $144.80
Graham-White Manufacturing COMM $144.80
OccuNet Workers Comp WorkersComp $144.80
Community Care Network COMM $144.80
One Health Plan POS $144.80
Patients Choice COMM $159.28
Star Transportation COMM $162.90
4Most COMM $162.90
American Postal Workers Union COMM $162.90
PHCS COMM $162.90
Anthem HIX $470.01
Anthem PPO $522.27
Anthem HMO $522.27
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital
Aetna SharedSavings not published by hospital

Visitor-reported prices

visitor-reported
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In situ hybridization per specimen each additional single probe stain at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $243.50 $46.88 – $424.00
Inova Fairfax Hospital Falls Church $243.50 $46.88 – $424.00
Inova Fair Oaks Hospital VA 22033-1709 $243.50 $46.88 – $424.00
Inova Loudoun Hospital Leesburg $243.50 $46.88 – $424.00
Inova Mount Vernon Hospital Alexandria $243.50 $46.88 – $424.00
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,309.00 $109.56 – $489.84
TRICITIES HOSPITAL HOPEWELL $1,309.00 $109.56 – $424.56
RESTON HOSPITAL CENTER VIENNA $1,046.53 $109.56 – $528.08

All Virginia hospitals for this procedure →