Low-Dose Lung Cancer Screening CT Scan 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

$186.00

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.

$186.00

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.

$35.34 with Lifeworks vs $2,807.00 with Aetna — 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
Lifeworks MCR $35.34 ↓ -81%
Universal Healthcare Group MCR $40.92 ↓ -78%
United OptionsPPO $62.12 ↓ -67%
Virginia Health Network ULTRA $65.10 ↓ -65%
United GlobalBenefitPlan $83.70 ↓ -55%
Aetna Broad $83.70 ↓ -55%
Aetna Broad-POC $83.70 ↓ -55%
Greenvbrier Sporting Club COMM $111.60 ↓ -40%
Multiplan PHCS $124.01 ↓ -33%
Virginia Health Network WC $132.06 ↓ -29%
Virginia Health Network COMM $132.06 ↓ -29%
CorVel WorkersComp $133.92 ↓ -28%
Richfield Retirement Community COMM $139.50 ↓ -25%
Richfield Nursing Center COMM $139.50 ↓ -25%
OccuNet Workers Comp WorkersComp $148.80 ↓ -20%
Community Care Network COMM $148.80 ↓ -20%
Graham-White Manufacturing COMM $148.80 ↓ -20%
One Health Plan POS $148.80 ↓ -20%
One Health Plan PPO $148.80 ↓ -20%
Patients Choice COMM $163.68 ↓ -12%
American Postal Workers Union COMM $167.40 ↓ -10%
Star Transportation COMM $167.40 ↓ -10%
4Most COMM $167.40 ↓ -10%
PHCS COMM $167.40 ↓ -10%
Anthem HIX $174.08 ↓ -6%
United AllPayerAppendix $182.03 ↓ -2%
Anthem PPO $193.36 ↑ +4%
Anthem HMO $193.36 ↑ +4%
Aetna SharedSavings $2,807.00 ↑ +1409%

Visitor-reported prices

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Low-Dose Lung Cancer Screening CT Scan at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $418.50 $106.34 – $1,432.00
Inova Fairfax Hospital Falls Church $418.50 $106.34 – $1,432.00
Inova Fair Oaks Hospital VA 22033-1709 $418.50 $106.34 – $1,432.00
Inova Loudoun Hospital Leesburg $418.50 $106.34 – $1,432.00
Inova Mount Vernon Hospital Alexandria $418.50 $106.34 – $1,432.00
Johnston Memorial Hospital ABINGDON $91.05 $72.81 – $222.37
Russell County Hospital LEBANON $91.05 $72.81 – $222.37
Sentara Martha Jefferson Hospital Charlottesville $478.50 $104.04 – $107.10

All Virginia hospitals for this procedure →