Mayo estriol 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.

Full explanation →

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.

$18.57 with Humana Military vs $394.20 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 $18.57
TriAtlantic TRICR $21.05
Health Net TRICR $22.28
Good Samaritan Hospice COMM $24.18
Humana MCR $24.18
United AllPayerAppendix $24.18
United VACCN $24.18
Sentara Health MCR $24.18
Devoted MCR $24.18
Magellan MCR $24.18
United Mine Workers MCR $24.18
United MGMCR $24.30
Aetna MGMCR $24.46
Virginia Premier Health MGMCR $24.66
Anthem MGMCR $24.91
Cigna HealthSpring MCR $25.15
Evernorth Behavioral Health MCR $25.15
Clear Spring Health Plan MCR $25.39
Pyramid Life MGMCR $25.87
Align Senior Care MGMCR $25.87
Lifeworks MCR $83.22
Universal Healthcare Group MCR $96.36
Anthem HIX $103.73
Anthem PPO $115.27
Anthem HMO $115.27
United OptionsPPO $146.29
Virginia Health Network ULTRA $153.30
Aetna Broad $197.10
United GlobalBenefitPlan $197.10
Greenvbrier Sporting Club COMM $262.80
Virginia Health Network WC $310.98
Virginia Health Network COMM $310.98
CorVel WorkersComp $315.36
Richfield Retirement Community COMM $328.50
Richfield Nursing Center COMM $328.50
Multiplan PHCS $337.26
One Health Plan POS $350.40
Community Care Network COMM $350.40
One Health Plan PPO $350.40
Graham-White Manufacturing COMM $350.40
OccuNet Workers Comp WorkersComp $350.40
Patients Choice COMM $385.44
Star Transportation COMM $394.20
4Most COMM $394.20
American Postal Workers Union COMM $394.20
PHCS COMM $394.20
Aetna SharedSavings not published by hospital
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Mayo estriol at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $208.00 $15.74 – $261.71
Inova Fairfax Hospital Falls Church $208.00 $15.74 – $261.71
Inova Fair Oaks Hospital VA 22033-1709 $208.00 $15.74 – $261.71
Inova Loudoun Hospital Leesburg $208.00 $15.74 – $261.71
Inova Mount Vernon Hospital Alexandria $208.00 $15.74 – $261.71
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $516.00 $21.05 – $108.11
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $378.00 $21.05 – $25.87
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $250.56 $24.02 – $97.77

All Virginia hospitals for this procedure →