Pretreat rbc density gradient separation reference 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

$220.00

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.

$220.00

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.

$41.80 with Lifeworks vs $711.05 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
Lifeworks MCR $41.80 ↓ -81%
Universal Healthcare Group MCR $48.40 ↓ -78%
United OptionsPPO $73.48 ↓ -67%
Virginia Health Network ULTRA $77.00 ↓ -65%
Aetna Broad $99.00 ↓ -55%
United GlobalBenefitPlan $99.00 ↓ -55%
Greenvbrier Sporting Club COMM $132.00 ↓ -40%
United AllPayerAppendix $149.16 ↓ -32%
Virginia Health Network COMM $156.20 ↓ -29%
Virginia Health Network WC $156.20 ↓ -29%
CorVel WorkersComp $158.40 ↓ -28%
Richfield Nursing Center COMM $165.00 ↓ -25%
Richfield Retirement Community COMM $165.00 ↓ -25%
Multiplan PHCS $169.40 ↓ -23%
One Health Plan PPO $176.00 ↓ -20%
Graham-White Manufacturing COMM $176.00 ↓ -20%
OccuNet Workers Comp WorkersComp $176.00 ↓ -20%
Community Care Network COMM $176.00 ↓ -20%
One Health Plan POS $176.00 ↓ -20%
Patients Choice COMM $193.60 ↓ -12%
Star Transportation COMM $198.00 ↓ -10%
4Most COMM $198.00 ↓ -10%
American Postal Workers Union COMM $198.00 ↓ -10%
PHCS COMM $198.00 ↓ -10%
Anthem HIX $639.90 ↑ +191%
Anthem PPO $711.05 ↑ +223%
Anthem HMO $711.05 ↑ +223%
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

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Pretreat rbc density gradient separation reference at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $393.00 $149.16 – $842.01
Inova Alexandria Hospital Alexandria $287.50 $4.83 – $361.73
Inova Fairfax Hospital Falls Church $287.50 $4.83 – $361.73
Inova Fair Oaks Hospital VA 22033-1709 $287.50 $4.83 – $361.73
Inova Loudoun Hospital Leesburg $287.50 $4.83 – $361.73
Inova Mount Vernon Hospital Alexandria $287.50 $4.83 – $361.73
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $366.00 $5.09 – $666.89
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $220.00 $149.16 – $634.53

All Virginia hospitals for this procedure →