Scr c/v cyto, autosys, rescr 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.

$24.53 with Humana Military vs $152.26 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
Humana Military TRCR $24.53
TriAtlantic TRICR $27.80
Health Net TRICR $29.43
Magellan MCR $31.94
Humana MCR $31.94
Devoted MCR $31.94
United VACCN $31.94
United AllPayerAppendix $31.94
Sentara Health MCR $31.94
Good Samaritan Hospice COMM $31.94
United Mine Workers MCR $31.94
United MGMCR $32.10
Aetna MGMCR $32.30
Virginia Premier Health MGMCR $32.58
Anthem MGMCR $32.90
Evernorth Behavioral Health MCR $33.22
Cigna HealthSpring MCR $33.22
Clear Spring Health Plan MCR $33.54
Align Senior Care MGMCR $34.18
Pyramid Life MGMCR $34.18
Anthem HIX $137.02
Anthem PPO $152.26
Anthem HMO $152.26
Aetna SharedSavings not published by hospital

Visitor-reported prices

visitor-reported
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Scr c/v cyto, autosys, rescr at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $27.80 – $46.31
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $27.80 – $142.80
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $27.80 – $34.18
LEWISGALE MEDICAL CENTER ROANOKE not published $27.80 – $46.31
TRICITIES HOSPITAL HOPEWELL not published $27.80 – $137.11
RESTON HOSPITAL CENTER VIENNA not published $31.94 – $121.58
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $31.72 – $129.11
STONESPRINGS HOSPITAL CENTER Dulles not published $24.53 – $121.58

All Virginia hospitals for this procedure →