Serpina1 gene 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

$877.00

Cash price

?

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.

$877.00

Gross charge

?

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.

$43.65 with Sentara Health vs $789.30 with PHCS — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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
Sentara Health MCR $43.65 ↓ -95%
Magellan MCR $43.65 ↓ -95%
Devoted MCR $43.65 ↓ -95%
Humana MCR $43.65 ↓ -95%
United Mine Workers MCR $43.65 ↓ -95%
Good Samaritan Hospice COMM $43.65 ↓ -95%
United AllPayerAppendix $43.65 ↓ -95%
United VACCN $43.65 ↓ -95%
United MGMCR $43.87 ↓ -95%
Aetna MGMCR $44.15 ↓ -95%
Virginia Premier Health MGMCR $44.52 ↓ -95%
Anthem MGMCR $44.96 ↓ -95%
Evernorth Behavioral Health MCR $45.40 ↓ -95%
Cigna HealthSpring MCR $45.40 ↓ -95%
Clear Spring Health Plan MCR $45.83 ↓ -95%
Pyramid Life MGMCR $46.71 ↓ -95%
Align Senior Care MGMCR $46.71 ↓ -95%
Lifeworks MCR $166.63 ↓ -81%
Anthem HIX $187.26 ↓ -79%
Universal Healthcare Group MCR $192.94 ↓ -78%
Anthem HMO $208.08 ↓ -76%
Anthem PPO $208.08 ↓ -76%
United OptionsPPO $292.92 ↓ -67%
Virginia Health Network ULTRA $306.95 ↓ -65%
United GlobalBenefitPlan $394.65 ↓ -55%
Aetna Broad $394.65 ↓ -55%
Greenvbrier Sporting Club COMM $526.20 ↓ -40%
Virginia Health Network COMM $622.67 ↓ -29%
Virginia Health Network WC $622.67 ↓ -29%
CorVel WorkersComp $631.44 ↓ -28%
Richfield Nursing Center COMM $657.75 ↓ -25%
Richfield Retirement Community COMM $657.75 ↓ -25%
Multiplan PHCS $675.29 ↓ -23%
Graham-White Manufacturing COMM $701.60 ↓ -20%
One Health Plan PPO $701.60 ↓ -20%
OccuNet Workers Comp WorkersComp $701.60 ↓ -20%
Community Care Network COMM $701.60 ↓ -20%
One Health Plan POS $701.60 ↓ -20%
Patients Choice COMM $771.76 ↓ -12%
Star Transportation COMM $789.30 ↓ -10%
4Most COMM $789.30 ↓ -10%
American Postal Workers Union COMM $789.30 ↓ -10%
PHCS COMM $789.30 ↓ -10%
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
Report what you paid sign in to post

Comments

Add a comment sign in to post

Serpina1 gene at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $855.00 $43.65 – $63.29
Inova Alexandria Hospital Alexandria $318.00 $43.65 – $400.11
Inova Fairfax Hospital Falls Church $318.00 $43.65 – $400.11
Inova Fair Oaks Hospital VA 22033-1709 $318.00 $43.65 – $400.11
Inova Loudoun Hospital Leesburg $318.00 $43.65 – $400.11
Inova Mount Vernon Hospital Alexandria $318.00 $43.65 – $400.11
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $732.00 $43.65 – $195.16
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $948.00 $43.65 – $46.71

All Virginia hospitals for this procedure →