Speech Therapy Session (one-on-one) 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

$550.00

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.

$550.00

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.

$56.63 with Humana Military vs $495.00 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 $56.63 ↓ -90%
TriAtlantic TRICR $64.17 ↓ -88%
Health Net TRICR $67.95 ↓ -88%
Humana MCR $75.51 ↓ -86%
United Mine Workers MCR $75.51 ↓ -86%
United VACCN $75.51 ↓ -86%
Devoted MCR $75.51 ↓ -86%
Good Samaritan Hospice COMM $75.51 ↓ -86%
Sentara Health MCR $75.51 ↓ -86%
Magellan MCR $75.51 ↓ -86%
United MGMCR $75.89 ↓ -86%
Aetna MGMCR $76.37 ↓ -86%
Virginia Premier Health MGMCR $77.02 ↓ -86%
Anthem MGMCR $77.78 ↓ -86%
Evernorth Behavioral Health MCR $78.53 ↓ -86%
Cigna HealthSpring MCR $78.53 ↓ -86%
Pyramid Life MGMCR $80.80 ↓ -85%
Align Senior Care MGMCR $80.80 ↓ -85%
Lifeworks MCR $104.50 ↓ -81%
Universal Healthcare Group MCR $121.00 ↓ -78%
United OptionsPPO $183.70 ↓ -67%
Virginia Health Network ULTRA $192.50 ↓ -65%
Aetna Broad $247.50 ↓ -55%
United GlobalBenefitPlan $247.50 ↓ -55%
Aetna Broad-POC $247.50 ↓ -55%
Greenvbrier Sporting Club COMM $330.00 ↓ -40%
Multiplan PHCS $366.69 ↓ -33%
Virginia Health Network COMM $390.50 ↓ -29%
Virginia Health Network WC $390.50 ↓ -29%
CorVel WorkersComp $396.00 ↓ -28%
Richfield Nursing Center COMM $412.50 ↓ -25%
Richfield Retirement Community COMM $412.50 ↓ -25%
Graham-White Manufacturing COMM $440.00 ↓ -20%
One Health Plan POS $440.00 ↓ -20%
One Health Plan PPO $440.00 ↓ -20%
Community Care Network COMM $440.00 ↓ -20%
OccuNet Workers Comp WorkersComp $440.00 ↓ -20%
Patients Choice COMM $484.00 ↓ -12%
American Postal Workers Union COMM $495.00 ↓ -10%
Star Transportation COMM $495.00 ↓ -10%
4Most COMM $495.00 ↓ -10%
PHCS COMM $495.00 ↓ -10%

Visitor-reported prices

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Speech Therapy Session (one-on-one) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $235.50 $83.75 – $419.46
Inova Fairfax Hospital Falls Church $235.50 $83.75 – $419.46
Inova Fair Oaks Hospital VA 22033-1709 $235.50 $83.75 – $419.46
Inova Loudoun Hospital Leesburg $235.50 $83.75 – $419.46
Inova Mount Vernon Hospital Alexandria $235.50 $83.75 – $419.46
Johnston Memorial Hospital ABINGDON $77.40 $32.54 – $356.43
Russell County Hospital LEBANON $77.40 $46.00 – $356.43
Sentara Martha Jefferson Hospital Charlottesville $144.50 $77.02 – $79.29

All Virginia hospitals for this procedure →