Tc-99m exametazime diag 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

$2,570.00

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.

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What you pay up front if you don't use insurance.

$2,570.00

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.

$488.30 with Lifeworks vs $2,458.43 with United — 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 $488.30 ↓ -81%
Universal Healthcare Group MCR $565.40 ↓ -78%
United OptionsPPO $858.38 ↓ -67%
Virginia Health Network ULTRA $899.50 ↓ -65%
Aetna SharedSavings $925.20 ↓ -64%
Cigna HMO $1,066.55 ↓ -59%
Cigna PPO $1,066.55 ↓ -59%
United GlobalBenefitPlan $1,156.50 ↓ -55%
Aetna Broad $1,156.50 ↓ -55%
Greenvbrier Sporting Club COMM $1,542.00 ↓ -40%
Virginia Health Network COMM $1,824.70 ↓ -29%
Virginia Health Network WC $1,824.70 ↓ -29%
CorVel WorkersComp $1,850.40 ↓ -28%
Richfield Nursing Center COMM $1,927.50 ↓ -25%
Richfield Retirement Community COMM $1,927.50 ↓ -25%
Multiplan PHCS $1,978.90 ↓ -23%
OccuNet Workers Comp WorkersComp $2,056.00 ↓ -20%
Community Care Network COMM $2,056.00 ↓ -20%
One Health Plan PPO $2,056.00 ↓ -20%
One Health Plan POS $2,056.00 ↓ -20%
Graham-White Manufacturing COMM $2,056.00 ↓ -20%
Patients Choice COMM $2,261.60 ↓ -12%
Star Transportation COMM $2,313.00 ↓ -10%
4Most COMM $2,313.00 ↓ -10%
American Postal Workers Union COMM $2,313.00 ↓ -10%
PHCS COMM $2,313.00 ↓ -10%
United AllPayerAppendix $2,458.43 ↓ -4%

Visitor-reported prices

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Tc-99m exametazime diag at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $6,224.00 $2,458.43 – $2,458.43
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $3,424.00 $2,458.43 – $2,458.43
LEWISGALE MEDICAL CENTER ROANOKE $2,751.00 $2,783.13 – $2,783.13
TRICITIES HOSPITAL HOPEWELL $4,996.00 $1,835.66 – $2,458.43
RESTON HOSPITAL CENTER VIENNA $4,749.24 $1,590.91 – $2,458.43
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $4,709.88 $1,835.66 – $2,458.43
STONESPRINGS HOSPITAL CENTER Dulles $4,318.82 $1,590.91 – $2,458.43
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1,835.66 – $2,458.43

All Virginia hospitals for this procedure →