Therapy nutrition individual initial f2f w/patient each 15 minutes 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

$35.00

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.

$35.00

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.

$6.65 with Lifeworks vs $33.88 with Align Senior Care — 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 $6.65 ↓ -81%
Universal Healthcare Group MCR $7.70 ↓ -78%
United OptionsPPO $11.69 ↓ -67%
Virginia Health Network ULTRA $12.25 ↓ -65%
Aetna SharedSavings $12.60 ↓ -64%
Cigna PPO $14.53 ↓ -58%
Cigna HMO $14.53 ↓ -58%
Aetna Broad $15.75 ↓ -55%
United GlobalBenefitPlan $15.75 ↓ -55%
Greenvbrier Sporting Club COMM $21.00 ↓ -40%
Virginia Health Network WC $24.85 ↓ -29%
Virginia Health Network COMM $24.85 ↓ -29%
CorVel WorkersComp $25.20 ↓ -28%
Richfield Retirement Community COMM $26.25 ↓ -25%
Richfield Nursing Center COMM $26.25 ↓ -25%
Humana Military TRCR $26.44 ↓ -24%
Multiplan PHCS $26.95 ↓ -23%
Graham-White Manufacturing COMM $28.00 ↓ -20%
One Health Plan PPO $28.00 ↓ -20%
One Health Plan POS $28.00 ↓ -20%
Community Care Network COMM $28.00 ↓ -20%
OccuNet Workers Comp WorkersComp $28.00 ↓ -20%
TriAtlantic TRICR $29.96 ↓ -14%
Patients Choice COMM $30.80 ↓ -12%
4Most COMM $31.50 ↓ -10%
Star Transportation COMM $31.50 ↓ -10%
American Postal Workers Union COMM $31.50 ↓ -10%
PHCS COMM $31.50 ↓ -10%
Good Samaritan Hospice COMM $31.66 ↓ -10%
Humana MCR $31.66 ↓ -10%
Sentara Health MCR $31.66 ↓ -10%
Magellan MCR $31.66 ↓ -10%
United Mine Workers MCR $31.66 ↓ -10%
United VACCN $31.66 ↓ -10%
Devoted MCR $31.66 ↓ -10%
Health Net TRICR $31.73 ↓ -9%
United MGMCR $31.82 ↓ -9%
Aetna MGMCR $32.02 ↓ -9%
Virginia Premier Health MGMCR $32.29 ↓ -8%
Anthem MGMCR $32.61 ↓ -7%
Evernorth Behavioral Health MCR $32.93 ↓ -6%
Cigna HealthSpring MCR $32.93 ↓ -6%
Clear Spring Health Plan MCR $33.24 ↓ -5%
Pyramid Life MGMCR $33.88 ↓ -3%
Align Senior Care MGMCR $33.88 ↓ -3%
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Therapy nutrition individual initial f2f w/patient each 15 minutes at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $39.50 $35.08 – $308.93
Inova Fairfax Hospital Falls Church $39.50 $35.08 – $308.93
Inova Fair Oaks Hospital VA 22033-1709 $39.50 $35.08 – $308.93
Inova Loudoun Hospital Leesburg $39.50 $35.08 – $308.93
Inova Mount Vernon Hospital Alexandria $39.50 $35.08 – $308.93
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $106.00 $29.96 – $34.19
RESTON HOSPITAL CENTER VIENNA $111.44 $34.90 – $40.09
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $29.96 – $34.19

All Virginia hospitals for this procedure →