Tomosynthesis breast diagnostic left 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

$73.00

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.

$73.00

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.

$11.22 with Humana Military vs $65.70 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 $11.22 ↓ -85%
TriAtlantic TRICR $12.72 ↓ -83%
Magellan MCR $12.86 ↓ -82%
Humana MCR $12.86 ↓ -82%
Devoted MCR $12.86 ↓ -82%
United VACCN $12.86 ↓ -82%
Sentara Health MCR $12.86 ↓ -82%
Good Samaritan Hospice COMM $12.86 ↓ -82%
United Mine Workers MCR $12.86 ↓ -82%
United MGMCR $12.92 ↓ -82%
Aetna MGMCR $13.01 ↓ -82%
Virginia Premier Health MGMCR $13.12 ↓ -82%
Anthem MGMCR $13.25 ↓ -82%
Cigna HealthSpring MCR $13.37 ↓ -82%
Evernorth Behavioral Health MCR $13.37 ↓ -82%
Health Net TRICR $13.46 ↓ -82%
Clear Spring Health Plan MCR $13.50 ↓ -82%
Pyramid Life MGMCR $13.76 ↓ -81%
Align Senior Care MGMCR $13.76 ↓ -81%
Lifeworks MCR $13.87 ↓ -81%
Universal Healthcare Group MCR $16.06 ↓ -78%
United OptionsPPO $24.38 ↓ -67%
Virginia Health Network ULTRA $25.55 ↓ -65%
Aetna SharedSavings $26.28 ↓ -64%
Cigna PPO $30.30 ↓ -58%
Cigna HMO $30.30 ↓ -58%
Aetna Broad $32.85 ↓ -55%
United GlobalBenefitPlan $32.85 ↓ -55%
Greenvbrier Sporting Club COMM $43.80 ↓ -40%
Anthem HIX $46.36 ↓ -36%
Anthem PPO $51.50 ↓ -29%
Anthem HMO $51.50 ↓ -29%
Virginia Health Network WC $51.83 ↓ -29%
Virginia Health Network COMM $51.83 ↓ -29%
CorVel WorkersComp $52.56 ↓ -28%
Richfield Retirement Community COMM $54.75 ↓ -25%
Richfield Nursing Center COMM $54.75 ↓ -25%
Multiplan PHCS $56.21 ↓ -23%
United AllPayerAppendix $57.31 ↓ -21%
OccuNet Workers Comp WorkersComp $58.40 ↓ -20%
One Health Plan PPO $58.40 ↓ -20%
One Health Plan POS $58.40 ↓ -20%
Community Care Network COMM $58.40 ↓ -20%
Graham-White Manufacturing COMM $58.40 ↓ -20%
Patients Choice COMM $64.24 ↓ -12%
Star Transportation COMM $65.70 ↓ -10%
American Postal Workers Union COMM $65.70 ↓ -10%
4Most COMM $65.70 ↓ -10%
PHCS COMM $65.70 ↓ -10%

Visitor-reported prices

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Tomosynthesis breast diagnostic left at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $82.00 $12.48 – $14.51
Inova Alexandria Hospital Alexandria $86.50 $48.25 – $95.15
Inova Fairfax Hospital Falls Church $86.50 $48.25 – $95.15
Inova Fair Oaks Hospital VA 22033-1709 $86.50 $48.25 – $95.15
Inova Loudoun Hospital Leesburg $86.50 $48.25 – $95.15
Inova Mount Vernon Hospital Alexandria $86.50 $48.25 – $95.15
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $43.00 $12.72 – $125.47
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $84.00 $12.72 – $14.51

All Virginia hospitals for this procedure →