Transcutaneous carboxyhb 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

$70.00

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.

$70.00

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.

$7.19 with Humana Military vs $63.00 with American Postal Workers Union — 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 $7.19 ↓ -90%
TriAtlantic TRICR $8.15 ↓ -88%
Health Net TRICR $8.63 ↓ -88%
Good Samaritan Hospice COMM $9.37 ↓ -87%
Humana MCR $9.37 ↓ -87%
United AllPayerAppendix $9.37 ↓ -87%
United VACCN $9.37 ↓ -87%
Sentara Health MCR $9.37 ↓ -87%
Devoted MCR $9.37 ↓ -87%
Magellan MCR $9.37 ↓ -87%
United Mine Workers MCR $9.37 ↓ -87%
United MGMCR $9.42 ↓ -87%
Aetna MGMCR $9.48 ↓ -86%
Virginia Premier Health MGMCR $9.56 ↓ -86%
Anthem MGMCR $9.65 ↓ -86%
Cigna HealthSpring MCR $9.74 ↓ -86%
Evernorth Behavioral Health MCR $9.74 ↓ -86%
Clear Spring Health Plan MCR $9.84 ↓ -86%
Pyramid Life MGMCR $10.03 ↓ -86%
Align Senior Care MGMCR $10.03 ↓ -86%
Lifeworks MCR $13.30 ↓ -81%
Universal Healthcare Group MCR $15.40 ↓ -78%
United OptionsPPO $23.38 ↓ -67%
Virginia Health Network ULTRA $24.50 ↓ -65%
Aetna Broad $31.50 ↓ -55%
United GlobalBenefitPlan $31.50 ↓ -55%
Anthem HIX $40.20 ↓ -43%
Greenvbrier Sporting Club COMM $42.00 ↓ -40%
Anthem PPO $44.67 ↓ -36%
Anthem HMO $44.67 ↓ -36%
Virginia Health Network WC $49.70 ↓ -29%
Virginia Health Network COMM $49.70 ↓ -29%
CorVel WorkersComp $50.40 ↓ -28%
Richfield Retirement Community COMM $52.50 ↓ -25%
Richfield Nursing Center COMM $52.50 ↓ -25%
Multiplan PHCS $53.90 ↓ -23%
OccuNet Workers Comp WorkersComp $56.00 ↓ -20%
One Health Plan PPO $56.00 ↓ -20%
Graham-White Manufacturing COMM $56.00 ↓ -20%
One Health Plan POS $56.00 ↓ -20%
Community Care Network COMM $56.00 ↓ -20%
Patients Choice COMM $61.60 ↓ -12%
Star Transportation COMM $63.00 ↓ -10%
PHCS COMM $63.00 ↓ -10%
4Most COMM $63.00 ↓ -10%
American Postal Workers Union COMM $63.00 ↓ -10%
Optima Health PPO not published by hospital
Aetna SharedSavings not published by hospital
Optima Health POS not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

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Transcutaneous carboxyhb at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE MEDICAL CENTER ROANOKE $73.00 $8.15 – $13.59
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $8.15 – $13.59
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $8.15 – $41.89
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $8.15 – $10.03
TRICITIES HOSPITAL HOPEWELL not published $8.15 – $40.22
RESTON HOSPITAL CENTER VIENNA not published $9.37 – $35.67
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $9.30 – $37.87
STONESPRINGS HOSPITAL CENTER Dulles not published $7.19 – $35.67

All Virginia hospitals for this procedure →