Very long chain fatty acids 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

$686.00

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.

$686.00

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.

$15.16 with Humana Military vs $617.40 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 $15.16 ↓ -98%
TriAtlantic TRICR $17.19 ↓ -97%
Health Net TRICR $18.20 ↓ -97%
United AllPayerAppendix $19.75 ↓ -97%
United Mine Workers MCR $19.75 ↓ -97%
United VACCN $19.75 ↓ -97%
Good Samaritan Hospice COMM $19.75 ↓ -97%
Magellan MCR $19.75 ↓ -97%
Devoted MCR $19.75 ↓ -97%
Humana MCR $19.75 ↓ -97%
Sentara Health MCR $19.75 ↓ -97%
United MGMCR $19.85 ↓ -97%
Aetna MGMCR $19.98 ↓ -97%
Virginia Premier Health MGMCR $20.14 ↓ -97%
Anthem MGMCR $20.34 ↓ -97%
Evernorth Behavioral Health MCR $20.54 ↓ -97%
Cigna HealthSpring MCR $20.54 ↓ -97%
Clear Spring Health Plan MCR $20.74 ↓ -97%
Align Senior Care MGMCR $21.13 ↓ -97%
Pyramid Life MGMCR $21.13 ↓ -97%
Anthem HIX $84.73 ↓ -88%
Anthem HMO $94.15 ↓ -86%
Anthem PPO $94.15 ↓ -86%
Lifeworks MCR $130.34 ↓ -81%
Universal Healthcare Group MCR $150.92 ↓ -78%
United OptionsPPO $229.12 ↓ -67%
Virginia Health Network ULTRA $240.10 ↓ -65%
United GlobalBenefitPlan $308.70 ↓ -55%
Aetna Broad $308.70 ↓ -55%
Greenvbrier Sporting Club COMM $411.60 ↓ -40%
Virginia Health Network WC $487.06 ↓ -29%
Virginia Health Network COMM $487.06 ↓ -29%
CorVel WorkersComp $493.92 ↓ -28%
Richfield Nursing Center COMM $514.50 ↓ -25%
Richfield Retirement Community COMM $514.50 ↓ -25%
Multiplan PHCS $528.22 ↓ -23%
One Health Plan PPO $548.80 ↓ -20%
One Health Plan POS $548.80 ↓ -20%
Graham-White Manufacturing COMM $548.80 ↓ -20%
OccuNet Workers Comp WorkersComp $548.80 ↓ -20%
Community Care Network COMM $548.80 ↓ -20%
Patients Choice COMM $603.68 ↓ -12%
Star Transportation COMM $617.40 ↓ -10%
4Most COMM $617.40 ↓ -10%
American Postal Workers Union COMM $617.40 ↓ -10%
PHCS COMM $617.40 ↓ -10%
Aetna SharedSavings not published by hospital
Optima Health PPO 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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Very long chain fatty acids at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $391.50 $14.35 – $492.59
Inova Fairfax Hospital Falls Church $391.50 $14.35 – $492.59
Inova Fair Oaks Hospital VA 22033-1709 $391.50 $14.35 – $492.59
Inova Loudoun Hospital Leesburg $391.50 $14.35 – $492.59
Inova Mount Vernon Hospital Alexandria $391.50 $14.35 – $492.59
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $679.00 $17.19 – $88.30
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $697.00 $17.19 – $21.13
HENRICO DOCTORS HOSPITAL RICHMOND $679.00 $17.19 – $84.81

All Virginia hospitals for this procedure →