Warde 1007138 vanillymandelic acid 24 hour urine 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

$507.00

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.

$507.00

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.

$11.90 with Humana Military vs $456.30 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 $11.90 ↓ -98%
TriAtlantic TRICR $13.49 ↓ -97%
Health Net TRICR $14.28 ↓ -97%
United AllPayerAppendix $15.50 ↓ -97%
United Mine Workers MCR $15.50 ↓ -97%
United VACCN $15.50 ↓ -97%
Good Samaritan Hospice COMM $15.50 ↓ -97%
Magellan MCR $15.50 ↓ -97%
Devoted MCR $15.50 ↓ -97%
Humana MCR $15.50 ↓ -97%
Sentara Health MCR $15.50 ↓ -97%
United MGMCR $15.58 ↓ -97%
Aetna MGMCR $15.68 ↓ -97%
Virginia Premier Health MGMCR $15.81 ↓ -97%
Anthem MGMCR $15.96 ↓ -97%
Evernorth Behavioral Health MCR $16.12 ↓ -97%
Cigna HealthSpring MCR $16.12 ↓ -97%
Clear Spring Health Plan MCR $16.28 ↓ -97%
Align Senior Care MGMCR $16.59 ↓ -97%
Pyramid Life MGMCR $16.59 ↓ -97%
Anthem HIX $66.50 ↓ -87%
Anthem HMO $73.89 ↓ -85%
Anthem PPO $73.89 ↓ -85%
Lifeworks MCR $96.33 ↓ -81%
Universal Healthcare Group MCR $111.54 ↓ -78%
United OptionsPPO $169.34 ↓ -67%
Virginia Health Network ULTRA $177.45 ↓ -65%
United GlobalBenefitPlan $228.15 ↓ -55%
Aetna Broad $228.15 ↓ -55%
Greenvbrier Sporting Club COMM $304.20 ↓ -40%
Virginia Health Network WC $359.97 ↓ -29%
Virginia Health Network COMM $359.97 ↓ -29%
CorVel WorkersComp $365.04 ↓ -28%
Richfield Nursing Center COMM $380.25 ↓ -25%
Richfield Retirement Community COMM $380.25 ↓ -25%
Multiplan PHCS $390.39 ↓ -23%
One Health Plan PPO $405.60 ↓ -20%
One Health Plan POS $405.60 ↓ -20%
Graham-White Manufacturing COMM $405.60 ↓ -20%
OccuNet Workers Comp WorkersComp $405.60 ↓ -20%
Community Care Network COMM $405.60 ↓ -20%
Patients Choice COMM $446.16 ↓ -12%
Star Transportation COMM $456.30 ↓ -10%
4Most COMM $456.30 ↓ -10%
American Postal Workers Union COMM $456.30 ↓ -10%
PHCS COMM $456.30 ↓ -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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Warde 1007138 vanillymandelic acid 24 hour urine at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $275.00 $13.49 – $22.47
Inova Alexandria Hospital Alexandria $143.00 $15.50 – $179.92
Inova Fairfax Hospital Falls Church $143.00 $15.50 – $179.92
Inova Fair Oaks Hospital VA 22033-1709 $143.00 $15.50 – $179.92
Inova Loudoun Hospital Leesburg $143.00 $15.50 – $179.92
Inova Mount Vernon Hospital Alexandria $143.00 $15.50 – $179.92
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $597.00 $13.49 – $69.30
LEWISGALE MEDICAL CENTER ROANOKE $246.00 $13.49 – $22.47

All Virginia hospitals for this procedure →