Acylcarnitines qual at LEWISGALE MEDICAL CENTER

1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785

Source: hospital's published price file ↗ · Published Mar 7, 2026 · Ingested Sep 10, 2026

not published by hospital

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.

not published by hospital

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.

$14.35 with TriAtlantic vs $102.86 with Anthem — 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
TriAtlantic TRICR $14.35
Health Net TRICR $15.19
Humana Military TRCR $16.37
United Mine Workers MCR $16.49
United Behavioral Health VACCN $16.49
Devoted MCR $16.49
United VACCN $16.49
United AllPayerAppendix $16.49
Sentara Health MCR $16.49
Good Samaritan Hospice COMM $16.49
Humana MCR $16.49
United MGMCR $16.57
Aetna MGMCR $16.68
Virginia Premier Health MGMCR $16.82
Anthem MGMCR $16.98
Evernorth Behavioral Health MCR $17.15
Cigna HealthSpring MCR $17.15
Clear Spring Health Plan MCR $17.31
Align Senior Care MGMCR $17.64
Pyramid Life MGMCR $17.64
Greenbrier Sporting Club COMM $23.91
Anthem HIX $92.57
Anthem HMO $102.86
Anthem PPO $102.86
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital
Aetna Broad not published by hospital
Aetna SharedSavings not published by hospital

Visitor-reported prices

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Acylcarnitines qual at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $244.50 $14.35 – $307.63
Inova Fairfax Hospital Falls Church $244.50 $14.35 – $307.63
Inova Fair Oaks Hospital VA 22033-1709 $244.50 $14.35 – $307.63
Inova Loudoun Hospital Leesburg $244.50 $14.35 – $307.63
Inova Mount Vernon Hospital Alexandria $244.50 $14.35 – $307.63
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $14.35 – $23.91
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $14.35 – $73.73
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $14.35 – $17.64

All Virginia hospitals for this procedure →