Allograft graftjacket 2x12cm-q4107-cost per sq cm 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.

Full explanation →

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.

$40.95 with Aetna vs $381.42 with United — 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
Aetna MGMCR $40.95
Cigna NPR $47.50
Virginia Health Network ULTRA $95.55
United OptionsPPO $99.64
Cigna HMO $109.47
Cigna PPO $120.12
United GlobalBenefitPlan $122.85
Naphcare Federal $136.50
Greenvbrier Sporting Club COMM $163.80
Richfield Nursing Center COMM $191.10
Graham-White Manufacturing COMM $191.10
Virginia Health Network WC $193.83
Virginia Health Network COMM $193.83
CorVel WorkersComp $196.56
Richfield Retirement Community COMM $204.75
Community Care Network COMM $204.75
One Health Plan PPO $218.40
One Health Plan POS $218.40
CSX Hotels Product $218.40
OccuNet Workers Comp WorkersComp $218.40
Patients Choice COMM $240.24
Star Transportation COMM $245.70
Multiplan PHCS $245.70
PHCS COMM $245.70
4Most COMM $245.70
Alleghany Highland Community COMM $245.70
American Postal Workers Union COMM $245.70
C&O Employees Hospital Assn COMM $245.70
United Behavioral Health VACCN $273.00
United AllPayerAppendix $381.42
Anthem HIX not published by hospital
Anthem HMO not published by hospital
Anthem PPO not published by hospital

Visitor-reported prices

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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $3,178.00 $85.96 – $502.55
Inova Fairfax Hospital Falls Church $3,178.00 $85.96 – $502.55
Inova Fair Oaks Hospital VA 22033-1709 $3,178.00 $85.96 – $502.55
Inova Loudoun Hospital Leesburg $3,178.00 $85.96 – $502.55
Inova Mount Vernon Hospital Alexandria $3,178.00 $85.96 – $502.55
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $2,217.00 $336.92 – $336.92
TRICITIES HOSPITAL HOPEWELL $4,231.00 $336.92 – $336.92
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $336.92 – $336.92

All Virginia hospitals for this procedure →