Ankle X-ray (2 views, both ankles) at LEWISGALE MEDICAL CENTER
1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785
not published by hospital
Cash price 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 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.
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The hospital's undiscounted list price — almost no one pays this.
$36.79 with Anthem vs $765.90 with Alleghany Highland Community — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Anthem | HIX | $36.79 | — |
| Anthem | HMO | $40.87 | — |
| Anthem | PPO | $40.87 | — |
| Cigna | NPR | $148.07 | — |
| Lifeworks | MCR | $161.69 | — |
| United | AllPayerAppendix | $182.03 | — |
| Universal Healthcare Group | MCR | $187.22 | — |
| Virginia Health Network | ULTRA | $297.85 | — |
| United | OptionsPPO | $310.62 | — |
| United | GlobalBenefitPlan | $382.95 | — |
| Naphcare | Federal | $425.50 | — |
| Greenvbrier Sporting Club | COMM | $510.60 | — |
| Richfield Nursing Center | COMM | $595.70 | — |
| Graham-White Manufacturing | COMM | $595.70 | — |
| Virginia Health Network | WC | $604.21 | — |
| Virginia Health Network | COMM | $604.21 | — |
| CorVel | WorkersComp | $612.72 | — |
| Richfield Retirement Community | COMM | $638.25 | — |
| Community Care Network | COMM | $638.25 | — |
| OccuNet Workers Comp | WorkersComp | $680.80 | — |
| One Health Plan | PPO | $680.80 | — |
| One Health Plan | POS | $680.80 | — |
| CSX Hotels | Product | $680.80 | — |
| Patients Choice | COMM | $748.88 | — |
| Multiplan | PHCS | $765.90 | — |
| PHCS | COMM | $765.90 | — |
| Star Transportation | COMM | $765.90 | — |
| C&O Employees Hospital Assn | COMM | $765.90 | — |
| American Postal Workers Union | COMM | $765.90 | — |
| 4Most | COMM | $765.90 | — |
| Alleghany Highland Community | COMM | $765.90 | — |
Visitor-reported prices
Comments
Ankle X-ray (2 views, both ankles) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $283.00 | $80.04 – $372.99 |
| Inova Fairfax Hospital | Falls Church | $283.00 | $80.04 – $372.99 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $283.00 | $80.04 – $372.99 |
| Inova Loudoun Hospital | Leesburg | $283.00 | $80.04 – $372.99 |
| Inova Mount Vernon Hospital | Alexandria | $283.00 | $80.04 – $372.99 |
| Johnston Memorial Hospital | ABINGDON | $69.30 | $16.48 – $92.55 |
| Russell County Hospital | LEBANON | $69.30 | $27.44 – $92.55 |
| Sentara Martha Jefferson Hospital | Charlottesville | $171.00 | $86.61 – $89.15 |