Covid-19 lab test non-cdc 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

$76.00

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.

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What you pay up front if you don't use insurance.

$76.00

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.

$13.22 with Cigna vs $320.07 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
Cigna NPR $13.22 ↓ -83%
Lifeworks MCR $14.44 ↓ -81%
Universal Healthcare Group MCR $16.72 ↓ -78%
Virginia Health Network ULTRA $26.60 ↓ -65%
United OptionsPPO $27.74 ↓ -64%
United GlobalBenefitPlan $34.20 ↓ -55%
Naphcare Federal $38.00 ↓ -50%
TriAtlantic TRICR $44.65 ↓ -41%
Greenvbrier Sporting Club COMM $45.60 ↓ -40%
Health Net TRICR $47.28 ↓ -38%
Humana Military TRCR $50.95 ↓ -33%
Sentara Health MCR $51.31 ↓ -32%
United Mine Workers MCR $51.31 ↓ -32%
Good Samaritan Hospice COMM $51.31 ↓ -32%
United Behavioral Health VACCN $51.31 ↓ -32%
Devoted MCR $51.31 ↓ -32%
United VACCN $51.31 ↓ -32%
United AllPayerAppendix $51.31 ↓ -32%
Humana MCR $51.31 ↓ -32%
United MGMCR $51.57 ↓ -32%
Aetna MGMCR $51.89 ↓ -32%
Virginia Premier Health MGMCR $52.34 ↓ -31%
Anthem MGMCR $52.85 ↓ -30%
Graham-White Manufacturing COMM $53.20 ↓ -30%
Richfield Nursing Center COMM $53.20 ↓ -30%
Cigna HealthSpring MCR $53.36 ↓ -30%
Evernorth Behavioral Health MCR $53.36 ↓ -30%
Clear Spring Health Plan MCR $53.88 ↓ -29%
Virginia Health Network WC $53.96 ↓ -29%
Virginia Health Network COMM $53.96 ↓ -29%
CorVel WorkersComp $54.72 ↓ -28%
Pyramid Life MGMCR $54.90 ↓ -28%
Align Senior Care MGMCR $54.90 ↓ -28%
Community Care Network COMM $57.00 ↓ -25%
Richfield Retirement Community COMM $57.00 ↓ -25%
CSX Hotels Product $60.80 ↓ -20%
OccuNet Workers Comp WorkersComp $60.80 ↓ -20%
One Health Plan PPO $60.80 ↓ -20%
One Health Plan POS $60.80 ↓ -20%
Patients Choice COMM $66.88 ↓ -12%
C&O Employees Hospital Assn COMM $68.40 ↓ -10%
Multiplan PHCS $68.40 ↓ -10%
Alleghany Highland Community COMM $68.40 ↓ -10%
Star Transportation COMM $68.40 ↓ -10%
PHCS COMM $68.40 ↓ -10%
4Most COMM $68.40 ↓ -10%
American Postal Workers Union COMM $68.40 ↓ -10%
Greenbrier Sporting Club COMM $74.40 ↓ -2%
Anthem HIX $288.05 ↑ +279%
Anthem HMO $320.07 ↑ +321%
Anthem PPO $320.07 ↑ +321%
Aetna SharedSavings not published by hospital
Aetna Broad not published by hospital

Visitor-reported prices

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Covid-19 lab test non-cdc at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $122.00 $11.72 – $232.52
Inova Fairfax Hospital Falls Church $122.00 $11.72 – $232.52
Inova Fair Oaks Hospital VA 22033-1709 $122.00 $11.72 – $232.52
Inova Loudoun Hospital Leesburg $122.00 $11.72 – $232.52
Inova Mount Vernon Hospital Alexandria $122.00 $11.72 – $232.52
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $90.00 $44.65 – $54.90
LEWISGALE HOSPITAL-PULASKI PULASKI $77.00 $39.40 – $54.90
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $44.65 – $74.40

All Virginia hospitals for this procedure →