F-18 sodium fluoride 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

$596.00

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.

$596.00

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.

$89.40 with Aetna vs $811.65 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 $89.40 ↓ -85%
Cigna NPR $103.70 ↓ -83%
Lifeworks MCR $113.24 ↓ -81%
Universal Healthcare Group MCR $131.12 ↓ -78%
Virginia Health Network ULTRA $208.60 ↓ -65%
Aetna SharedSavings $214.56 ↓ -64%
Greenbrier Sporting Club COMM $216.59 ↓ -64%
United OptionsPPO $217.54 ↓ -64%
Cigna HMO $239.00 ↓ -60%
Cigna PPO $262.24 ↓ -56%
United GlobalBenefitPlan $268.20 ↓ -55%
Naphcare Federal $298.00 ↓ -50%
Aetna Broad $315.88 ↓ -47%
Greenvbrier Sporting Club COMM $357.60 ↓ -40%
Richfield Nursing Center COMM $417.20 ↓ -30%
Graham-White Manufacturing COMM $417.20 ↓ -30%
Virginia Health Network WC $423.16 ↓ -29%
Virginia Health Network COMM $423.16 ↓ -29%
CorVel WorkersComp $429.12 ↓ -28%
Community Care Network COMM $447.00 ↓ -25%
Richfield Retirement Community COMM $447.00 ↓ -25%
One Health Plan POS $476.80 ↓ -20%
CSX Hotels Product $476.80 ↓ -20%
One Health Plan PPO $476.80 ↓ -20%
OccuNet Workers Comp WorkersComp $476.80 ↓ -20%
Patients Choice COMM $524.48 ↓ -12%
Star Transportation COMM $536.40 ↓ -10%
Multiplan PHCS $536.40 ↓ -10%
PHCS COMM $536.40 ↓ -10%
4Most COMM $536.40 ↓ -10%
Alleghany Highland Community COMM $536.40 ↓ -10%
American Postal Workers Union COMM $536.40 ↓ -10%
C&O Employees Hospital Assn COMM $536.40 ↓ -10%
United Behavioral Health VACCN $596.00 ↑ +0%
United AllPayerAppendix $811.65 ↑ +36%

Visitor-reported prices

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F-18 sodium fluoride at other Virginia hospitals

Hospital City Cash price Negotiated range
TRICITIES HOSPITAL HOPEWELL $1,857.00 $233.87 – $716.96
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $2,380.32 $233.87 – $716.96
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $716.96 – $716.96
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $233.87 – $716.96
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $716.96 – $716.96
LEWISGALE HOSPITAL-PULASKI PULASKI not published $716.96 – $716.96
RESTON HOSPITAL CENTER VIENNA not published $202.68 – $716.96
STONESPRINGS HOSPITAL CENTER Dulles not published $202.68 – $716.96

All Virginia hospitals for this procedure →