Facial Bones X-ray (complete) at LEWISGALE MEDICAL CENTER

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

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 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.

$56.90 with Anthem vs $1,374.30 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 →

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
Anthem HIX $56.90 —
Anthem PPO $63.20 —
Anthem HMO $63.20 —
United AllPayerAppendix $245.18 —
Cigna NPR $265.70 —
Lifeworks MCR $290.13 —
Universal Healthcare Group MCR $335.94 —
Virginia Health Network ULTRA $534.45 —
United OptionsPPO $557.36 —
United GlobalBenefitPlan $687.15 —
Naphcare Federal $763.50 —
Greenvbrier Sporting Club COMM $916.20 —
Richfield Nursing Center COMM $1,068.90 —
Graham-White Manufacturing COMM $1,068.90 —
Virginia Health Network WC $1,084.17 —
Virginia Health Network COMM $1,084.17 —
CorVel WorkersComp $1,099.44 —
Richfield Retirement Community COMM $1,145.25 —
Community Care Network COMM $1,145.25 —
OccuNet Workers Comp WorkersComp $1,221.60 —
One Health Plan PPO $1,221.60 —
One Health Plan POS $1,221.60 —
CSX Hotels Product $1,221.60 —
Patients Choice COMM $1,343.76 —
Multiplan PHCS $1,374.30 —
PHCS COMM $1,374.30 —
Star Transportation COMM $1,374.30 —
C&O Employees Hospital Assn COMM $1,374.30 —
American Postal Workers Union COMM $1,374.30 —
4Most COMM $1,374.30 —
Alleghany Highland Community COMM $1,374.30 —

Visitor-reported prices

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Facial Bones X-ray (complete) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $296.50 $80.04 – $390.79
Inova Fairfax Hospital Falls Church $296.50 $80.04 – $390.79
Inova Fair Oaks Hospital VA 22033-1709 $296.50 $80.04 – $390.79
Inova Loudoun Hospital Leesburg $296.50 $80.04 – $390.79
Inova Mount Vernon Hospital Alexandria $296.50 $80.04 – $390.79
Johnston Memorial Hospital ABINGDON $69.30 $25.93 – $222.37
Russell County Hospital LEBANON $69.30 $40.32 – $222.37
Sentara Martha Jefferson Hospital Charlottesville $410.50 $104.04 – $107.10

All Virginia hospitals for this procedure →