Foot drp splt w/exp heel lg 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.

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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.

$78.77 with TriAtlantic vs $99.16 with Pyramid Life — 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
TriAtlantic TRICR $78.77
Health Net TRICR $83.40
Humana Military TRCR $89.89
United VACCN $92.67
United Mine Workers MCR $92.67
United Behavioral Health VACCN $92.67
Devoted MCR $92.67
Sentara Health MCR $92.67
Good Samaritan Hospice COMM $92.67
Humana MCR $92.67
United MGMCR $93.13
Aetna MGMCR $93.73
Virginia Premier Health MGMCR $94.52
Anthem MGMCR $95.45
Cigna HealthSpring MCR $96.38
Evernorth Behavioral Health MCR $96.38
Clear Spring Health Plan MCR $97.30
Align Senior Care MGMCR $99.16
Pyramid Life MGMCR $99.16

Visitor-reported prices

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Foot drp splt w/exp heel lg at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $93.00 $61.38 – $145.08
Inova Fairfax Hospital Falls Church $93.00 $61.38 – $145.08
Inova Fair Oaks Hospital VA 22033-1709 $93.00 $61.38 – $145.08
Inova Loudoun Hospital Leesburg $93.00 $61.38 – $145.08
Inova Mount Vernon Hospital Alexandria $93.00 $61.38 – $145.08
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $78.77 – $125.10
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $78.77 – $99.16
TRICITIES HOSPITAL HOPEWELL not published $78.77 – $125.10

All Virginia hospitals for this procedure →