Gamunex-c/gammaked 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.

$41.10 with TriAtlantic vs $479.70 with Multiplan — 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.

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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 $41.10
Health Net TRICR $43.52
Humana Military TRCR $46.90
Cigna NPR $92.74
United AllPayerAppendix $147.24
Virginia Health Network ULTRA $186.55
United OptionsPPO $194.54
Cigna HMO $213.73
Cigna PPO $234.52
United GlobalBenefitPlan $239.85
Naphcare Federal $266.50
Greenvbrier Sporting Club COMM $319.80
Graham-White Manufacturing COMM $373.10
Richfield Nursing Center COMM $373.10
Virginia Health Network COMM $378.43
Virginia Health Network WC $378.43
CorVel WorkersComp $383.76
Community Care Network COMM $399.75
Richfield Retirement Community COMM $399.75
OccuNet Workers Comp WorkersComp $426.40
One Health Plan POS $426.40
CSX Hotels Product $426.40
One Health Plan PPO $426.40
Patients Choice COMM $469.04
Star Transportation COMM $479.70
PHCS COMM $479.70
4Most COMM $479.70
Alleghany Highland Community COMM $479.70
American Postal Workers Union COMM $479.70
C&O Employees Hospital Assn COMM $479.70
Multiplan PHCS $479.70

Visitor-reported prices

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Gamunex-c/gammaked at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $2,860.00 $41.10 – $130.06
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $41.10 – $130.06
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $41.10 – $130.06
LEWISGALE HOSPITAL-PULASKI PULASKI not published $36.26 – $130.06
TRICITIES HOSPITAL HOPEWELL not published $41.10 – $130.06
RESTON HOSPITAL CENTER VIENNA not published $44.00 – $130.06
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $46.90 – $130.06
STONESPRINGS HOSPITAL CENTER Dulles not published $36.26 – $130.06

All Virginia hospitals for this procedure →