Ghs ot dds rom at LEWISGALE MEDICAL CENTER
1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785
not published by hospital
Cash price 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 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.
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The hospital's undiscounted list price — almost no one pays this.
$19.76 with TriAtlantic vs $303.30 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.
Full explanation →
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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 ?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 ?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 | $19.76 | — |
| Health Net | TRICR | $20.93 | — |
| Humana Military | TRCR | $22.55 | — |
| United Behavioral Health | VACCN | $26.59 | — |
| United | VACCN | $26.59 | — |
| Humana | MCR | $26.59 | — |
| Good Samaritan Hospice | COMM | $26.59 | — |
| United Mine Workers | MCR | $26.59 | — |
| Sentara Health | MCR | $26.59 | — |
| Devoted | MCR | $26.59 | — |
| United | MGMCR | $26.72 | — |
| Aetna | MGMCR | $26.89 | — |
| Virginia Premier Health | MGMCR | $27.12 | — |
| Anthem | MGMCR | $27.39 | — |
| Cigna HealthSpring | MCR | $27.65 | — |
| Evernorth Behavioral Health | MCR | $27.65 | — |
| Clear Spring Health Plan | MCR | $27.92 | — |
| Align Senior Care | MGMCR | $28.45 | — |
| Pyramid Life | MGMCR | $28.45 | — |
| Cigna | NPR | $58.64 | — |
| Lifeworks | MCR | $64.03 | — |
| Universal Healthcare Group | MCR | $74.14 | — |
| Virginia Health Network | ULTRA | $117.95 | — |
| Aetna | SharedSavings | $121.32 | — |
| Greenbrier Sporting Club | COMM | $122.47 | — |
| United | OptionsPPO | $123.00 | — |
| United | GlobalBenefitPlan | $151.65 | — |
| Naphcare | Federal | $168.50 | — |
| Aetna | Broad | $178.61 | — |
| Greenvbrier Sporting Club | COMM | $202.20 | — |
| Richfield Nursing Center | COMM | $235.90 | — |
| Graham-White Manufacturing | COMM | $235.90 | — |
| Virginia Health Network | COMM | $239.27 | — |
| Virginia Health Network | WC | $239.27 | — |
| CorVel | WorkersComp | $242.64 | — |
| Community Care Network | COMM | $252.75 | — |
| Richfield Retirement Community | COMM | $252.75 | — |
| One Health Plan | POS | $269.60 | — |
| OccuNet Workers Comp | WorkersComp | $269.60 | — |
| CSX Hotels | Product | $269.60 | — |
| One Health Plan | PPO | $269.60 | — |
| Patients Choice | COMM | $296.56 | — |
| Star Transportation | COMM | $303.30 | — |
| 4Most | COMM | $303.30 | — |
| Alleghany Highland Community | COMM | $303.30 | — |
| American Postal Workers Union | COMM | $303.30 | — |
| C&O Employees Hospital Assn | COMM | $303.30 | — |
| PHCS | COMM | $303.30 | — |
| Multiplan | PHCS | $303.30 | — |
| Optima Health | POS | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
| Optima Health | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ot dds rom at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $19.76 – $27.40 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $19.76 – $35.90 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $19.76 – $28.45 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $17.44 – $28.45 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $19.76 – $35.90 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $26.62 – $32.11 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $22.55 – $28.45 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $17.44 – $30.57 |