Ghs ot group caregiver training 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.

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.

$5.05 with Cigna vs $26.10 with Star Transportation — 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
Cigna NPR $5.05
Lifeworks MCR $5.51
Universal Healthcare Group MCR $6.38
Virginia Health Network ULTRA $10.15
Aetna SharedSavings $10.44
Greenbrier Sporting Club COMM $10.54
United OptionsPPO $10.59
United GlobalBenefitPlan $13.05
Naphcare Federal $14.50
Aetna Broad $15.37
Greenvbrier Sporting Club COMM $17.40
TriAtlantic TRICR $18.45
Health Net TRICR $19.54
Graham-White Manufacturing COMM $20.30
Richfield Nursing Center COMM $20.30
Virginia Health Network COMM $20.59
Virginia Health Network WC $20.59
CorVel WorkersComp $20.88
Humana Military TRCR $21.06
Community Care Network COMM $21.75
Richfield Retirement Community COMM $21.75
Humana MCR $22.50
United Mine Workers MCR $22.50
United VACCN $22.50
Sentara Health MCR $22.50
Devoted MCR $22.50
United Behavioral Health VACCN $22.50
Good Samaritan Hospice COMM $22.50
United MGMCR $22.61
Aetna MGMCR $22.76
Virginia Premier Health MGMCR $22.95
Anthem MGMCR $23.18
OccuNet Workers Comp WorkersComp $23.20
CSX Hotels Product $23.20
One Health Plan POS $23.20
One Health Plan PPO $23.20
Cigna HealthSpring MCR $23.40
Evernorth Behavioral Health MCR $23.40
Clear Spring Health Plan MCR $23.63
Pyramid Life MGMCR $24.08
Align Senior Care MGMCR $24.08
Patients Choice COMM $25.52
4Most COMM $26.10
C&O Employees Hospital Assn COMM $26.10
American Postal Workers Union COMM $26.10
Alleghany Highland Community COMM $26.10
PHCS COMM $26.10
Multiplan PHCS $26.10
Star Transportation COMM $26.10
Optima Health PPO not published by hospital
Optima Health POS not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

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Ghs ot group caregiver training at other Virginia hospitals

Hospital City Cash price Negotiated range
STONESPRINGS HOSPITAL CENTER Dulles $24.19 $16.28 – $24.08
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $18.45 – $23.23
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $18.45 – $30.38
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $18.45 – $24.08
LEWISGALE HOSPITAL-PULASKI PULASKI not published $16.28 – $24.08
TRICITIES HOSPITAL HOPEWELL not published $18.45 – $30.38
RESTON HOSPITAL CENTER VIENNA not published $24.45 – $26.74
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $21.06 – $24.08

All Virginia hospitals for this procedure →