Ghs st - re-eval for alt comm 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.

$59.89 with TriAtlantic vs $692.10 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 →

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 $59.89
Health Net TRICR $63.41
Humana Military TRCR $68.35
United Behavioral Health VACCN $72.07
United VACCN $72.07
Humana MCR $72.07
Good Samaritan Hospice COMM $72.07
United Mine Workers MCR $72.07
Sentara Health MCR $72.07
Devoted MCR $72.07
United MGMCR $72.43
Aetna MGMCR $72.89
Virginia Premier Health MGMCR $73.51
Anthem MGMCR $74.23
Cigna HealthSpring MCR $74.95
Evernorth Behavioral Health MCR $74.95
Clear Spring Health Plan MCR $75.67
Align Senior Care MGMCR $77.11
Pyramid Life MGMCR $77.11
Cigna NPR $133.81
Lifeworks MCR $146.11
Universal Healthcare Group MCR $169.18
Virginia Health Network ULTRA $269.15
Aetna SharedSavings $276.84
Greenbrier Sporting Club COMM $279.45
United OptionsPPO $280.69
United GlobalBenefitPlan $346.05
Naphcare Federal $384.50
Aetna Broad $407.57
Greenvbrier Sporting Club COMM $461.40
Richfield Nursing Center COMM $538.30
Graham-White Manufacturing COMM $538.30
Virginia Health Network COMM $545.99
Virginia Health Network WC $545.99
CorVel WorkersComp $553.68
Community Care Network COMM $576.75
Richfield Retirement Community COMM $576.75
One Health Plan POS $615.20
OccuNet Workers Comp WorkersComp $615.20
CSX Hotels Product $615.20
One Health Plan PPO $615.20
Patients Choice COMM $676.72
Star Transportation COMM $692.10
4Most COMM $692.10
Alleghany Highland Community COMM $692.10
American Postal Workers Union COMM $692.10
C&O Employees Hospital Assn COMM $692.10
PHCS COMM $692.10
Multiplan PHCS $692.10
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Ghs st - re-eval for alt comm at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $595.00 $79.29 – $748.63
Inova Fairfax Hospital Falls Church $595.00 $79.29 – $748.63
Inova Fair Oaks Hospital VA 22033-1709 $595.00 $79.29 – $748.63
Inova Loudoun Hospital Leesburg $595.00 $79.29 – $748.63
Inova Mount Vernon Hospital Alexandria $595.00 $79.29 – $748.63
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $59.89 – $75.38
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $59.89 – $97.29
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $59.89 – $77.11

All Virginia hospitals for this procedure →