Harness figure of 8 dual con 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.

$126.20 with TriAtlantic vs $158.86 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 $126.20
Health Net TRICR $133.62
Humana Military TRCR $144.02
United VACCN $148.47
United Mine Workers MCR $148.47
United Behavioral Health VACCN $148.47
Devoted MCR $148.47
Sentara Health MCR $148.47
Good Samaritan Hospice COMM $148.47
Humana MCR $148.47
United MGMCR $149.21
Aetna MGMCR $150.16
Virginia Premier Health MGMCR $151.44
Anthem MGMCR $152.92
Cigna HealthSpring MCR $154.41
Evernorth Behavioral Health MCR $154.41
Clear Spring Health Plan MCR $155.89
Align Senior Care MGMCR $158.86
Pyramid Life MGMCR $158.86

Visitor-reported prices

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Harness figure of 8 dual con at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $126.20 – $200.43
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $126.20 – $158.86
TRICITIES HOSPITAL HOPEWELL not published $126.20 – $200.43
RESTON HOSPITAL CENTER VIENNA not published $144.02 – $158.86
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $144.02 – $158.86
STONESPRINGS HOSPITAL CENTER Dulles not published $111.35 – $158.86
HENRICO DOCTORS HOSPITAL RICHMOND not published $126.20 – $158.86

All Virginia hospitals for this procedure →