Hip clevis/thrust bearing lo 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.

$262.93 with TriAtlantic vs $330.98 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 $262.93
Health Net TRICR $278.40
Humana Military TRCR $300.05
United VACCN $309.33
United Mine Workers MCR $309.33
United Behavioral Health VACCN $309.33
Devoted MCR $309.33
Sentara Health MCR $309.33
Good Samaritan Hospice COMM $309.33
Humana MCR $309.33
United MGMCR $310.88
Aetna MGMCR $312.86
Virginia Premier Health MGMCR $315.52
Anthem MGMCR $318.61
Cigna HealthSpring MCR $321.70
Evernorth Behavioral Health MCR $321.70
Clear Spring Health Plan MCR $324.80
Align Senior Care MGMCR $330.98
Pyramid Life MGMCR $330.98

Visitor-reported prices

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Hip clevis/thrust bearing lo at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $262.93 – $417.60
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $262.93 – $330.98
TRICITIES HOSPITAL HOPEWELL not published $262.93 – $417.60
RESTON HOSPITAL CENTER VIENNA not published $300.05 – $330.98
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $300.05 – $330.98
STONESPRINGS HOSPITAL CENTER Dulles not published $232.00 – $330.98
HENRICO DOCTORS HOSPITAL RICHMOND not published $262.93 – $330.98

All Virginia hospitals for this procedure →