Ho frejka cov only pre cst 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.

$55.55 with TriAtlantic vs $69.92 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 $55.55
Health Net TRICR $58.81
Humana Military TRCR $63.39
United VACCN $65.35
United Mine Workers MCR $65.35
United Behavioral Health VACCN $65.35
Devoted MCR $65.35
Sentara Health MCR $65.35
Good Samaritan Hospice COMM $65.35
Humana MCR $65.35
United MGMCR $65.68
Aetna MGMCR $66.09
Virginia Premier Health MGMCR $66.66
Anthem MGMCR $67.31
Cigna HealthSpring MCR $67.96
Evernorth Behavioral Health MCR $67.96
Clear Spring Health Plan MCR $68.62
Align Senior Care MGMCR $69.92
Pyramid Life MGMCR $69.92

Visitor-reported prices

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Ho frejka cov only pre cst at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $55.55 – $88.22
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $55.55 – $69.92
TRICITIES HOSPITAL HOPEWELL not published $55.55 – $88.22
RESTON HOSPITAL CENTER VIENNA not published $63.39 – $69.92
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $63.39 – $69.92
STONESPRINGS HOSPITAL CENTER Dulles not published $49.01 – $69.92
HENRICO DOCTORS HOSPITAL RICHMOND not published $55.55 – $69.92

All Virginia hospitals for this procedure →