Inj vocal cord bulking agent 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

$19,129.00

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.

$19,129.00

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.

$43.80 with TriAtlantic vs $17,216.10 with C&O Employees Hospital Assn — 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 $43.80 ↓ -100%
Health Net TRICR $46.38 ↓ -100%
Humana Military TRCR $49.98 ↓ -100%
Good Samaritan Hospice COMM $51.53 ↓ -100%
Devoted MCR $51.53 ↓ -100%
Humana MCR $51.53 ↓ -100%
United VACCN $51.53 ↓ -100%
Sentara Health MCR $51.53 ↓ -100%
United Mine Workers MCR $51.53 ↓ -100%
United Behavioral Health VACCN $51.53 ↓ -100%
United MGMCR $51.79 ↓ -100%
Aetna MGMCR $52.12 ↓ -100%
Virginia Premier Health MGMCR $52.56 ↓ -100%
Anthem MGMCR $53.08 ↓ -100%
Cigna HealthSpring MCR $53.59 ↓ -100%
Evernorth Behavioral Health MCR $53.59 ↓ -100%
Clear Spring Health Plan MCR $54.11 ↓ -100%
Pyramid Life MGMCR $55.14 ↓ -100%
Align Senior Care MGMCR $55.14 ↓ -100%
United AllPayerAppendix $188.76 ↓ -99%
Cigna NPR $3,328.45 ↓ -83%
Aetna SharedSavings $6,886.44 ↓ -64%
United OptionsPPO $6,982.09 ↓ -63%
Cigna HMO $7,670.73 ↓ -60%
Cigna PPO $8,416.76 ↓ -56%
United GlobalBenefitPlan $8,608.05 ↓ -55%
Naphcare Federal $9,564.50 ↓ -50%
Aetna Broad $10,138.37 ↓ -47%
Greenvbrier Sporting Club COMM $11,477.40 ↓ -40%
Graham-White Manufacturing COMM $13,390.30 ↓ -30%
Richfield Nursing Center COMM $13,390.30 ↓ -30%
Community Care Network COMM $14,346.75 ↓ -25%
Richfield Retirement Community COMM $14,346.75 ↓ -25%
One Health Plan PPO $15,303.20 ↓ -20%
OccuNet Workers Comp WorkersComp $15,303.20 ↓ -20%
CSX Hotels Product $15,303.20 ↓ -20%
One Health Plan POS $15,303.20 ↓ -20%
Patients Choice COMM $16,833.52 ↓ -12%
Star Transportation COMM $17,216.10 ↓ -10%
PHCS COMM $17,216.10 ↓ -10%
Multiplan PHCS $17,216.10 ↓ -10%
4Most COMM $17,216.10 ↓ -10%
Alleghany Highland Community COMM $17,216.10 ↓ -10%
American Postal Workers Union COMM $17,216.10 ↓ -10%
C&O Employees Hospital Assn COMM $17,216.10 ↓ -10%

Visitor-reported prices

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Inj vocal cord bulking agent at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $166.74 – $166.74
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $43.80 – $166.74
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $43.80 – $55.14
LEWISGALE HOSPITAL-PULASKI PULASKI not published $166.74 – $166.74
TRICITIES HOSPITAL HOPEWELL not published $43.80 – $166.74
RESTON HOSPITAL CENTER VIENNA not published $49.98 – $55.14
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $49.98 – $55.14
STONESPRINGS HOSPITAL CENTER Dulles not published $38.65 – $55.14

All Virginia hospitals for this procedure →