Leg CT Scan (with contrast, both legs) at LEWISGALE MEDICAL CENTER

1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 24, 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.

$244.57 with Anthem vs $6,723.00 with Star Transportation — 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
Anthem HIX $244.57 —
Anthem PPO $271.63 —
Anthem HMO $271.63 —
United AllPayerAppendix $401.74 —
Cigna NPR $1,299.78 —
Lifeworks MCR $1,419.30 —
Universal Healthcare Group MCR $1,643.40 —
Virginia Health Network ULTRA $2,614.50 —
United OptionsPPO $2,726.55 —
Aetna SharedSavings $2,919.00 —
United GlobalBenefitPlan $3,361.50 —
Naphcare Federal $3,735.00 —
Greenvbrier Sporting Club COMM $4,482.00 —
Aetna Broad $4,530.00 —
Graham-White Manufacturing COMM $5,229.00 —
Richfield Nursing Center COMM $5,229.00 —
Virginia Health Network WC $5,303.70 —
Virginia Health Network COMM $5,303.70 —
CorVel WorkersComp $5,378.40 —
Richfield Retirement Community COMM $5,602.50 —
Community Care Network COMM $5,602.50 —
One Health Plan POS $5,976.00 —
OccuNet Workers Comp WorkersComp $5,976.00 —
One Health Plan PPO $5,976.00 —
CSX Hotels Product $5,976.00 —
Patients Choice COMM $6,573.60 —
Multiplan PHCS $6,723.00 —
Alleghany Highland Community COMM $6,723.00 —
American Postal Workers Union COMM $6,723.00 —
C&O Employees Hospital Assn COMM $6,723.00 —
4Most COMM $6,723.00 —
PHCS COMM $6,723.00 —
Star Transportation COMM $6,723.00 —

Visitor-reported prices

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Leg CT Scan (with contrast, both legs) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $885.50 $178.02 – $1,432.00
Inova Fairfax Hospital Falls Church $885.50 $178.02 – $1,432.00
Inova Fair Oaks Hospital VA 22033-1709 $885.50 $178.02 – $1,432.00
Inova Loudoun Hospital Leesburg $885.50 $178.02 – $1,432.00
Inova Mount Vernon Hospital Alexandria $885.50 $178.02 – $1,432.00
Johnston Memorial Hospital ABINGDON $559.65 $171.14 – $407.98
Russell County Hospital LEBANON $559.65 $171.14 – $407.99
Sentara Martha Jefferson Hospital Charlottesville $1,330.50 $174.56 – $179.69

All Virginia hospitals for this procedure →