Lower Back (Lumbar Spine) X-ray (with bending views) 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.

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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.

$65.79 with Anthem vs $1,867.50 with Alleghany Highland Community — 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 $65.79 —
Anthem PPO $73.07 —
Anthem HMO $73.07 —
United AllPayerAppendix $245.18 —
Cigna NPR $361.05 —
Lifeworks MCR $394.25 —
Universal Healthcare Group MCR $456.50 —
Virginia Health Network ULTRA $726.25 —
United OptionsPPO $757.38 —
United GlobalBenefitPlan $933.75 —
Naphcare Federal $1,037.50 —
Greenvbrier Sporting Club COMM $1,245.00 —
Richfield Nursing Center COMM $1,452.50 —
Graham-White Manufacturing COMM $1,452.50 —
Virginia Health Network WC $1,473.25 —
Virginia Health Network COMM $1,473.25 —
CorVel WorkersComp $1,494.00 —
Richfield Retirement Community COMM $1,556.25 —
Community Care Network COMM $1,556.25 —
OccuNet Workers Comp WorkersComp $1,660.00 —
One Health Plan PPO $1,660.00 —
One Health Plan POS $1,660.00 —
CSX Hotels Product $1,660.00 —
Patients Choice COMM $1,826.00 —
Multiplan PHCS $1,867.50 —
PHCS COMM $1,867.50 —
Star Transportation COMM $1,867.50 —
C&O Employees Hospital Assn COMM $1,867.50 —
American Postal Workers Union COMM $1,867.50 —
4Most COMM $1,867.50 —
Alleghany Highland Community COMM $1,867.50 —

Visitor-reported prices

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Lower Back (Lumbar Spine) X-ray (with bending views) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $575.50 $80.04 – $758.51
Inova Fairfax Hospital Falls Church $575.50 $80.04 – $758.51
Inova Fair Oaks Hospital VA 22033-1709 $575.50 $80.04 – $758.51
Inova Loudoun Hospital Leesburg $575.50 $80.04 – $758.51
Inova Mount Vernon Hospital Alexandria $575.50 $80.04 – $758.51
Johnston Memorial Hospital ABINGDON $72.75 $38.66 – $222.37
Russell County Hospital LEBANON $72.75 $64.98 – $222.37
Sentara Martha Jefferson Hospital Charlottesville $353.50 $104.04 – $107.10

All Virginia hospitals for this procedure →