Molded inner boot 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

$12,089.00

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.

$12,089.00

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.

$444.63 with TriAtlantic vs $10,880.10 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 $444.63 ↓ -96%
Health Net TRICR $470.79 ↓ -96%
Humana Military TRCR $507.41 ↓ -96%
Sentara Health MCR $523.10 ↓ -96%
United Mine Workers MCR $523.10 ↓ -96%
Devoted MCR $523.10 ↓ -96%
Humana MCR $523.10 ↓ -96%
United VACCN $523.10 ↓ -96%
United Behavioral Health VACCN $523.10 ↓ -96%
Good Samaritan Hospice COMM $523.10 ↓ -96%
United MGMCR $525.72 ↓ -96%
Aetna MGMCR $529.06 ↓ -96%
Virginia Premier Health MGMCR $533.56 ↓ -96%
Anthem MGMCR $538.79 ↓ -96%
Cigna HealthSpring MCR $544.02 ↓ -95%
Evernorth Behavioral Health MCR $544.02 ↓ -95%
Clear Spring Health Plan MCR $549.25 ↓ -95%
Pyramid Life MGMCR $559.72 ↓ -95%
Align Senior Care MGMCR $559.72 ↓ -95%
Cigna NPR $2,103.49 ↓ -83%
Aetna SharedSavings $4,352.04 ↓ -64%
United OptionsPPO $4,412.48 ↓ -64%
Cigna HMO $4,847.69 ↓ -60%
Cigna PPO $5,319.16 ↓ -56%
United GlobalBenefitPlan $5,440.05 ↓ -55%
Naphcare Federal $6,044.50 ↓ -50%
Aetna Broad $6,407.17 ↓ -47%
Greenvbrier Sporting Club COMM $7,253.40 ↓ -40%
Richfield Nursing Center COMM $8,462.30 ↓ -30%
Graham-White Manufacturing COMM $8,462.30 ↓ -30%
Richfield Retirement Community COMM $9,066.75 ↓ -25%
Community Care Network COMM $9,066.75 ↓ -25%
One Health Plan PPO $9,671.20 ↓ -20%
OccuNet Workers Comp WorkersComp $9,671.20 ↓ -20%
CSX Hotels Product $9,671.20 ↓ -20%
One Health Plan POS $9,671.20 ↓ -20%
Patients Choice COMM $10,638.32 ↓ -12%
Star Transportation COMM $10,880.10 ↓ -10%
PHCS COMM $10,880.10 ↓ -10%
Multiplan PHCS $10,880.10 ↓ -10%
4Most COMM $10,880.10 ↓ -10%
Alleghany Highland Community COMM $10,880.10 ↓ -10%
American Postal Workers Union COMM $10,880.10 ↓ -10%
C&O Employees Hospital Assn COMM $10,880.10 ↓ -10%

Visitor-reported prices

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Molded inner boot at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $444.63 – $706.19
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $444.63 – $559.72
TRICITIES HOSPITAL HOPEWELL not published $444.63 – $706.19
RESTON HOSPITAL CENTER VIENNA not published $507.41 – $559.72
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $507.41 – $559.72
STONESPRINGS HOSPITAL CENTER Dulles not published $392.33 – $559.72
HENRICO DOCTORS HOSPITAL RICHMOND not published $444.63 – $559.72

All Virginia hospitals for this procedure →