Monitor elec vad, rep 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

?

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

?

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.

$19,153.82 with TriAtlantic vs $24,111.27 with Pyramid Life — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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 $19,153.82
Health Net TRICR $20,280.51
Humana Military TRCR $21,857.88
United VACCN $22,533.90
United Mine Workers MCR $22,533.90
United Behavioral Health VACCN $22,533.90
Devoted MCR $22,533.90
Sentara Health MCR $22,533.90
Good Samaritan Hospice COMM $22,533.90
Humana MCR $22,533.90
United MGMCR $22,646.57
Aetna MGMCR $22,790.79
Virginia Premier Health MGMCR $22,984.58
Anthem MGMCR $23,209.92
Cigna HealthSpring MCR $23,435.26
Evernorth Behavioral Health MCR $23,435.26
Clear Spring Health Plan MCR $23,660.60
Align Senior Care MGMCR $24,111.27
Pyramid Life MGMCR $24,111.27

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Monitor elec vad, rep at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $3,340.50 $2,204.73 – $5,211.18
Inova Fairfax Hospital Falls Church $3,340.50 $2,204.73 – $5,211.18
Inova Fair Oaks Hospital VA 22033-1709 $3,340.50 $2,204.73 – $5,211.18
Inova Loudoun Hospital Leesburg $3,340.50 $2,204.73 – $5,211.18
Inova Mount Vernon Hospital Alexandria $3,340.50 $2,204.73 – $5,211.18
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $19,153.82 – $30,420.77
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $19,153.82 – $24,111.27
TRICITIES HOSPITAL HOPEWELL not published $19,153.82 – $30,420.77

All Virginia hospitals for this procedure →