Radium ra223 dichl ther/uci 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

$834.00

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.

$834.00

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.

$139.48 with TriAtlantic vs $750.60 with Multiplan — 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 $139.48 ↓ -83%
Cigna NPR $145.12 ↓ -83%
Health Net TRICR $147.69 ↓ -82%
Lifeworks MCR $158.46 ↓ -81%
Humana Military TRCR $159.18 ↓ -81%
Universal Healthcare Group MCR $183.48 ↓ -78%
Virginia Health Network ULTRA $291.90 ↓ -65%
Aetna SharedSavings $300.24 ↓ -64%
Greenbrier Sporting Club COMM $303.08 ↓ -64%
United OptionsPPO $304.41 ↓ -64%
Cigna HMO $334.43 ↓ -60%
Cigna PPO $366.96 ↓ -56%
United GlobalBenefitPlan $375.30 ↓ -55%
Naphcare Federal $417.00 ↓ -50%
Aetna Broad $442.02 ↓ -47%
Greenvbrier Sporting Club COMM $500.40 ↓ -40%
United AllPayerAppendix $515.76 ↓ -38%
Richfield Nursing Center COMM $583.80 ↓ -30%
Graham-White Manufacturing COMM $583.80 ↓ -30%
Virginia Health Network WC $592.14 ↓ -29%
Virginia Health Network COMM $592.14 ↓ -29%
CorVel WorkersComp $600.48 ↓ -28%
Richfield Retirement Community COMM $625.50 ↓ -25%
Community Care Network COMM $625.50 ↓ -25%
OccuNet Workers Comp WorkersComp $667.20 ↓ -20%
One Health Plan POS $667.20 ↓ -20%
One Health Plan PPO $667.20 ↓ -20%
CSX Hotels Product $667.20 ↓ -20%
Patients Choice COMM $733.92 ↓ -12%
Star Transportation COMM $750.60 ↓ -10%
PHCS COMM $750.60 ↓ -10%
4Most COMM $750.60 ↓ -10%
Alleghany Highland Community COMM $750.60 ↓ -10%
American Postal Workers Union COMM $750.60 ↓ -10%
C&O Employees Hospital Assn COMM $750.60 ↓ -10%
Multiplan PHCS $750.60 ↓ -10%

Visitor-reported prices

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Radium ra223 dichl ther/uci at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $150.11 $172.22 – $299.92
Inova Fairfax Hospital Falls Church $150.11 $172.22 – $299.92
Inova Fair Oaks Hospital VA 22033-1709 $150.11 $172.22 – $299.92
Inova Loudoun Hospital Leesburg $150.11 $172.22 – $299.92
Inova Mount Vernon Hospital Alexandria $150.11 $172.22 – $299.92
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $390.00 $139.48 – $455.59
LEWISGALE HOSPITAL-PULASKI PULASKI $752.00 $123.07 – $455.59
TRICITIES HOSPITAL HOPEWELL $390.00 $139.48 – $455.59

All Virginia hospitals for this procedure →