Self-Care and Home Skills Training (each 15 minutes) 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.

$27.21 with TriAtlantic vs $287.10 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 $27.21 —
Sentara Health MCR $28.17 —
United Mine Workers MCR $28.17 —
United Behavioral Health VACCN $28.17 —
United VACCN $28.17 —
Devoted MCR $28.17 —
Good Samaritan Hospice COMM $28.17 —
Humana MCR $28.17 —
United MGMCR $28.31 —
Aetna MGMCR $28.49 —
Virginia Premier Health MGMCR $28.73 —
Health Net TRICR $28.81 —
Anthem MGMCR $29.01 —
Cigna HealthSpring MCR $29.30 —
Evernorth Behavioral Health MCR $29.30 —
Pyramid Life MGMCR $30.14 —
Align Senior Care MGMCR $30.14 —
Humana Military TRCR $31.05 —
Cigna NPR $55.51 —
Lifeworks MCR $60.61 —
Universal Healthcare Group MCR $70.18 —
Virginia Health Network ULTRA $111.65 —
Greenbrier Sporting Club COMM $115.92 —
United OptionsPPO $116.44 —
United GlobalBenefitPlan $143.55 —
Naphcare Federal $159.50 —
Greenvbrier Sporting Club COMM $191.40 —
Graham-White Manufacturing COMM $223.30 —
Richfield Nursing Center COMM $223.30 —
Virginia Health Network COMM $226.49 —
Virginia Health Network WC $226.49 —
CorVel WorkersComp $229.68 —
Richfield Retirement Community COMM $239.25 —
Community Care Network COMM $239.25 —
One Health Plan PPO $255.20 —
One Health Plan POS $255.20 —
OccuNet Workers Comp WorkersComp $255.20 —
CSX Hotels Product $255.20 —
Patients Choice COMM $280.72 —
4Most COMM $287.10 —
Star Transportation COMM $287.10 —
C&O Employees Hospital Assn COMM $287.10 —
PHCS COMM $287.10 —
American Postal Workers Union COMM $287.10 —
Alleghany Highland Community COMM $287.10 —
Multiplan PHCS $287.10 —

Visitor-reported prices

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Self-Care and Home Skills Training (each 15 minutes) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $78.00 $36.20 – $98.14
Inova Fairfax Hospital Falls Church $78.00 $36.20 – $98.14
Inova Fair Oaks Hospital VA 22033-1709 $78.00 $36.20 – $98.14
Inova Loudoun Hospital Leesburg $78.00 $36.20 – $98.14
Inova Mount Vernon Hospital Alexandria $78.00 $36.20 – $98.14
Johnston Memorial Hospital ABINGDON $33.60 $18.90 – $69.78
Russell County Hospital LEBANON $33.60 $32.01 – $69.78
Sentara Martha Jefferson Hospital Charlottesville $37.50 $32.65 – $33.61

All Virginia hospitals for this procedure →