St evaluation swallow function 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

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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.

$70.19 with TriAtlantic vs $785.70 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 $70.19
Health Net TRICR $74.32
Humana Military TRCR $80.10
United Behavioral Health VACCN $85.64
United VACCN $85.64
Humana MCR $85.64
Good Samaritan Hospice COMM $85.64
United Mine Workers MCR $85.64
Sentara Health MCR $85.64
Devoted MCR $85.64
United MGMCR $86.07
Aetna MGMCR $86.62
Virginia Premier Health MGMCR $87.35
Anthem MGMCR $88.21
Cigna HealthSpring MCR $89.07
Evernorth Behavioral Health MCR $89.07
Clear Spring Health Plan MCR $89.92
Align Senior Care MGMCR $91.63
Pyramid Life MGMCR $91.63
Cigna NPR $151.90
Lifeworks MCR $165.87
Universal Healthcare Group MCR $192.06
Virginia Health Network ULTRA $305.55
Aetna SharedSavings $314.28
Greenbrier Sporting Club COMM $317.25
United OptionsPPO $318.64
United GlobalBenefitPlan $392.85
Naphcare Federal $436.50
Aetna Broad $462.69
Greenvbrier Sporting Club COMM $523.80
Richfield Nursing Center COMM $611.10
Graham-White Manufacturing COMM $611.10
Virginia Health Network COMM $619.83
Virginia Health Network WC $619.83
CorVel WorkersComp $628.56
Community Care Network COMM $654.75
Richfield Retirement Community COMM $654.75
One Health Plan POS $698.40
OccuNet Workers Comp WorkersComp $698.40
CSX Hotels Product $698.40
One Health Plan PPO $698.40
Patients Choice COMM $768.24
Star Transportation COMM $785.70
4Most COMM $785.70
Alleghany Highland Community COMM $785.70
American Postal Workers Union COMM $785.70
C&O Employees Hospital Assn COMM $785.70
PHCS COMM $785.70
Multiplan PHCS $785.70
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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St evaluation swallow function at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $380.00 $70.19 – $89.92
Inova Alexandria Hospital Alexandria $343.50 $76.42 – $549.82
Inova Fairfax Hospital Falls Church $343.50 $76.42 – $549.82
Inova Fair Oaks Hospital VA 22033-1709 $343.50 $76.42 – $549.82
Inova Loudoun Hospital Leesburg $343.50 $76.42 – $549.82
Inova Mount Vernon Hospital Alexandria $343.50 $76.42 – $549.82
LEWISGALE HOSPITAL-PULASKI PULASKI $753.00 $61.94 – $91.63
TRICITIES HOSPITAL HOPEWELL $1,353.00 $70.19 – $115.61

All Virginia hospitals for this procedure →