Swallowing Evaluation (Bedside) 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.

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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.

$71.43 with TriAtlantic vs $785.70 with Star Transportation — 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 $71.43 —
Health Net TRICR $75.64 —
Humana Military TRCR $81.52 —
Devoted MCR $84.04 —
United Behavioral Health VACCN $84.04 —
United VACCN $84.04 —
Sentara Health MCR $84.04 —
United Mine Workers MCR $84.04 —
Humana MCR $84.04 —
Good Samaritan Hospice COMM $84.04 —
United MGMCR $84.46 —
Aetna MGMCR $85.00 —
Virginia Premier Health MGMCR $85.72 —
Anthem MGMCR $86.56 —
Evernorth Behavioral Health MCR $87.40 —
Cigna HealthSpring MCR $87.40 —
Align Senior Care MGMCR $89.92 —
Pyramid Life MGMCR $89.92 —
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 —
Graham-White Manufacturing COMM $611.10 —
Richfield Nursing Center COMM $611.10 —
Virginia Health Network WC $619.83 —
Virginia Health Network COMM $619.83 —
CorVel WorkersComp $628.56 —
Richfield Retirement Community COMM $654.75 —
Community Care Network COMM $654.75 —
One Health Plan PPO $698.40 —
OccuNet Workers Comp WorkersComp $698.40 —
One Health Plan POS $698.40 —
CSX Hotels Product $698.40 —
Patients Choice COMM $768.24 —
PHCS COMM $785.70 —
Alleghany Highland Community COMM $785.70 —
American Postal Workers Union COMM $785.70 —
C&O Employees Hospital Assn COMM $785.70 —
Multiplan PHCS $785.70 —
4Most COMM $785.70 —
Star Transportation COMM $785.70 —

Visitor-reported prices

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Swallowing Evaluation (Bedside) at other Virginia hospitals

Hospital City Cash price Negotiated range
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
Johnston Memorial Hospital ABINGDON $82.20 $37.68 – $356.43
Russell County Hospital LEBANON $82.20 $46.00 – $356.43
Sentara Martha Jefferson Hospital Charlottesville $212.00 $58.60 – $60.32

All Virginia hospitals for this procedure →