Tc-99m disofenin at LEWISGALE MEDICAL CENTER
1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785
$281.00
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.
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What you pay up front if you don't use insurance.
$281.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$42.15 with Aetna vs $281.00 with United Behavioral Health — 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 →
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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 ?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 |
|---|---|---|---|
| Aetna | MGMCR | $42.15 | ↓ -85% |
| Cigna | NPR | $48.89 | ↓ -83% |
| Lifeworks | MCR | $53.39 | ↓ -81% |
| Universal Healthcare Group | MCR | $61.82 | ↓ -78% |
| Virginia Health Network | ULTRA | $98.35 | ↓ -65% |
| Aetna | SharedSavings | $101.16 | ↓ -64% |
| Greenbrier Sporting Club | COMM | $102.12 | ↓ -64% |
| United | OptionsPPO | $102.56 | ↓ -64% |
| Cigna | HMO | $112.68 | ↓ -60% |
| Cigna | PPO | $123.64 | ↓ -56% |
| United | GlobalBenefitPlan | $126.45 | ↓ -55% |
| Naphcare | Federal | $140.50 | ↓ -50% |
| Aetna | Broad | $148.93 | ↓ -47% |
| Greenvbrier Sporting Club | COMM | $168.60 | ↓ -40% |
| United | AllPayerAppendix | $185.37 | ↓ -34% |
| Graham-White Manufacturing | COMM | $196.70 | ↓ -30% |
| Richfield Nursing Center | COMM | $196.70 | ↓ -30% |
| Virginia Health Network | WC | $199.51 | ↓ -29% |
| Virginia Health Network | COMM | $199.51 | ↓ -29% |
| CorVel | WorkersComp | $202.32 | ↓ -28% |
| Community Care Network | COMM | $210.75 | ↓ -25% |
| Richfield Retirement Community | COMM | $210.75 | ↓ -25% |
| One Health Plan | PPO | $224.80 | ↓ -20% |
| One Health Plan | POS | $224.80 | ↓ -20% |
| OccuNet Workers Comp | WorkersComp | $224.80 | ↓ -20% |
| CSX Hotels | Product | $224.80 | ↓ -20% |
| Patients Choice | COMM | $247.28 | ↓ -12% |
| Star Transportation | COMM | $252.90 | ↓ -10% |
| Multiplan | PHCS | $252.90 | ↓ -10% |
| PHCS | COMM | $252.90 | ↓ -10% |
| 4Most | COMM | $252.90 | ↓ -10% |
| Alleghany Highland Community | COMM | $252.90 | ↓ -10% |
| American Postal Workers Union | COMM | $252.90 | ↓ -10% |
| C&O Employees Hospital Assn | COMM | $252.90 | ↓ -10% |
| United Behavioral Health | VACCN | $281.00 | ↑ +0% |
Visitor-reported prices
Comments
Tc-99m disofenin at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,152.00 | $74.97 – $163.74 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $573.00 | $163.74 – $163.74 |
| TRICITIES HOSPITAL | HOPEWELL | $1,152.00 | $74.97 – $163.74 |
| RESTON HOSPITAL CENTER | VIENNA | $145.90 | $64.97 – $163.74 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $153.36 | $74.97 – $163.74 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $132.74 | $64.97 – $163.74 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $1,152.00 | $74.97 – $163.74 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $163.74 – $163.74 |