Tc-99m exametazime diag at LEWISGALE MEDICAL CENTER
1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785
$2,751.00
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.
$2,751.00
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.
$478.67 with Cigna vs $2,783.13 with United — 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 |
|---|---|---|---|
| Cigna | NPR | $478.67 | ↓ -83% |
| Lifeworks | MCR | $522.69 | ↓ -81% |
| Universal Healthcare Group | MCR | $605.22 | ↓ -78% |
| Virginia Health Network | ULTRA | $962.85 | ↓ -65% |
| Aetna | SharedSavings | $990.36 | ↓ -64% |
| Greenbrier Sporting Club | COMM | $999.71 | ↓ -64% |
| United | OptionsPPO | $1,004.12 | ↓ -63% |
| Cigna | HMO | $1,103.15 | ↓ -60% |
| Cigna | PPO | $1,210.44 | ↓ -56% |
| United | GlobalBenefitPlan | $1,237.95 | ↓ -55% |
| Naphcare | Federal | $1,375.50 | ↓ -50% |
| Aetna | Broad | $1,458.03 | ↓ -47% |
| Greenvbrier Sporting Club | COMM | $1,650.60 | ↓ -40% |
| Graham-White Manufacturing | COMM | $1,925.70 | ↓ -30% |
| Richfield Nursing Center | COMM | $1,925.70 | ↓ -30% |
| Virginia Health Network | WC | $1,953.21 | ↓ -29% |
| Virginia Health Network | COMM | $1,953.21 | ↓ -29% |
| CorVel | WorkersComp | $1,980.72 | ↓ -28% |
| Community Care Network | COMM | $2,063.25 | ↓ -25% |
| Richfield Retirement Community | COMM | $2,063.25 | ↓ -25% |
| OccuNet Workers Comp | WorkersComp | $2,200.80 | ↓ -20% |
| CSX Hotels | Product | $2,200.80 | ↓ -20% |
| One Health Plan | PPO | $2,200.80 | ↓ -20% |
| One Health Plan | POS | $2,200.80 | ↓ -20% |
| Patients Choice | COMM | $2,420.88 | ↓ -12% |
| PHCS | COMM | $2,475.90 | ↓ -10% |
| 4Most | COMM | $2,475.90 | ↓ -10% |
| Alleghany Highland Community | COMM | $2,475.90 | ↓ -10% |
| American Postal Workers Union | COMM | $2,475.90 | ↓ -10% |
| C&O Employees Hospital Assn | COMM | $2,475.90 | ↓ -10% |
| Star Transportation | COMM | $2,475.90 | ↓ -10% |
| Multiplan | PHCS | $2,475.90 | ↓ -10% |
| United | AllPayerAppendix | $2,783.13 | ↑ +1% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $6,224.00 | $2,458.43 – $2,458.43 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $3,424.00 | $2,458.43 – $2,458.43 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $2,570.00 | $2,458.43 – $2,458.43 |
| TRICITIES HOSPITAL | HOPEWELL | $4,996.00 | $1,835.66 – $2,458.43 |
| RESTON HOSPITAL CENTER | VIENNA | $4,749.24 | $1,590.91 – $2,458.43 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $4,709.88 | $1,835.66 – $2,458.43 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $4,318.82 | $1,590.91 – $2,458.43 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $1,835.66 – $2,458.43 |