Tc-99m oxidronate 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.

$19.95 with Aetna vs $156.33 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 →

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
Aetna MGMCR $19.95
Cigna NPR $23.14
Lifeworks MCR $25.27
Universal Healthcare Group MCR $29.26
Virginia Health Network ULTRA $46.55
Aetna SharedSavings $47.88
Greenbrier Sporting Club COMM $48.33
United OptionsPPO $48.55
Cigna HMO $53.33
Cigna PPO $58.52
United GlobalBenefitPlan $59.85
Naphcare Federal $66.50
Aetna Broad $70.49
Greenvbrier Sporting Club COMM $79.80
Richfield Nursing Center COMM $93.10
Graham-White Manufacturing COMM $93.10
Virginia Health Network WC $94.43
Virginia Health Network COMM $94.43
CorVel WorkersComp $95.76
Community Care Network COMM $99.75
Richfield Retirement Community COMM $99.75
One Health Plan POS $106.40
CSX Hotels Product $106.40
One Health Plan PPO $106.40
OccuNet Workers Comp WorkersComp $106.40
Patients Choice COMM $117.04
Star Transportation COMM $119.70
Multiplan PHCS $119.70
PHCS COMM $119.70
4Most COMM $119.70
Alleghany Highland Community COMM $119.70
American Postal Workers Union COMM $119.70
C&O Employees Hospital Assn COMM $119.70
United Behavioral Health VACCN $133.00
United AllPayerAppendix $156.33

Visitor-reported prices

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Tc-99m oxidronate at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $659.00 $47.12 – $138.09
RESTON HOSPITAL CENTER VIENNA $843.88 $40.84 – $138.09
STONESPRINGS HOSPITAL CENTER Dulles $767.26 $40.84 – $138.09
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $138.09 – $138.09
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $138.09 – $138.09
LEWISGALE HOSPITAL-PULASKI PULASKI not published $138.09 – $138.09
TRICITIES HOSPITAL HOPEWELL not published $47.12 – $138.09
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $47.12 – $138.09

All Virginia hospitals for this procedure →