Therapy Exercise Session (each 15 minutes) 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.

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.

$24.42 with TriAtlantic vs $238.50 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 $24.42 —
Sentara Health MCR $25.28 —
United Mine Workers MCR $25.28 —
United Behavioral Health VACCN $25.28 —
United VACCN $25.28 —
Devoted MCR $25.28 —
Good Samaritan Hospice COMM $25.28 —
Humana MCR $25.28 —
United MGMCR $25.41 —
Aetna MGMCR $25.57 —
Virginia Premier Health MGMCR $25.79 —
Health Net TRICR $25.86 —
Anthem MGMCR $26.04 —
Cigna HealthSpring MCR $26.29 —
Evernorth Behavioral Health MCR $26.29 —
Pyramid Life MGMCR $27.05 —
Align Senior Care MGMCR $27.05 —
Humana Military TRCR $27.87 —
Cigna NPR $46.11 —
Lifeworks MCR $50.35 —
Universal Healthcare Group MCR $58.30 —
Virginia Health Network ULTRA $92.75 —
Greenbrier Sporting Club COMM $96.30 —
United OptionsPPO $96.72 —
United GlobalBenefitPlan $119.25 —
Naphcare Federal $132.50 —
Greenvbrier Sporting Club COMM $159.00 —
Graham-White Manufacturing COMM $185.50 —
Richfield Nursing Center COMM $185.50 —
Virginia Health Network COMM $188.15 —
Virginia Health Network WC $188.15 —
CorVel WorkersComp $190.80 —
Richfield Retirement Community COMM $198.75 —
Community Care Network COMM $198.75 —
One Health Plan PPO $212.00 —
One Health Plan POS $212.00 —
OccuNet Workers Comp WorkersComp $212.00 —
CSX Hotels Product $212.00 —
Patients Choice COMM $233.20 —
4Most COMM $238.50 —
Star Transportation COMM $238.50 —
C&O Employees Hospital Assn COMM $238.50 —
PHCS COMM $238.50 —
American Postal Workers Union COMM $238.50 —
Alleghany Highland Community COMM $238.50 —
Multiplan PHCS $238.50 —

Visitor-reported prices

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Therapy Exercise Session (each 15 minutes) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $124.00 $32.34 – $156.02
Inova Fairfax Hospital Falls Church $124.00 $32.34 – $156.02
Inova Fair Oaks Hospital VA 22033-1709 $124.00 $32.34 – $156.02
Inova Loudoun Hospital Leesburg $124.00 $32.34 – $156.02
Inova Mount Vernon Hospital Alexandria $124.00 $32.34 – $156.02
Johnston Memorial Hospital ABINGDON $30.90 $23.55 – $62.63
Russell County Hospital LEBANON $30.90 $28.73 – $62.63
Sentara Martha Jefferson Hospital Charlottesville $65.50 $29.30 – $30.17

All Virginia hospitals for this procedure →