Tl-201 thallium diag per mci at LEWISGALE MEDICAL CENTER
1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785
$603.00
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.
$603.00
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.
$90.45 with Aetna vs $603.00 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 | $90.45 | ↓ -85% |
| Cigna | NPR | $104.92 | ↓ -83% |
| Lifeworks | MCR | $114.57 | ↓ -81% |
| Universal Healthcare Group | MCR | $132.66 | ↓ -78% |
| United | AllPayerAppendix | $143.28 | ↓ -76% |
| Virginia Health Network | ULTRA | $211.05 | ↓ -65% |
| Aetna | SharedSavings | $217.08 | ↓ -64% |
| Greenbrier Sporting Club | COMM | $219.13 | ↓ -64% |
| United | OptionsPPO | $220.09 | ↓ -64% |
| Cigna | HMO | $241.80 | ↓ -60% |
| Cigna | PPO | $265.32 | ↓ -56% |
| United | GlobalBenefitPlan | $271.35 | ↓ -55% |
| Naphcare | Federal | $301.50 | ↓ -50% |
| Aetna | Broad | $319.59 | ↓ -47% |
| Greenvbrier Sporting Club | COMM | $361.80 | ↓ -40% |
| Richfield Nursing Center | COMM | $422.10 | ↓ -30% |
| Graham-White Manufacturing | COMM | $422.10 | ↓ -30% |
| Virginia Health Network | COMM | $428.13 | ↓ -29% |
| Virginia Health Network | WC | $428.13 | ↓ -29% |
| CorVel | WorkersComp | $434.16 | ↓ -28% |
| Community Care Network | COMM | $452.25 | ↓ -25% |
| Richfield Retirement Community | COMM | $452.25 | ↓ -25% |
| One Health Plan | POS | $482.40 | ↓ -20% |
| One Health Plan | PPO | $482.40 | ↓ -20% |
| OccuNet Workers Comp | WorkersComp | $482.40 | ↓ -20% |
| CSX Hotels | Product | $482.40 | ↓ -20% |
| Patients Choice | COMM | $530.64 | ↓ -12% |
| Star Transportation | COMM | $542.70 | ↓ -10% |
| Multiplan | PHCS | $542.70 | ↓ -10% |
| PHCS | COMM | $542.70 | ↓ -10% |
| 4Most | COMM | $542.70 | ↓ -10% |
| Alleghany Highland Community | COMM | $542.70 | ↓ -10% |
| American Postal Workers Union | COMM | $542.70 | ↓ -10% |
| C&O Employees Hospital Assn | COMM | $542.70 | ↓ -10% |
| United Behavioral Health | VACCN | $603.00 | ↑ +0% |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $373.00 | $126.56 – $126.56 |
| RESTON HOSPITAL CENTER | VIENNA | $533.66 | $30.31 – $126.56 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $562.68 | $34.98 – $126.56 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $485.25 | $30.31 – $126.56 |