Lewisgale Medical Center
Salem, VA · HCA Virginia · For-profit
Lewisgale Medical Center is a 2-star for-profit hospital in Salem, VA, part of the HCA Virginia health system. It publishes prices for 37 common procedures, with cash prices ranging from $81 to $13,740. 57.0% of patients rated this hospital 9 or 10 out of 10.
If you have Anthem, Virginia Health Network, or Aetna, your negotiated rate at Lewisgale could be significantly higher than what uninsured patients pay — we're seeing a roughly 50 to 70 percent markup between their cash price and what those plans are charged. That gap matters most if you're weighing whether to use this hospital versus one nearby. UnitedHealthcare negotiates closer to the cash price, so your out-of-pocket costs depend heavily on which insurance you carry. Before you schedule, call the hospital's billing department and ask for your specific procedure's cash price and what your insurance plan is contracted to pay — those two numbers will tell you exactly what your responsibility is.
Lewisgale does offer charity care if you qualify based on income; they've directed over $6.8 million to patients in recent years. If cost is a real concern, ask billing whether you'd qualify before your procedure — many people don't realize they can apply.
Safety at this hospital, versus the national average
Safer than average on 1 of 6 metrics. The rest are close to the national rate.
Source: CMS Hospital Compare — Healthcare-Associated Infections, Mortality & Readmissions, Value-Based Purchasing (FY 2026). Bars show how this hospital compares to the national rate for each metric.
Address: 1900 Electric Road, Salem, VA 24153
Type: Hospital · 271 beds · Emergency services
What they charge
Every price below is published by Lewisgale Medical Center in their federally mandated machine-readable file. Click any procedure to compare with nearby hospitals.
| Procedure | Cash price | Gross charge | Markup |
|---|---|---|---|
| Carotid Duplex Scan Cardiac | $2,681 | $2,681 | 1.0x |
| Echocardiogram Complete Cardiac | $5,154 | $5,154 | 1.0x |
| ER Visit Level 3 (Moderate) Emergency | $1,272 | $1,272 | 1.0x |
| ER Visit Level 4 (High) Emergency | $1,945 | $1,945 | 1.0x |
| ER Visit Level 5 (Critical) Emergency | $3,064 | $3,064 | 1.0x |
| Bone Density Scan (DEXA) Imaging | $1,918 | $1,918 | 1.0x |
| CT Abdomen and Pelvis with Contrast Imaging | $11,341 | $11,341 | 1.0x |
| CT Abdomen and Pelvis without Contrast Imaging | $10,162 | $10,162 | 1.0x |
| CT Angiography Chest Imaging | $6,049 | $6,049 | 1.0x |
| CT Chest with Contrast Imaging | $6,995 | $6,995 | 1.0x |
| CT Chest without Contrast Imaging | $6,248 | $6,248 | 1.0x |
| CT Head without Contrast Imaging | $5,902 | $5,902 | 1.0x |
| Chest X-Ray 2 Views Imaging | $1,294 | $1,294 | 1.0x |
| MRI Brain with Contrast Imaging | $13,740 | $13,740 | 1.0x |
| MRI Brain with and without Contrast Imaging | N/A | $17,753 | — |
| MRI Brain without Contrast Imaging | $11,774 | $11,774 | 1.0x |
| MRI Cervical Spine without Contrast Imaging | $11,241 | $11,241 | 1.0x |
| MRI Knee with and without Contrast Imaging | N/A | $17,024 | — |
| MRI Knee without Contrast Imaging | $10,363 | $10,363 | 1.0x |
| MRI Lumbar Spine with and without Contrast Imaging | N/A | $17,753 | — |
| MRI Lumbar Spine without Contrast Imaging | $10,641 | $10,641 | 1.0x |
| MRI Shoulder without Contrast Imaging | $10,363 | $10,363 | 1.0x |
| Screening Mammography Imaging | $642 | $642 | 1.0x |
| Shoulder X-Ray Imaging | $829 | $829 | 1.0x |
| Ultrasound Abdomen Complete Imaging | $3,061 | $3,061 | 1.0x |
| Ultrasound Pregnancy Imaging | $2,101 | $2,101 | 1.0x |
| Ultrasound Transvaginal Imaging | $2,070 | $2,070 | 1.0x |
| Blood Draw / Venipuncture Lab | $81 | $81 | 1.0x |
| Comprehensive Metabolic Panel Lab | N/A | $1,250 | — |
| Ferritin Level Lab | $404 | $404 | 1.0x |
| Hemoglobin A1C Lab | $290 | $290 | 1.0x |
| Lipid Panel Lab | N/A | $778 | — |
| PSA Prostate Screening Lab | $343 | $343 | 1.0x |
| TSH Thyroid Test Lab | N/A | $552 | — |
| Urinalysis with Microscopy Lab | $229 | $229 | 1.0x |
| Vitamin D Level Lab | $491 | $491 | 1.0x |
| Office Visit Established Patient Level 3 Office | $528 | $528 | 1.0x |
| Office Visit Established Patient Level 4 Office | $669 | $669 | 1.0x |
| Neuromuscular Re-education Rehab | $212 | $212 | 1.0x |
| Physical Therapy Manual Therapy Rehab | $477 | $477 | 1.0x |
| Physical Therapy Therapeutic Exercise Rehab | $415 | $415 | 1.0x |
| Therapeutic Activities Rehab | $290 | $290 | 1.0x |
| Spirometry Pulmonary Function Test Screening | $346 | $346 | 1.0x |
What your insurance pays here
Average negotiated rates by insurance plan. If the cash price above is lower and you haven't met your deductible, ask billing about paying cash.
| Insurance plan | Procedures covered | Avg negotiated rate | Rate range |
|---|---|---|---|
| Anthem | 288 | $7,364 | $3 — $64,525 |
| UnitedHealthcare | 220 | $3,733 | $3 — $39,314 |
| Virginia Health Network | 129 | $2,754 | $28 — $12,605 |
| Optima Health | 108 | $10,193 | $1,178 — $32,843 |
| Aetna | 103 | $4,747 | $3 — $31,244 |
| Lifeworks | 91 | $2,608 | $40 — $7,650 |
| Universal Healthcare Group | 89 | $2,259 | $47 — $4,250 |
| One Health Plan | 84 | $4,275 | $73 — $15,978 |
| OccuNet Workers Comp | 43 | $3,735 | $65 — $14,202 |
| Greenvbrier Sporting Club | 43 | $2,801 | $49 — $10,652 |
The financial picture
What this hospital earns, spends on charity care, and pays its executives.
Compare these procedures near Roanoke
See how Lewisgale Medical Center's prices compare to other hospitals in the Roanoke area for the same procedure.
Other hospitals to compare in VA
Before you schedule, see how Lewisgale Medical Center stacks up against these nearby options by price and quality.
Prices from Lewisgale Medical Center's published machine-readable file. Quality data from CMS Hospital Compare. Financial data from CMS Cost Reports and IRS Form 990 via ProPublica. Updated April 2026. Full methodology →