Dextrose 5 % IV bolus at LEWISGALE HOSPITAL-MONTGOMERY

1145 W Main St, CHRISTIANSBURG, VA · HCA Virginia · · NPI 1275570376

Source: hospital's published price file ↗ · Published Mar 7, 2026 · Ingested Sep 10, 2026

$447.00

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.

$447.00

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.

$3.09 with TriAtlantic vs $402.30 with 4Most — 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 $3.09 ↓ -99%
Health Net TRICR $3.28 ↓ -99%
Humana Military TRCR $3.53 ↓ -99%
United AllPayerAppendix $7.79 ↓ -98%
Aetna MGMCR $67.05 ↓ -85%
Cigna NPR $77.78 ↓ -83%
Virginia Health Network ULTRA $156.45 ↓ -65%
United OptionsPPO $172.99 ↓ -61%
Cigna HMO $185.95 ↓ -58%
Cigna PPO $185.95 ↓ -58%
United GlobalBenefitPlan $201.15 ↓ -55%
Greenvbrier Sporting Club COMM $268.20 ↓ -40%
Virginia Health Network COMM $317.37 ↓ -29%
Virginia Health Network WC $317.37 ↓ -29%
CorVel WorkersComp $321.84 ↓ -28%
Richfield Nursing Center COMM $335.25 ↓ -25%
Richfield Retirement Community COMM $335.25 ↓ -25%
Multiplan PHCS $344.19 ↓ -23%
OccuNet Workers Comp WorkersComp $357.60 ↓ -20%
Community Care Network COMM $357.60 ↓ -20%
One Health Plan PPO $357.60 ↓ -20%
One Health Plan POS $357.60 ↓ -20%
Graham-White Manufacturing COMM $357.60 ↓ -20%
PHCS COMM $379.95 ↓ -15%
Patients Choice COMM $393.36 ↓ -12%
Star Transportation COMM $402.30 ↓ -10%
American Postal Workers Union COMM $402.30 ↓ -10%
4Most COMM $402.30 ↓ -10%

Visitor-reported prices

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Dextrose 5 % IV bolus at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $54.00 $3.09 – $7.79
LEWISGALE HOSPITAL-PULASKI PULASKI $203.00 $2.73 – $7.79
LEWISGALE MEDICAL CENTER ROANOKE $506.00 $3.09 – $8.82
RESTON HOSPITAL CENTER VIENNA $319.37 $3.31 – $7.79
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $227.88 $3.53 – $7.79
STONESPRINGS HOSPITAL CENTER Dulles $319.58 $2.73 – $7.79

All Virginia hospitals for this procedure →