Fosphenytoin 50 mg pe/ml injection (wrapper) 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

not published by hospital

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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.55 with United vs $80.10 with Star Transportation — same scan, same building. Share

Negotiated rates by payer
?

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
United AllPayerAppendix $3.55
Aetna MGMCR $13.35
Cigna NPR $15.49
Virginia Health Network ULTRA $31.15
United OptionsPPO $34.44
Cigna PPO $37.02
Cigna HMO $37.02
United GlobalBenefitPlan $40.05
Greenvbrier Sporting Club COMM $53.40
Virginia Health Network WC $63.19
Virginia Health Network COMM $63.19
CorVel WorkersComp $64.08
Richfield Nursing Center COMM $66.75
Richfield Retirement Community COMM $66.75
Multiplan PHCS $68.53
One Health Plan PPO $71.20
Community Care Network COMM $71.20
OccuNet Workers Comp WorkersComp $71.20
One Health Plan POS $71.20
Graham-White Manufacturing COMM $71.20
PHCS COMM $75.65
Patients Choice COMM $78.32
American Postal Workers Union COMM $80.10
4Most COMM $80.10
Star Transportation COMM $80.10

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Fosphenytoin 50 mg pe/ml injection (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $9.18 $4.15 – $12.06
Inova Fairfax Hospital Falls Church $9.18 $4.15 – $12.06
Inova Fair Oaks Hospital VA 22033-1709 $9.18 $4.15 – $12.06
Inova Loudoun Hospital Leesburg $9.18 $4.15 – $12.06
Inova Mount Vernon Hospital Alexandria $9.18 $4.15 – $12.06
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $3.55 – $3.55
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $2.93 – $3.55
LEWISGALE HOSPITAL-PULASKI PULASKI not published $3.55 – $3.55

All Virginia hospitals for this procedure →