Hydration IV infusion each additional hour 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

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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.

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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.

$40.19 with Cigna vs $207.90 with American Postal Workers Union — 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
Cigna NPR $40.19
Lifeworks MCR $43.89
Universal Healthcare Group MCR $50.82
Virginia Health Network ULTRA $80.85
Aetna SharedSavings $83.16
United OptionsPPO $89.40
Cigna PPO $96.10
Cigna HMO $96.10
United GlobalBenefitPlan $103.95
Aetna Broad $122.43
United AllPayerAppendix $126.78
Greenvbrier Sporting Club COMM $138.60
Virginia Health Network WC $164.01
Virginia Health Network COMM $164.01
CorVel WorkersComp $166.32
Richfield Retirement Community COMM $173.25
Richfield Nursing Center COMM $173.25
Multiplan PHCS $177.87
One Health Plan PPO $184.80
Graham-White Manufacturing COMM $184.80
OccuNet Workers Comp WorkersComp $184.80
Community Care Network COMM $184.80
One Health Plan POS $184.80
PHCS COMM $196.35
Patients Choice COMM $203.28
Star Transportation COMM $207.90
4Most COMM $207.90
American Postal Workers Union COMM $207.90
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Hydration IV infusion each additional hour at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $115.50 $46.14 – $177.99
Inova Fairfax Hospital Falls Church $115.50 $46.14 – $177.99
Inova Fair Oaks Hospital VA 22033-1709 $115.50 $46.14 – $177.99
Inova Loudoun Hospital Leesburg $115.50 $46.14 – $177.99
Inova Mount Vernon Hospital Alexandria $115.50 $46.14 – $177.99
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $126.78 – $126.78
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $126.78 – $126.78
LEWISGALE HOSPITAL-PULASKI PULASKI not published $126.78 – $126.78

All Virginia hospitals for this procedure →