Octreotide,microspheres ER 20 mg intramuscular susp, extended release 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

$1,473.00

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.

$1,473.00

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.

$173.90 with TriAtlantic vs $1,325.70 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 $173.90 ↓ -88%
Health Net TRICR $184.13 ↓ -87%
Humana Military TRCR $198.45 ↓ -87%
Cigna NPR $256.30 ↓ -83%
Virginia Health Network ULTRA $515.55 ↓ -65%
United AllPayerAppendix $527.80 ↓ -64%
United OptionsPPO $570.05 ↓ -61%
Cigna PPO $612.77 ↓ -58%
Cigna HMO $612.77 ↓ -58%
United GlobalBenefitPlan $662.85 ↓ -55%
Greenvbrier Sporting Club COMM $883.80 ↓ -40%
Virginia Health Network COMM $1,045.83 ↓ -29%
Virginia Health Network WC $1,045.83 ↓ -29%
CorVel WorkersComp $1,060.56 ↓ -28%
Richfield Retirement Community COMM $1,104.75 ↓ -25%
Richfield Nursing Center COMM $1,104.75 ↓ -25%
Multiplan PHCS $1,134.21 ↓ -23%
One Health Plan PPO $1,178.40 ↓ -20%
One Health Plan POS $1,178.40 ↓ -20%
Graham-White Manufacturing COMM $1,178.40 ↓ -20%
Community Care Network COMM $1,178.40 ↓ -20%
OccuNet Workers Comp WorkersComp $1,178.40 ↓ -20%
PHCS COMM $1,252.05 ↓ -15%
Patients Choice COMM $1,296.24 ↓ -12%
Star Transportation COMM $1,325.70 ↓ -10%
American Postal Workers Union COMM $1,325.70 ↓ -10%
4Most COMM $1,325.70 ↓ -10%

Visitor-reported prices

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Octreotide,microspheres ER 20 mg intramuscular susp, extended release at other Virginia hospitals

Hospital City Cash price Negotiated range
RESTON HOSPITAL CENTER VIENNA $24,883.60 $186.18 – $527.80
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $173.90 – $527.80
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $173.90 – $527.80
LEWISGALE HOSPITAL-PULASKI PULASKI not published $153.44 – $527.80
LEWISGALE MEDICAL CENTER ROANOKE not published $173.90 – $597.51
TRICITIES HOSPITAL HOPEWELL not published $173.90 – $527.80
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $198.45 – $527.80
STONESPRINGS HOSPITAL CENTER Dulles not published $153.44 – $527.80

All Virginia hospitals for this procedure →