Sargramostim injection at LEWISGALE HOSPITAL-ALLEGHANY

1 Alleghany Reg Hospital LN, LOW MOOR, VA · HCA Virginia · · NPI 1538100029

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

$609.00

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.

$609.00

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.

$50.90 with TriAtlantic vs $548.10 with C&O Employees Hospital Assn — 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 $50.90 ↓ -92%
Health Net TRICR $53.89 ↓ -91%
Humana Military TRCR $58.08 ↓ -90%
United AllPayerAppendix $163.64 ↓ -73%
Virginia Health Network ULTRA $213.15 ↓ -65%
United OptionsPPO $231.42 ↓ -62%
United GlobalBenefitPlan $274.05 ↓ -55%
Aetna Broad $328.86 ↓ -46%
Greenvbrier Sporting Club COMM $365.40 ↓ -40%
Cigna PPO $376.97 ↓ -38%
Cigna HMO $376.97 ↓ -38%
Virginia Health Network COMM $432.39 ↓ -29%
Virginia Health Network WC $432.39 ↓ -29%
CorVel WorkersComp $438.48 ↓ -28%
OccuNet Workers Comp WorkersComp $487.20 ↓ -20%
CSX Hotels Product $487.20 ↓ -20%
Health Payors Organization COMM $517.65 ↓ -15%
4Most COMM $548.10 ↓ -10%
Alleghany Highland Community COMM $548.10 ↓ -10%
American Postal Workers Union COMM $548.10 ↓ -10%
Multiplan PHCS $548.10 ↓ -10%
One Health Plan POS $548.10 ↓ -10%
Community Care Network COMM $548.10 ↓ -10%
One Health Plan PPO $548.10 ↓ -10%
C&O Employees Hospital Assn COMM $548.10 ↓ -10%

Visitor-reported prices

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Sargramostim injection at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $5,567.00 $50.90 – $163.64
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $227.00 $50.90 – $163.64
LEWISGALE HOSPITAL-PULASKI PULASKI $402.00 $44.91 – $163.64
LEWISGALE MEDICAL CENTER ROANOKE $896.00 $50.90 – $185.25
TRICITIES HOSPITAL HOPEWELL not published $50.90 – $163.64
RESTON HOSPITAL CENTER VIENNA not published $54.49 – $163.64
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $58.08 – $163.64
STONESPRINGS HOSPITAL CENTER Dulles not published $44.91 – $163.64

All Virginia hospitals for this procedure →