Tobramycin peak therapeutic drug level 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

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.

Full explanation →

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.

$14.03 with TriAtlantic vs $275.40 with One Health Plan — 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 $14.03
Health Net TRICR $14.86
Humana Military TRCR $16.01
Sentara Health MCR $16.13
United Behavioral Health VACCN $16.13
Aetna MGMCR $16.13
United Mine Workers MCR $16.13
Devoted MCR $16.13
United VACCN $16.13
United AllPayerAppendix $16.13
Good Samaritan Hospice COMM $16.13
Humana MCR $16.13
United MGMCR $16.21
Virginia Premier Health MGMCR $16.45
Anthem MGMCR $16.61
Cigna HealthSpring MCR $16.78
Clear Spring Health Plan MCR $16.94
Align Senior Care MGMCR $17.26
Greenbrier Sporting Club COMM $23.39
Lifeworks MCR $58.14
Universal Healthcare Group MCR $67.32
Anthem HIX $91.05
Anthem PPO $101.17
Anthem HMO $101.17
Virginia Health Network ULTRA $107.10
United OptionsPPO $116.28
United GlobalBenefitPlan $137.70
Aetna Broad $165.24
Greenvbrier Sporting Club COMM $183.60
Virginia Health Network WC $217.26
Virginia Health Network COMM $217.26
CorVel WorkersComp $220.32
CSX Hotels Product $244.80
OccuNet Workers Comp WorkersComp $244.80
Health Payors Organization COMM $260.10
4Most COMM $275.40
Multiplan PHCS $275.40
American Postal Workers Union COMM $275.40
C&O Employees Hospital Assn COMM $275.40
Community Care Network COMM $275.40
Alleghany Highland Community COMM $275.40
One Health Plan PPO $275.40
One Health Plan POS $275.40
Aetna SharedSavings not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital
Optima Health POS not published by hospital

Visitor-reported prices

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Tobramycin peak therapeutic drug level at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $216.50 $14.43 – $272.40
Inova Fairfax Hospital Falls Church $216.50 $14.43 – $272.40
Inova Fair Oaks Hospital VA 22033-1709 $216.50 $14.43 – $272.40
Inova Loudoun Hospital Leesburg $216.50 $14.43 – $272.40
Inova Mount Vernon Hospital Alexandria $216.50 $14.43 – $272.40
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $14.03 – $72.12
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $14.03 – $17.26
LEWISGALE HOSPITAL-PULASKI PULASKI not published $12.38 – $17.26

All Virginia hospitals for this procedure →