Acetazolamide 500 mg solution for injection at LEWISGALE HOSPITAL-PULASKI

2400 Lee Hwy, PULASKI, VA · HCA Virginia · · NPI 1205882396

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

$260.00

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.

$260.00

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.

$14.29 with Humana Military vs $234.00 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
Humana Military TRCR $14.29 ↓ -95%
TriAtlantic TRICR $16.20 ↓ -94%
Health Net TRICR $17.15 ↓ -93%
Aetna MGMCR $39.00 ↓ -85%
United AllPayerAppendix $67.81 ↓ -74%
United OptionsPPO $86.84 ↓ -67%
Virginia Health Network ULTRA $91.00 ↓ -65%
Cigna PPO $107.90 ↓ -59%
Cigna HMO $107.90 ↓ -59%
Aetna Broad $117.00 ↓ -55%
United GlobalBenefitPlan $117.00 ↓ -55%
Greenvbrier Sporting Club COMM $156.00 ↓ -40%
Virginia Health Network WC $184.60 ↓ -29%
Virginia Health Network COMM $184.60 ↓ -29%
CorVel WorkersComp $187.20 ↓ -28%
Richfield Nursing Center COMM $195.00 ↓ -25%
Richfield Retirement Community COMM $195.00 ↓ -25%
Multiplan PHCS $200.20 ↓ -23%
Graham-White Manufacturing COMM $208.00 ↓ -20%
OccuNet Workers Comp WorkersComp $208.00 ↓ -20%
Community Care Network COMM $208.00 ↓ -20%
One Health Plan PPO $208.00 ↓ -20%
One Health Plan POS $208.00 ↓ -20%
Patients Choice COMM $228.80 ↓ -12%
Star Transportation COMM $234.00 ↓ -10%
PHCS COMM $234.00 ↓ -10%
4Most COMM $234.00 ↓ -10%
American Postal Workers Union COMM $234.00 ↓ -10%

Visitor-reported prices

visitor-reported
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Acetazolamide 500 mg solution for injection at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $1,007.00 $16.20 – $67.81
Inova Alexandria Hospital Alexandria $53.24 $26.81 – $72.31
Inova Fairfax Hospital Falls Church $53.24 $26.81 – $72.31
Inova Fair Oaks Hospital VA 22033-1709 $53.24 $26.81 – $72.31
Inova Loudoun Hospital Leesburg $53.24 $26.81 – $72.31
Inova Mount Vernon Hospital Alexandria $53.24 $26.81 – $72.31
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $609.00 $16.20 – $67.81
STONESPRINGS HOSPITAL CENTER Dulles $456.75 $14.29 – $67.81

All Virginia hospitals for this procedure →