Acetylcysteine 200 mg/ml (20 %) intravenous solution 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

not published by hospital

Cash price

?

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

?

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.

$0.34 with Humana Military vs $27.00 with American Postal Workers Union — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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 $0.34
TriAtlantic TRICR $0.38
Health Net TRICR $0.41
United AllPayerAppendix $0.98
Aetna MGMCR $4.50
United OptionsPPO $10.02
Virginia Health Network ULTRA $10.50
Cigna PPO $12.45
Cigna HMO $12.45
Aetna Broad $13.50
United GlobalBenefitPlan $13.50
Greenvbrier Sporting Club COMM $18.00
Virginia Health Network WC $21.30
Virginia Health Network COMM $21.30
CorVel WorkersComp $21.60
Richfield Nursing Center COMM $22.50
Richfield Retirement Community COMM $22.50
Multiplan PHCS $23.10
Graham-White Manufacturing COMM $24.00
OccuNet Workers Comp WorkersComp $24.00
Community Care Network COMM $24.00
One Health Plan PPO $24.00
One Health Plan POS $24.00
Patients Choice COMM $26.40
Star Transportation COMM $27.00
PHCS COMM $27.00
4Most COMM $27.00
American Postal Workers Union COMM $27.00

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Acetylcysteine 200 mg/ml (20 %) intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $2,151.00 $0.38 – $0.98
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,032.00 $0.38 – $0.98
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $1,193.00 $0.38 – $0.98
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $294.52 $0.44 – $0.98

All Virginia hospitals for this procedure →