Alteplase 100 mg infusion from pyxis vial 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

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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.

$68.59 with Humana Military vs $416.70 with PHCS — 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 $68.59
TriAtlantic TRICR $77.74
Health Net TRICR $82.31
United OptionsPPO $154.64
Virginia Health Network ULTRA $162.05
Cigna PPO $192.15
Cigna HMO $192.15
Aetna Broad $208.35
United GlobalBenefitPlan $208.35
United AllPayerAppendix $248.65
Greenvbrier Sporting Club COMM $277.80
Virginia Health Network COMM $328.73
Virginia Health Network WC $328.73
CorVel WorkersComp $333.36
Richfield Nursing Center COMM $347.25
Richfield Retirement Community COMM $347.25
Multiplan PHCS $356.51
Graham-White Manufacturing COMM $370.40
OccuNet Workers Comp WorkersComp $370.40
Community Care Network COMM $370.40
One Health Plan PPO $370.40
One Health Plan POS $370.40
Patients Choice COMM $407.44
Star Transportation COMM $416.70
4Most COMM $416.70
American Postal Workers Union COMM $416.70
PHCS COMM $416.70

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $77.74 – $248.65
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $77.74 – $248.65
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $77.74 – $248.65
LEWISGALE MEDICAL CENTER ROANOKE not published $77.74 – $281.49
TRICITIES HOSPITAL HOPEWELL not published $77.74 – $248.65
RESTON HOSPITAL CENTER VIENNA not published $83.23 – $248.65
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $88.72 – $248.65
STONESPRINGS HOSPITAL CENTER Dulles not published $68.59 – $248.65

All Virginia hospitals for this procedure →