Carbamazepine total therapeutic drug level 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

$65.00

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.

$65.00

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.

$11.19 with Humana Military vs $69.46 with Anthem — 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 $11.19 ↓ -83%
Lifeworks MCR $12.35 ↓ -81%
TriAtlantic TRICR $12.68 ↓ -80%
Health Net TRICR $13.43 ↓ -79%
Universal Healthcare Group MCR $14.30 ↓ -78%
Magellan MCR $14.57 ↓ -78%
Humana MCR $14.57 ↓ -78%
Devoted MCR $14.57 ↓ -78%
United VACCN $14.57 ↓ -78%
United AllPayerAppendix $14.57 ↓ -78%
Sentara Health MCR $14.57 ↓ -78%
Good Samaritan Hospice COMM $14.57 ↓ -78%
United Mine Workers MCR $14.57 ↓ -78%
United MGMCR $14.64 ↓ -77%
Aetna MGMCR $14.74 ↓ -77%
Virginia Premier Health MGMCR $14.86 ↓ -77%
Anthem MGMCR $15.01 ↓ -77%
Cigna HealthSpring MCR $15.15 ↓ -77%
Evernorth Behavioral Health MCR $15.15 ↓ -77%
Clear Spring Health Plan MCR $15.30 ↓ -76%
Align Senior Care MGMCR $15.59 ↓ -76%
Pyramid Life MGMCR $15.59 ↓ -76%
United OptionsPPO $21.71 ↓ -67%
Virginia Health Network ULTRA $22.75 ↓ -65%
United GlobalBenefitPlan $29.25 ↓ -55%
Aetna Broad $29.25 ↓ -55%
Greenvbrier Sporting Club COMM $39.00 ↓ -40%
Virginia Health Network WC $46.15 ↓ -29%
Virginia Health Network COMM $46.15 ↓ -29%
CorVel WorkersComp $46.80 ↓ -28%
Richfield Retirement Community COMM $48.75 ↓ -25%
Richfield Nursing Center COMM $48.75 ↓ -25%
Multiplan PHCS $50.05 ↓ -23%
Graham-White Manufacturing COMM $52.00 ↓ -20%
OccuNet Workers Comp WorkersComp $52.00 ↓ -20%
Community Care Network COMM $52.00 ↓ -20%
One Health Plan PPO $52.00 ↓ -20%
One Health Plan POS $52.00 ↓ -20%
Patients Choice COMM $57.20 ↓ -12%
4Most COMM $58.50 ↓ -10%
PHCS COMM $58.50 ↓ -10%
Star Transportation COMM $58.50 ↓ -10%
American Postal Workers Union COMM $58.50 ↓ -10%
Anthem HIX $62.51 ↓ -4%
Anthem HMO $69.46 ↑ +7%
Anthem PPO $69.46 ↑ +7%
Aetna SharedSavings not published by hospital
Optima Health POS not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Carbamazepine total therapeutic drug level at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $403.00 $12.68 – $21.13
Inova Alexandria Hospital Alexandria $155.00 $14.43 – $195.02
Inova Fairfax Hospital Falls Church $155.00 $14.43 – $195.02
Inova Fair Oaks Hospital VA 22033-1709 $155.00 $14.43 – $195.02
Inova Loudoun Hospital Leesburg $155.00 $14.43 – $195.02
Inova Mount Vernon Hospital Alexandria $155.00 $14.43 – $195.02
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $603.00 $12.68 – $65.14
LEWISGALE MEDICAL CENTER ROANOKE $784.00 $12.68 – $21.13

All Virginia hospitals for this procedure →