Cyclophosphamide 1 gram intravenous powder for 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

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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.

$0.33 with United vs $1.56 with United — 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
United OptionsPPO $0.33
Virginia Health Network ULTRA $0.35
Cigna HMO $0.41
Cigna PPO $0.41
United GlobalBenefitPlan $0.45
Aetna Broad $0.45
Greenvbrier Sporting Club COMM $0.60
Humana Military TRCR $0.60
TriAtlantic TRICR $0.68
Virginia Health Network COMM $0.71
Virginia Health Network WC $0.71
Health Net TRICR $0.72
CorVel WorkersComp $0.72
Richfield Retirement Community COMM $0.75
Richfield Nursing Center COMM $0.75
Multiplan PHCS $0.77
One Health Plan POS $0.80
OccuNet Workers Comp WorkersComp $0.80
Graham-White Manufacturing COMM $0.80
Community Care Network COMM $0.80
One Health Plan PPO $0.80
Patients Choice COMM $0.88
Star Transportation COMM $0.90
4Most COMM $0.90
American Postal Workers Union COMM $0.90
PHCS COMM $0.90
United AllPayerAppendix $1.56

Visitor-reported prices

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Cyclophosphamide 1 gram intravenous powder for solution at other Virginia hospitals

Hospital City Cash price Negotiated range
RESTON HOSPITAL CENTER VIENNA $2,905.20 $0.73 – $1.56
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $0.68 – $1.56
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $0.68 – $1.56
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $0.68 – $1.56
LEWISGALE MEDICAL CENTER ROANOKE not published $0.68 – $1.77
TRICITIES HOSPITAL HOPEWELL not published $0.68 – $1.56
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $0.78 – $1.56
STONESPRINGS HOSPITAL CENTER Dulles not published $0.60 – $1.56

All Virginia hospitals for this procedure →