Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe 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.

$2.19 with Humana Military vs $16.20 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 $2.19
TriAtlantic TRICR $2.48
Health Net TRICR $2.63
United OptionsPPO $6.01
Virginia Health Network ULTRA $6.30
Cigna PPO $7.47
Cigna HMO $7.47
United AllPayerAppendix $8.00
Aetna Broad $8.10
United GlobalBenefitPlan $8.10
Greenvbrier Sporting Club COMM $10.80
Virginia Health Network WC $12.78
Virginia Health Network COMM $12.78
CorVel WorkersComp $12.96
Richfield Nursing Center COMM $13.50
Richfield Retirement Community COMM $13.50
Multiplan PHCS $13.86
Graham-White Manufacturing COMM $14.40
OccuNet Workers Comp WorkersComp $14.40
Community Care Network COMM $14.40
One Health Plan PPO $14.40
One Health Plan POS $14.40
Patients Choice COMM $15.84
Star Transportation COMM $16.20
PHCS COMM $16.20
4Most COMM $16.20
American Postal Workers Union COMM $16.20

Visitor-reported prices

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Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $2.48 – $8.00
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $2.48 – $8.00
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $2.48 – $8.00
TRICITIES HOSPITAL HOPEWELL not published $2.48 – $8.00
RESTON HOSPITAL CENTER VIENNA not published $2.58 – $8.00
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $2.83 – $8.00
STONESPRINGS HOSPITAL CENTER Dulles not published $2.19 – $8.00
HENRICO DOCTORS HOSPITAL RICHMOND not published $2.48 – $8.00

All Virginia hospitals for this procedure →