Dextrose 5 % and 0.9 % sodium chloride 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

$174.00

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.

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What you pay up front if you don't use insurance.

$174.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$0.94 with Humana Military vs $156.60 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.

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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 $0.94 ↓ -99%
TriAtlantic TRICR $1.06 ↓ -99%
Health Net TRICR $1.13 ↓ -99%
United AllPayerAppendix $3.47 ↓ -98%
Aetna MGMCR $26.10 ↓ -85%
United OptionsPPO $58.12 ↓ -67%
Virginia Health Network ULTRA $60.90 ↓ -65%
Cigna PPO $72.21 ↓ -59%
Cigna HMO $72.21 ↓ -59%
Aetna Broad $78.30 ↓ -55%
United GlobalBenefitPlan $78.30 ↓ -55%
Greenvbrier Sporting Club COMM $104.40 ↓ -40%
Virginia Health Network WC $123.54 ↓ -29%
Virginia Health Network COMM $123.54 ↓ -29%
CorVel WorkersComp $125.28 ↓ -28%
Richfield Nursing Center COMM $130.50 ↓ -25%
Richfield Retirement Community COMM $130.50 ↓ -25%
Multiplan PHCS $133.98 ↓ -23%
Graham-White Manufacturing COMM $139.20 ↓ -20%
OccuNet Workers Comp WorkersComp $139.20 ↓ -20%
Community Care Network COMM $139.20 ↓ -20%
One Health Plan PPO $139.20 ↓ -20%
One Health Plan POS $139.20 ↓ -20%
Patients Choice COMM $153.12 ↓ -12%
Star Transportation COMM $156.60 ↓ -10%
PHCS COMM $156.60 ↓ -10%
4Most COMM $156.60 ↓ -10%
American Postal Workers Union COMM $156.60 ↓ -10%

Visitor-reported prices

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Dextrose 5 % and 0.9 % sodium chloride intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $47.00 $1.06 – $3.47
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $200.88 $1.21 – $3.47
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1.06 – $3.47
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $1.06 – $3.47
TRICITIES HOSPITAL HOPEWELL not published $1.06 – $3.47
RESTON HOSPITAL CENTER VIENNA not published $1.14 – $3.47
STONESPRINGS HOSPITAL CENTER Dulles not published $0.94 – $3.47
HENRICO DOCTORS HOSPITAL RICHMOND not published $1.06 – $3.47

All Virginia hospitals for this procedure →