Inj hydroxocobalamin IV 25mg 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

$6,930.00

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.

Full explanation →

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

$6,930.00

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.

Full explanation →

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

$14.42 with United vs $6,237.00 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
United AllPayerAppendix $14.42 ↓ -100%
United OptionsPPO $2,314.62 ↓ -67%
Virginia Health Network ULTRA $2,425.50 ↓ -65%
Cigna PPO $2,875.95 ↓ -59%
Cigna HMO $2,875.95 ↓ -59%
Aetna Broad $3,118.50 ↓ -55%
United GlobalBenefitPlan $3,118.50 ↓ -55%
Greenvbrier Sporting Club COMM $4,158.00 ↓ -40%
Virginia Health Network COMM $4,920.30 ↓ -29%
Virginia Health Network WC $4,920.30 ↓ -29%
CorVel WorkersComp $4,989.60 ↓ -28%
Richfield Nursing Center COMM $5,197.50 ↓ -25%
Richfield Retirement Community COMM $5,197.50 ↓ -25%
Multiplan PHCS $5,336.10 ↓ -23%
One Health Plan PPO $5,544.00 ↓ -20%
Community Care Network COMM $5,544.00 ↓ -20%
OccuNet Workers Comp WorkersComp $5,544.00 ↓ -20%
One Health Plan POS $5,544.00 ↓ -20%
Graham-White Manufacturing COMM $5,544.00 ↓ -20%
Patients Choice COMM $6,098.40 ↓ -12%
Star Transportation COMM $6,237.00 ↓ -10%
American Postal Workers Union COMM $6,237.00 ↓ -10%
4Most COMM $6,237.00 ↓ -10%
PHCS COMM $6,237.00 ↓ -10%

Visitor-reported prices

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Inj hydroxocobalamin IV 25mg at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $7,515.00 $5.34 – $14.42
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $4,256.00 $14.42 – $14.42
LEWISGALE MEDICAL CENTER ROANOKE $3,419.00 $16.32 – $16.32
RESTON HOSPITAL CENTER VIENNA $3,475.98 $4.63 – $14.42
HENRICO DOCTORS HOSPITAL RICHMOND $5,453.00 $5.34 – $14.42
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $14.42 – $14.42
TRICITIES HOSPITAL HOPEWELL not published $5.34 – $14.42
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $5.34 – $14.42

All Virginia hospitals for this procedure →