Irinotecan 20 mg/ml intravenous solution (wrapper) 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.

$1.23 with Humana Military vs $212.40 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 $1.23
TriAtlantic TRICR $1.39
Health Net TRICR $1.48
United AllPayerAppendix $4.74
Aetna MGMCR $35.40
United OptionsPPO $78.82
Virginia Health Network ULTRA $82.60
Cigna PPO $97.94
Cigna HMO $97.94
Aetna Broad $106.20
United GlobalBenefitPlan $106.20
Greenvbrier Sporting Club COMM $141.60
Virginia Health Network WC $167.56
Virginia Health Network COMM $167.56
CorVel WorkersComp $169.92
Richfield Nursing Center COMM $177.00
Richfield Retirement Community COMM $177.00
Multiplan PHCS $181.72
Graham-White Manufacturing COMM $188.80
OccuNet Workers Comp WorkersComp $188.80
Community Care Network COMM $188.80
One Health Plan PPO $188.80
One Health Plan POS $188.80
Patients Choice COMM $207.68
Star Transportation COMM $212.40
PHCS COMM $212.40
4Most COMM $212.40
American Postal Workers Union COMM $212.40

Visitor-reported prices

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Irinotecan 20 mg/ml intravenous solution (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $9.80 $2.18 – $9.79
Inova Fairfax Hospital Falls Church $9.80 $2.18 – $9.79
Inova Fair Oaks Hospital VA 22033-1709 $9.80 $2.18 – $9.79
Inova Loudoun Hospital Leesburg $9.80 $2.18 – $9.79
Inova Mount Vernon Hospital Alexandria $9.80 $2.18 – $9.79
TRICITIES HOSPITAL HOPEWELL $1,884.00 $1.39 – $4.74
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $1.39 – $4.74
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1.39 – $4.74

All Virginia hospitals for this procedure →