Lidocaine therapeutic drug level 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

$553.00

Cash price

?

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.

$553.00

Gross charge

?

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.

$11.28 with Humana Military vs $497.70 with PHCS — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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 $11.28 ↓ -98%
TriAtlantic TRICR $12.78 ↓ -98%
Health Net TRICR $13.54 ↓ -98%
United AllPayerAppendix $14.69 ↓ -97%
United Mine Workers MCR $14.69 ↓ -97%
United VACCN $14.69 ↓ -97%
Good Samaritan Hospice COMM $14.69 ↓ -97%
Magellan MCR $14.69 ↓ -97%
Devoted MCR $14.69 ↓ -97%
Humana MCR $14.69 ↓ -97%
Sentara Health MCR $14.69 ↓ -97%
United MGMCR $14.76 ↓ -97%
Aetna MGMCR $14.86 ↓ -97%
Virginia Premier Health MGMCR $14.98 ↓ -97%
Anthem MGMCR $15.13 ↓ -97%
Evernorth Behavioral Health MCR $15.28 ↓ -97%
Cigna HealthSpring MCR $15.28 ↓ -97%
Clear Spring Health Plan MCR $15.42 ↓ -97%
Align Senior Care MGMCR $15.72 ↓ -97%
Pyramid Life MGMCR $15.72 ↓ -97%
Anthem HIX $63.02 ↓ -89%
Anthem HMO $70.03 ↓ -87%
Anthem PPO $70.03 ↓ -87%
Lifeworks MCR $105.07 ↓ -81%
Universal Healthcare Group MCR $121.66 ↓ -78%
United OptionsPPO $184.70 ↓ -67%
Virginia Health Network ULTRA $193.55 ↓ -65%
United GlobalBenefitPlan $248.85 ↓ -55%
Aetna Broad $248.85 ↓ -55%
Greenvbrier Sporting Club COMM $331.80 ↓ -40%
Virginia Health Network WC $392.63 ↓ -29%
Virginia Health Network COMM $392.63 ↓ -29%
CorVel WorkersComp $398.16 ↓ -28%
Richfield Nursing Center COMM $414.75 ↓ -25%
Richfield Retirement Community COMM $414.75 ↓ -25%
Multiplan PHCS $425.81 ↓ -23%
One Health Plan PPO $442.40 ↓ -20%
One Health Plan POS $442.40 ↓ -20%
Graham-White Manufacturing COMM $442.40 ↓ -20%
OccuNet Workers Comp WorkersComp $442.40 ↓ -20%
Community Care Network COMM $442.40 ↓ -20%
Patients Choice COMM $486.64 ↓ -12%
Star Transportation COMM $497.70 ↓ -10%
4Most COMM $497.70 ↓ -10%
American Postal Workers Union COMM $497.70 ↓ -10%
PHCS COMM $497.70 ↓ -10%
Aetna SharedSavings not published by hospital
Optima Health PPO not published by hospital
Optima Health POS not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Lidocaine therapeutic drug level at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $236.50 $14.43 – $297.56
Inova Fairfax Hospital Falls Church $236.50 $14.43 – $297.56
Inova Fair Oaks Hospital VA 22033-1709 $236.50 $14.43 – $297.56
Inova Loudoun Hospital Leesburg $236.50 $14.43 – $297.56
Inova Mount Vernon Hospital Alexandria $236.50 $14.43 – $297.56
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $603.00 $12.78 – $65.68
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $343.00 $12.78 – $15.72
LEWISGALE MEDICAL CENTER ROANOKE $564.00 $12.78 – $21.30

All Virginia hospitals for this procedure →