Mayo muramidase 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

$201.00

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.

$201.00

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.

$14.40 with Humana Military vs $180.90 with Star Transportation — 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 $14.40 ↓ -93%
TriAtlantic TRICR $16.32 ↓ -92%
Health Net TRICR $17.28 ↓ -91%
Good Samaritan Hospice COMM $18.75 ↓ -91%
Humana MCR $18.75 ↓ -91%
United AllPayerAppendix $18.75 ↓ -91%
United VACCN $18.75 ↓ -91%
Sentara Health MCR $18.75 ↓ -91%
Devoted MCR $18.75 ↓ -91%
Magellan MCR $18.75 ↓ -91%
United Mine Workers MCR $18.75 ↓ -91%
United MGMCR $18.84 ↓ -91%
Aetna MGMCR $18.96 ↓ -91%
Virginia Premier Health MGMCR $19.13 ↓ -90%
Anthem MGMCR $19.31 ↓ -90%
Cigna HealthSpring MCR $19.50 ↓ -90%
Evernorth Behavioral Health MCR $19.50 ↓ -90%
Clear Spring Health Plan MCR $19.69 ↓ -90%
Pyramid Life MGMCR $20.06 ↓ -90%
Align Senior Care MGMCR $20.06 ↓ -90%
Lifeworks MCR $38.19 ↓ -81%
Universal Healthcare Group MCR $44.22 ↓ -78%
United OptionsPPO $67.13 ↓ -67%
Virginia Health Network ULTRA $70.35 ↓ -65%
Anthem HIX $80.44 ↓ -60%
Anthem PPO $89.38 ↓ -56%
Anthem HMO $89.38 ↓ -56%
Aetna Broad $90.45 ↓ -55%
United GlobalBenefitPlan $90.45 ↓ -55%
Greenvbrier Sporting Club COMM $120.60 ↓ -40%
Virginia Health Network WC $142.71 ↓ -29%
Virginia Health Network COMM $142.71 ↓ -29%
CorVel WorkersComp $144.72 ↓ -28%
Richfield Retirement Community COMM $150.75 ↓ -25%
Richfield Nursing Center COMM $150.75 ↓ -25%
Multiplan PHCS $154.77 ↓ -23%
Community Care Network COMM $160.80 ↓ -20%
One Health Plan PPO $160.80 ↓ -20%
One Health Plan POS $160.80 ↓ -20%
OccuNet Workers Comp WorkersComp $160.80 ↓ -20%
Graham-White Manufacturing COMM $160.80 ↓ -20%
Patients Choice COMM $176.88 ↓ -12%
PHCS COMM $180.90 ↓ -10%
4Most COMM $180.90 ↓ -10%
American Postal Workers Union COMM $180.90 ↓ -10%
Star Transportation COMM $180.90 ↓ -10%
Optima Health POS not published by hospital
Aetna SharedSavings not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Mayo muramidase at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $343.00 $16.32 – $27.19
Inova Alexandria Hospital Alexandria $165.00 $7.09 – $207.60
Inova Fairfax Hospital Falls Church $165.00 $7.09 – $207.60
Inova Fair Oaks Hospital VA 22033-1709 $165.00 $7.09 – $207.60
Inova Loudoun Hospital Leesburg $165.00 $7.09 – $207.60
Inova Mount Vernon Hospital Alexandria $165.00 $7.09 – $207.60
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $246.00 $16.32 – $20.06
LEWISGALE MEDICAL CENTER ROANOKE $157.00 $16.32 – $27.19

All Virginia hospitals for this procedure →