Mayo vitamin b3 (niacin) 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.

$13.10 with Humana Military vs $108.90 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 $13.10
TriAtlantic TRICR $14.85
Health Net TRICR $15.72
Good Samaritan Hospice COMM $17.06
Humana MCR $17.06
United AllPayerAppendix $17.06
United VACCN $17.06
Sentara Health MCR $17.06
Devoted MCR $17.06
Magellan MCR $17.06
United Mine Workers MCR $17.06
United MGMCR $17.15
Aetna MGMCR $17.25
Virginia Premier Health MGMCR $17.40
Anthem MGMCR $17.57
Cigna HealthSpring MCR $17.74
Evernorth Behavioral Health MCR $17.74
Clear Spring Health Plan MCR $17.91
Pyramid Life MGMCR $18.25
Align Senior Care MGMCR $18.25
Lifeworks MCR $22.99
Universal Healthcare Group MCR $26.62
United OptionsPPO $40.41
Virginia Health Network ULTRA $42.35
Aetna Broad $54.45
United GlobalBenefitPlan $54.45
Greenvbrier Sporting Club COMM $72.60
Anthem HIX $73.19
Anthem PPO $81.33
Anthem HMO $81.33
Virginia Health Network WC $85.91
Virginia Health Network COMM $85.91
CorVel WorkersComp $87.12
Richfield Retirement Community COMM $90.75
Richfield Nursing Center COMM $90.75
Multiplan PHCS $93.17
OccuNet Workers Comp WorkersComp $96.80
One Health Plan PPO $96.80
Graham-White Manufacturing COMM $96.80
One Health Plan POS $96.80
Community Care Network COMM $96.80
Patients Choice COMM $106.48
Star Transportation COMM $108.90
PHCS COMM $108.90
4Most COMM $108.90
American Postal Workers Union COMM $108.90
Optima Health PPO not published by hospital
Aetna SharedSavings not published by hospital
Optima Health POS not published by hospital
Optima Health HMO not published by hospital

Visitor-reported prices

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Mayo vitamin b3 (niacin) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $145.50 $14.35 – $183.07
Inova Fairfax Hospital Falls Church $145.50 $14.35 – $183.07
Inova Fair Oaks Hospital VA 22033-1709 $145.50 $14.35 – $183.07
Inova Loudoun Hospital Leesburg $145.50 $14.35 – $183.07
Inova Mount Vernon Hospital Alexandria $145.50 $14.35 – $183.07
LEWISGALE MEDICAL CENTER ROANOKE $301.00 $14.85 – $24.74
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $14.85 – $24.74
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $14.85 – $76.28

All Virginia hospitals for this procedure →