Russell viper venom diluted 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

$436.00

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.

$436.00

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.

$7.36 with Humana Military vs $392.40 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
Humana Military TRCR $7.36 ↓ -98%
TriAtlantic TRICR $8.34 ↓ -98%
Health Net TRICR $8.83 ↓ -98%
United AllPayerAppendix $9.58 ↓ -98%
United Mine Workers MCR $9.58 ↓ -98%
United VACCN $9.58 ↓ -98%
Good Samaritan Hospice COMM $9.58 ↓ -98%
Magellan MCR $9.58 ↓ -98%
Devoted MCR $9.58 ↓ -98%
Humana MCR $9.58 ↓ -98%
Sentara Health MCR $9.58 ↓ -98%
United MGMCR $9.63 ↓ -98%
Aetna MGMCR $9.69 ↓ -98%
Virginia Premier Health MGMCR $9.77 ↓ -98%
Anthem MGMCR $9.87 ↓ -98%
Evernorth Behavioral Health MCR $9.96 ↓ -98%
Cigna HealthSpring MCR $9.96 ↓ -98%
Clear Spring Health Plan MCR $10.06 ↓ -98%
Align Senior Care MGMCR $10.25 ↓ -98%
Pyramid Life MGMCR $10.25 ↓ -98%
Anthem HIX $41.10 ↓ -91%
Anthem HMO $45.67 ↓ -90%
Anthem PPO $45.67 ↓ -90%
Lifeworks MCR $82.84 ↓ -81%
Universal Healthcare Group MCR $95.92 ↓ -78%
United OptionsPPO $145.62 ↓ -67%
Virginia Health Network ULTRA $152.60 ↓ -65%
United GlobalBenefitPlan $196.20 ↓ -55%
Aetna Broad $196.20 ↓ -55%
Greenvbrier Sporting Club COMM $261.60 ↓ -40%
Virginia Health Network WC $309.56 ↓ -29%
Virginia Health Network COMM $309.56 ↓ -29%
CorVel WorkersComp $313.92 ↓ -28%
Richfield Nursing Center COMM $327.00 ↓ -25%
Richfield Retirement Community COMM $327.00 ↓ -25%
Multiplan PHCS $335.72 ↓ -23%
One Health Plan PPO $348.80 ↓ -20%
One Health Plan POS $348.80 ↓ -20%
Graham-White Manufacturing COMM $348.80 ↓ -20%
OccuNet Workers Comp WorkersComp $348.80 ↓ -20%
Community Care Network COMM $348.80 ↓ -20%
Patients Choice COMM $383.68 ↓ -12%
Star Transportation COMM $392.40 ↓ -10%
4Most COMM $392.40 ↓ -10%
American Postal Workers Union COMM $392.40 ↓ -10%
PHCS COMM $392.40 ↓ -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

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Russell viper venom diluted at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $87.00 $5.25 – $109.46
Inova Fairfax Hospital Falls Church $87.00 $5.25 – $109.46
Inova Fair Oaks Hospital VA 22033-1709 $87.00 $5.25 – $109.46
Inova Loudoun Hospital Leesburg $87.00 $5.25 – $109.46
Inova Mount Vernon Hospital Alexandria $87.00 $5.25 – $109.46
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $588.00 $8.34 – $10.25
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $612.36 $9.52 – $38.74
LEWISGALE MEDICAL CENTER ROANOKE not published $8.34 – $13.89

All Virginia hospitals for this procedure →