Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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.

$121.84 with Humana Military vs $495.47 with United — 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 $121.84
TriAtlantic TRICR $138.09
Health Net TRICR $146.21
United OptionsPPO $169.67
Virginia Health Network ULTRA $177.80
Cigna PPO $210.82
Cigna HMO $210.82
Aetna Broad $228.60
United GlobalBenefitPlan $228.60
Greenvbrier Sporting Club COMM $304.80
Virginia Health Network WC $360.68
Virginia Health Network COMM $360.68
CorVel WorkersComp $365.76
Richfield Nursing Center COMM $381.00
Richfield Retirement Community COMM $381.00
Multiplan PHCS $391.16
One Health Plan POS $406.40
OccuNet Workers Comp WorkersComp $406.40
Graham-White Manufacturing COMM $406.40
Community Care Network COMM $406.40
One Health Plan PPO $406.40
Patients Choice COMM $447.04
Star Transportation COMM $457.20
4Most COMM $457.20
American Postal Workers Union COMM $457.20
PHCS COMM $457.20
United AllPayerAppendix $495.47

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Virginia hospitals

Hospital City Cash price Negotiated range
RESTON HOSPITAL CENTER VIENNA $21,617.89 $147.84 – $495.47
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $138.09 – $495.47
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $138.09 – $495.47
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $138.09 – $495.47
LEWISGALE MEDICAL CENTER ROANOKE not published $138.09 – $560.91
TRICITIES HOSPITAL HOPEWELL not published $138.09 – $495.47
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $157.59 – $495.47
STONESPRINGS HOSPITAL CENTER Dulles not published $121.84 – $495.47

All Virginia hospitals for this procedure →