Alprostadil for injection at LEWISGALE MEDICAL CENTER

1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785

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.

$1.44 with United vs $38.00 with United Behavioral Health — 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
United AllPayerAppendix $1.44
Aetna MGMCR $5.70
Cigna NPR $6.61
Lifeworks MCR $7.22
Universal Healthcare Group MCR $8.36
Virginia Health Network ULTRA $13.30
Aetna SharedSavings $13.68
Greenbrier Sporting Club COMM $13.81
United OptionsPPO $13.87
Cigna HMO $15.24
Cigna PPO $16.72
United GlobalBenefitPlan $17.10
Naphcare Federal $19.00
Aetna Broad $20.14
Greenvbrier Sporting Club COMM $22.80
Richfield Nursing Center COMM $26.60
Graham-White Manufacturing COMM $26.60
Virginia Health Network COMM $26.98
Virginia Health Network WC $26.98
CorVel WorkersComp $27.36
Community Care Network COMM $28.50
Richfield Retirement Community COMM $28.50
One Health Plan POS $30.40
One Health Plan PPO $30.40
OccuNet Workers Comp WorkersComp $30.40
CSX Hotels Product $30.40
Patients Choice COMM $33.44
Star Transportation COMM $34.20
Multiplan PHCS $34.20
PHCS COMM $34.20
4Most COMM $34.20
Alleghany Highland Community COMM $34.20
American Postal Workers Union COMM $34.20
C&O Employees Hospital Assn COMM $34.20
United Behavioral Health VACCN $38.00

Visitor-reported prices

visitor-reported
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Alprostadil for injection at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-PULASKI PULASKI $1,055.00 $1.27 – $1.27
HENRICO DOCTORS HOSPITAL RICHMOND $1,484.00 $1.27 – $11.00
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $1.27 – $1.27
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1.27 – $11.00
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $1.27 – $1.27
TRICITIES HOSPITAL HOPEWELL not published $1.27 – $11.00
RESTON HOSPITAL CENTER VIENNA not published $1.27 – $9.54
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $1.27 – $11.00

All Virginia hospitals for this procedure →