Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr 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.

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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.

$19.81 with TriAtlantic vs $126.90 with Multiplan — 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
TriAtlantic TRICR $19.81
Health Net TRICR $20.98
Humana Military TRCR $22.61
Cigna NPR $24.53
Virginia Health Network ULTRA $49.35
United OptionsPPO $51.47
Cigna HMO $56.54
Cigna PPO $62.04
United AllPayerAppendix $62.16
United GlobalBenefitPlan $63.45
Naphcare Federal $70.50
Greenvbrier Sporting Club COMM $84.60
Graham-White Manufacturing COMM $98.70
Richfield Nursing Center COMM $98.70
Virginia Health Network COMM $100.11
Virginia Health Network WC $100.11
CorVel WorkersComp $101.52
Community Care Network COMM $105.75
Richfield Retirement Community COMM $105.75
OccuNet Workers Comp WorkersComp $112.80
One Health Plan POS $112.80
CSX Hotels Product $112.80
One Health Plan PPO $112.80
Patients Choice COMM $124.08
Star Transportation COMM $126.90
PHCS COMM $126.90
4Most COMM $126.90
Alleghany Highland Community COMM $126.90
American Postal Workers Union COMM $126.90
C&O Employees Hospital Assn COMM $126.90
Multiplan PHCS $126.90

Visitor-reported prices

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Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $1,528.00 $19.81 – $54.91
Inova Alexandria Hospital Alexandria $52.28 $21.48 – $35.21
Inova Fairfax Hospital Falls Church $52.28 $21.48 – $35.21
Inova Fair Oaks Hospital VA 22033-1709 $52.28 $21.48 – $35.21
Inova Loudoun Hospital Leesburg $52.28 $21.48 – $35.21
Inova Mount Vernon Hospital Alexandria $52.28 $21.48 – $35.21
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $2,109.00 $19.81 – $54.91
LEWISGALE HOSPITAL-PULASKI PULASKI $278.00 $17.48 – $54.91

All Virginia hospitals for this procedure →