Caffeine citrate 20 mg/ml inj for po 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.

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The hospital's undiscounted list price — almost no one pays this.

$6.09 with United vs $192.00 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.

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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 $6.09
Aetna MGMCR $28.80
Cigna NPR $33.41
Virginia Health Network ULTRA $67.20
United OptionsPPO $70.08
Cigna HMO $76.99
Cigna PPO $84.48
United GlobalBenefitPlan $86.40
Naphcare Federal $96.00
Greenvbrier Sporting Club COMM $115.20
Richfield Nursing Center COMM $134.40
Graham-White Manufacturing COMM $134.40
Virginia Health Network WC $136.32
Virginia Health Network COMM $136.32
CorVel WorkersComp $138.24
Community Care Network COMM $144.00
Richfield Retirement Community COMM $144.00
OccuNet Workers Comp WorkersComp $153.60
One Health Plan POS $153.60
One Health Plan PPO $153.60
CSX Hotels Product $153.60
Patients Choice COMM $168.96
Star Transportation COMM $172.80
Multiplan PHCS $172.80
PHCS COMM $172.80
4Most COMM $172.80
Alleghany Highland Community COMM $172.80
American Postal Workers Union COMM $172.80
C&O Employees Hospital Assn COMM $172.80
United Behavioral Health VACCN $192.00

Visitor-reported prices

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Caffeine citrate 20 mg/ml inj for po at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $7.72 $2.37 – $8.21
Inova Fairfax Hospital Falls Church $7.72 $2.37 – $8.21
Inova Fair Oaks Hospital VA 22033-1709 $7.72 $2.37 – $8.21
Inova Loudoun Hospital Leesburg $7.72 $2.37 – $8.21
Inova Mount Vernon Hospital Alexandria $7.72 $2.37 – $8.21
RESTON HOSPITAL CENTER VIENNA $397.72 $1.32 – $5.38
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $84.60 $1.52 – $5.38
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $5.38 – $5.38

All Virginia hospitals for this procedure →