Crotalidae poly immune fab 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

$18,422.00

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.

$18,422.00

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.

$1,492.44 with TriAtlantic vs $16,579.80 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 $1,492.44 ↓ -92%
Health Net TRICR $1,580.23 ↓ -91%
Humana Military TRCR $1,703.14 ↓ -91%
Cigna NPR $3,205.43 ↓ -83%
United AllPayerAppendix $5,479.56 ↓ -70%
Virginia Health Network ULTRA $6,447.70 ↓ -65%
United OptionsPPO $6,724.03 ↓ -64%
Cigna HMO $7,387.22 ↓ -60%
Cigna PPO $8,105.68 ↓ -56%
United GlobalBenefitPlan $8,289.90 ↓ -55%
Naphcare Federal $9,211.00 ↓ -50%
Greenvbrier Sporting Club COMM $11,053.20 ↓ -40%
Graham-White Manufacturing COMM $12,895.40 ↓ -30%
Richfield Nursing Center COMM $12,895.40 ↓ -30%
Virginia Health Network COMM $13,079.62 ↓ -29%
Virginia Health Network WC $13,079.62 ↓ -29%
CorVel WorkersComp $13,263.84 ↓ -28%
Community Care Network COMM $13,816.50 ↓ -25%
Richfield Retirement Community COMM $13,816.50 ↓ -25%
OccuNet Workers Comp WorkersComp $14,737.60 ↓ -20%
One Health Plan POS $14,737.60 ↓ -20%
CSX Hotels Product $14,737.60 ↓ -20%
One Health Plan PPO $14,737.60 ↓ -20%
Patients Choice COMM $16,211.36 ↓ -12%
Star Transportation COMM $16,579.80 ↓ -10%
PHCS COMM $16,579.80 ↓ -10%
4Most COMM $16,579.80 ↓ -10%
Alleghany Highland Community COMM $16,579.80 ↓ -10%
American Postal Workers Union COMM $16,579.80 ↓ -10%
C&O Employees Hospital Assn COMM $16,579.80 ↓ -10%
Multiplan PHCS $16,579.80 ↓ -10%

Visitor-reported prices

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Crotalidae poly immune fab at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $1,727.84 $1,828.72 – $2,897.05
Inova Fairfax Hospital Falls Church $1,727.84 $1,828.72 – $2,897.05
Inova Fair Oaks Hospital VA 22033-1709 $1,727.84 $1,828.72 – $2,897.05
Inova Loudoun Hospital Leesburg $1,727.84 $1,828.72 – $2,897.05
Inova Mount Vernon Hospital Alexandria $1,727.84 $1,828.72 – $2,897.05
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $16,871.00 $1,492.44 – $4,840.28
LEWISGALE HOSPITAL-PULASKI PULASKI $14,428.00 $1,316.86 – $4,840.28
TRICITIES HOSPITAL HOPEWELL $6,214.00 $1,492.44 – $4,840.28

All Virginia hospitals for this procedure →