Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln 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.

$34.10 with Cigna vs $176.40 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
Cigna NPR $34.10
TriAtlantic TRICR $45.04
Health Net TRICR $47.69
Humana Military TRCR $51.40
Virginia Health Network ULTRA $68.60
United OptionsPPO $71.54
Cigna HMO $78.60
Cigna PPO $86.24
United GlobalBenefitPlan $88.20
Naphcare Federal $98.00
Greenvbrier Sporting Club COMM $117.60
Richfield Nursing Center COMM $137.20
Graham-White Manufacturing COMM $137.20
Virginia Health Network WC $139.16
Virginia Health Network COMM $139.16
CorVel WorkersComp $141.12
Community Care Network COMM $147.00
Richfield Retirement Community COMM $147.00
OccuNet Workers Comp WorkersComp $156.80
One Health Plan POS $156.80
CSX Hotels Product $156.80
One Health Plan PPO $156.80
United AllPayerAppendix $165.18
Patients Choice COMM $172.48
Star Transportation COMM $176.40
PHCS COMM $176.40
4Most COMM $176.40
Alleghany Highland Community COMM $176.40
American Postal Workers Union COMM $176.40
C&O Employees Hospital Assn COMM $176.40
Multiplan PHCS $176.40

Visitor-reported prices

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Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $50,768.71 $45.04 – $145.91
LEWISGALE HOSPITAL-PULASKI PULASKI $17,030.00 $39.74 – $145.91
HENRICO DOCTORS HOSPITAL RICHMOND $55,168.00 $45.04 – $145.91
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $45.04 – $145.91
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $45.04 – $145.91
TRICITIES HOSPITAL HOPEWELL not published $45.04 – $145.91
RESTON HOSPITAL CENTER VIENNA not published $48.22 – $145.91
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $51.40 – $145.91

All Virginia hospitals for this procedure →