Decitabine 50 mg intravenous solution 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.

$1.50 with TriAtlantic vs $304.00 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
TriAtlantic TRICR $1.50
Health Net TRICR $1.59
Humana Military TRCR $1.72
United AllPayerAppendix $1.95
Aetna MGMCR $45.60
Cigna NPR $52.90
Virginia Health Network ULTRA $106.40
United OptionsPPO $110.96
Cigna HMO $121.90
Cigna PPO $133.76
United GlobalBenefitPlan $136.80
Naphcare Federal $152.00
Greenvbrier Sporting Club COMM $182.40
Graham-White Manufacturing COMM $212.80
Richfield Nursing Center COMM $212.80
Virginia Health Network WC $215.84
Virginia Health Network COMM $215.84
CorVel WorkersComp $218.88
Community Care Network COMM $228.00
Richfield Retirement Community COMM $228.00
OccuNet Workers Comp WorkersComp $243.20
One Health Plan POS $243.20
One Health Plan PPO $243.20
CSX Hotels Product $243.20
Patients Choice COMM $267.52
Star Transportation COMM $273.60
Multiplan PHCS $273.60
PHCS COMM $273.60
4Most COMM $273.60
Alleghany Highland Community COMM $273.60
American Postal Workers Union COMM $273.60
C&O Employees Hospital Assn COMM $273.60
United Behavioral Health VACCN $304.00

Visitor-reported prices

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Decitabine 50 mg intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-PULASKI PULASKI $6,732.00 $1.33 – $1.72
RESTON HOSPITAL CENTER VIENNA $155.63 $1.61 – $2.47
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $1.50 – $1.72
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $1.50 – $1.72
TRICITIES HOSPITAL HOPEWELL not published $1.50 – $1.86
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $1.72 – $1.86
STONESPRINGS HOSPITAL CENTER Dulles not published $1.33 – $2.47

All Virginia hospitals for this procedure →