Dextran 40 infusion 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

$801.00

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.

$801.00

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.

$120.15 with Aetna vs $1,142.97 with United — 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
Aetna MGMCR $120.15 ↓ -85%
Cigna NPR $139.37 ↓ -83%
Virginia Health Network ULTRA $280.35 ↓ -65%
United OptionsPPO $292.37 ↓ -63%
Cigna HMO $321.20 ↓ -60%
Cigna PPO $352.44 ↓ -56%
United GlobalBenefitPlan $360.45 ↓ -55%
Naphcare Federal $400.50 ↓ -50%
Greenvbrier Sporting Club COMM $480.60 ↓ -40%
Graham-White Manufacturing COMM $560.70 ↓ -30%
Richfield Nursing Center COMM $560.70 ↓ -30%
Virginia Health Network WC $568.71 ↓ -29%
Virginia Health Network COMM $568.71 ↓ -29%
CorVel WorkersComp $576.72 ↓ -28%
Community Care Network COMM $600.75 ↓ -25%
Richfield Retirement Community COMM $600.75 ↓ -25%
OccuNet Workers Comp WorkersComp $640.80 ↓ -20%
One Health Plan POS $640.80 ↓ -20%
One Health Plan PPO $640.80 ↓ -20%
CSX Hotels Product $640.80 ↓ -20%
Patients Choice COMM $704.88 ↓ -12%
Star Transportation COMM $720.90 ↓ -10%
Multiplan PHCS $720.90 ↓ -10%
PHCS COMM $720.90 ↓ -10%
4Most COMM $720.90 ↓ -10%
Alleghany Highland Community COMM $720.90 ↓ -10%
American Postal Workers Union COMM $720.90 ↓ -10%
C&O Employees Hospital Assn COMM $720.90 ↓ -10%
United Behavioral Health VACCN $801.00 ↑ +0%
United AllPayerAppendix $1,142.97 ↑ +43%

Visitor-reported prices

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Dextran 40 infusion at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,456.00 $45.99 – $1,009.62
TRICITIES HOSPITAL HOPEWELL $1,456.00 $45.99 – $1,009.62
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $1,009.62 – $1,009.62
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $1,009.62 – $1,009.62
LEWISGALE HOSPITAL-PULASKI PULASKI not published $1,009.62 – $1,009.62
RESTON HOSPITAL CENTER VIENNA not published $39.86 – $1,009.62
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $45.99 – $1,009.62
STONESPRINGS HOSPITAL CENTER Dulles not published $39.86 – $1,009.62

All Virginia hospitals for this procedure →