Dextrose 5 % and 0.9 % sodium chloride 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

$468.00

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.

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What you pay up front if you don't use insurance.

$468.00

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.

$1.06 with TriAtlantic vs $468.00 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.

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 $1.06 ↓ -100%
Health Net TRICR $1.13 ↓ -100%
Humana Military TRCR $1.21 ↓ -100%
United AllPayerAppendix $3.93 ↓ -99%
Aetna MGMCR $70.20 ↓ -85%
Cigna NPR $81.43 ↓ -83%
Virginia Health Network ULTRA $163.80 ↓ -65%
United OptionsPPO $170.82 ↓ -64%
Cigna HMO $187.67 ↓ -60%
Cigna PPO $205.92 ↓ -56%
United GlobalBenefitPlan $210.60 ↓ -55%
Naphcare Federal $234.00 ↓ -50%
Greenvbrier Sporting Club COMM $280.80 ↓ -40%
Graham-White Manufacturing COMM $327.60 ↓ -30%
Richfield Nursing Center COMM $327.60 ↓ -30%
Virginia Health Network WC $332.28 ↓ -29%
Virginia Health Network COMM $332.28 ↓ -29%
CorVel WorkersComp $336.96 ↓ -28%
Community Care Network COMM $351.00 ↓ -25%
Richfield Retirement Community COMM $351.00 ↓ -25%
OccuNet Workers Comp WorkersComp $374.40 ↓ -20%
One Health Plan POS $374.40 ↓ -20%
One Health Plan PPO $374.40 ↓ -20%
CSX Hotels Product $374.40 ↓ -20%
Patients Choice COMM $411.84 ↓ -12%
Star Transportation COMM $421.20 ↓ -10%
Multiplan PHCS $421.20 ↓ -10%
PHCS COMM $421.20 ↓ -10%
4Most COMM $421.20 ↓ -10%
Alleghany Highland Community COMM $421.20 ↓ -10%
American Postal Workers Union COMM $421.20 ↓ -10%
C&O Employees Hospital Assn COMM $421.20 ↓ -10%
United Behavioral Health VACCN $468.00 ↑ +0%

Visitor-reported prices

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Dextrose 5 % and 0.9 % sodium chloride intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $47.00 $1.06 – $3.47
LEWISGALE HOSPITAL-PULASKI PULASKI $174.00 $0.94 – $3.47
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $200.88 $1.21 – $3.47
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1.06 – $3.47
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $1.06 – $3.47
TRICITIES HOSPITAL HOPEWELL not published $1.06 – $3.47
RESTON HOSPITAL CENTER VIENNA not published $1.14 – $3.47
STONESPRINGS HOSPITAL CENTER Dulles not published $0.94 – $3.47

All Virginia hospitals for this procedure →