Dornase alfa non-comp unit 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

$1,143.00

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.

$1,143.00

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.

$45.55 with TriAtlantic vs $1,143.00 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 $45.55 ↓ -96%
Health Net TRICR $48.23 ↓ -96%
Humana Military TRCR $51.98 ↓ -95%
United AllPayerAppendix $165.48 ↓ -86%
Aetna MGMCR $171.45 ↓ -85%
Cigna NPR $198.88 ↓ -83%
Virginia Health Network ULTRA $400.05 ↓ -65%
United OptionsPPO $417.19 ↓ -64%
Cigna HMO $458.34 ↓ -60%
Cigna PPO $502.92 ↓ -56%
United GlobalBenefitPlan $514.35 ↓ -55%
Naphcare Federal $571.50 ↓ -50%
Greenvbrier Sporting Club COMM $685.80 ↓ -40%
Graham-White Manufacturing COMM $800.10 ↓ -30%
Richfield Nursing Center COMM $800.10 ↓ -30%
Virginia Health Network WC $811.53 ↓ -29%
Virginia Health Network COMM $811.53 ↓ -29%
CorVel WorkersComp $822.96 ↓ -28%
Community Care Network COMM $857.25 ↓ -25%
Richfield Retirement Community COMM $857.25 ↓ -25%
OccuNet Workers Comp WorkersComp $914.40 ↓ -20%
One Health Plan POS $914.40 ↓ -20%
One Health Plan PPO $914.40 ↓ -20%
CSX Hotels Product $914.40 ↓ -20%
Patients Choice COMM $1,005.84 ↓ -12%
Star Transportation COMM $1,028.70 ↓ -10%
Multiplan PHCS $1,028.70 ↓ -10%
PHCS COMM $1,028.70 ↓ -10%
4Most COMM $1,028.70 ↓ -10%
Alleghany Highland Community COMM $1,028.70 ↓ -10%
American Postal Workers Union COMM $1,028.70 ↓ -10%
C&O Employees Hospital Assn COMM $1,028.70 ↓ -10%
United Behavioral Health VACCN $1,143.00 ↑ +0%

Visitor-reported prices

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Dornase alfa non-comp unit at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $62.74 $77.02 – $161.28
Inova Fairfax Hospital Falls Church $62.74 $77.02 – $161.28
Inova Fair Oaks Hospital VA 22033-1709 $62.74 $77.02 – $161.28
Inova Loudoun Hospital Leesburg $62.74 $77.02 – $161.28
Inova Mount Vernon Hospital Alexandria $62.74 $77.02 – $161.28
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,573.00 $45.55 – $146.17
RESTON HOSPITAL CENTER VIENNA $573.56 $48.77 – $146.17
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $234.36 $51.98 – $146.17

All Virginia hospitals for this procedure →