Durvalumab 50 mg/ml 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.

Full explanation →

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.

$71.29 with TriAtlantic vs $19,433.70 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
TriAtlantic TRICR $71.29
Health Net TRICR $75.48
Humana Military TRCR $81.35
United AllPayerAppendix $258.81
Cigna NPR $3,757.18
Virginia Health Network ULTRA $7,557.55
United OptionsPPO $7,881.44
Cigna HMO $8,658.79
Cigna PPO $9,500.92
United GlobalBenefitPlan $9,716.85
Naphcare Federal $10,796.50
Greenvbrier Sporting Club COMM $12,955.80
Graham-White Manufacturing COMM $15,115.10
Richfield Nursing Center COMM $15,115.10
Virginia Health Network COMM $15,331.03
Virginia Health Network WC $15,331.03
CorVel WorkersComp $15,546.96
Community Care Network COMM $16,194.75
Richfield Retirement Community COMM $16,194.75
OccuNet Workers Comp WorkersComp $17,274.40
One Health Plan POS $17,274.40
CSX Hotels Product $17,274.40
One Health Plan PPO $17,274.40
Patients Choice COMM $19,001.84
Star Transportation COMM $19,433.70
PHCS COMM $19,433.70
4Most COMM $19,433.70
Alleghany Highland Community COMM $19,433.70
American Postal Workers Union COMM $19,433.70
C&O Employees Hospital Assn COMM $19,433.70
Multiplan PHCS $19,433.70

Visitor-reported prices

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Durvalumab 50 mg/ml intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $71.29 – $228.62
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $71.29 – $228.62
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $71.29 – $228.62
LEWISGALE HOSPITAL-PULASKI PULASKI not published $62.90 – $228.62
TRICITIES HOSPITAL HOPEWELL not published $71.29 – $228.62
RESTON HOSPITAL CENTER VIENNA not published $76.32 – $228.62
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $81.35 – $228.62
STONESPRINGS HOSPITAL CENTER Dulles not published $62.90 – $228.62

All Virginia hospitals for this procedure →