Etoposide 50 mg cap 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

$412.00

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.

$412.00

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.

$61.80 with Aetna vs $412.00 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
Aetna MGMCR $61.80 ↓ -85%
TriAtlantic TRICR $64.99 ↓ -84%
Health Net TRICR $68.81 ↓ -83%
Cigna NPR $71.69 ↓ -83%
Humana Military TRCR $74.17 ↓ -82%
Virginia Health Network ULTRA $144.20 ↓ -65%
United OptionsPPO $150.38 ↓ -64%
Cigna HMO $165.21 ↓ -60%
Cigna PPO $181.28 ↓ -56%
United GlobalBenefitPlan $185.40 ↓ -55%
Naphcare Federal $206.00 ↓ -50%
Greenvbrier Sporting Club COMM $247.20 ↓ -40%
United AllPayerAppendix $260.37 ↓ -37%
Richfield Nursing Center COMM $288.40 ↓ -30%
Graham-White Manufacturing COMM $288.40 ↓ -30%
Virginia Health Network WC $292.52 ↓ -29%
Virginia Health Network COMM $292.52 ↓ -29%
CorVel WorkersComp $296.64 ↓ -28%
Community Care Network COMM $309.00 ↓ -25%
Richfield Retirement Community COMM $309.00 ↓ -25%
OccuNet Workers Comp WorkersComp $329.60 ↓ -20%
One Health Plan POS $329.60 ↓ -20%
One Health Plan PPO $329.60 ↓ -20%
CSX Hotels Product $329.60 ↓ -20%
Patients Choice COMM $362.56 ↓ -12%
Star Transportation COMM $370.80 ↓ -10%
Multiplan PHCS $370.80 ↓ -10%
PHCS COMM $370.80 ↓ -10%
4Most COMM $370.80 ↓ -10%
Alleghany Highland Community COMM $370.80 ↓ -10%
American Postal Workers Union COMM $370.80 ↓ -10%
C&O Employees Hospital Assn COMM $370.80 ↓ -10%
United Behavioral Health VACCN $412.00 ↑ +0%

Visitor-reported prices

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Etoposide 50 mg cap at other Virginia hospitals

Hospital City Cash price Negotiated range
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $448.00 $64.99 – $229.99
HENRICO DOCTORS HOSPITAL RICHMOND $448.00 $64.99 – $229.99
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $64.99 – $229.99
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $64.99 – $229.99
LEWISGALE HOSPITAL-PULASKI PULASKI not published $57.34 – $229.99
TRICITIES HOSPITAL HOPEWELL not published $64.99 – $229.99
RESTON HOSPITAL CENTER VIENNA not published $69.58 – $229.99
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $74.17 – $229.99

All Virginia hospitals for this procedure →