Fluorouracil 50 mg/ml intravenous solution (wrapper) 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.

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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.

$1.88 with TriAtlantic vs $306.00 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 $1.88
Health Net TRICR $1.99
Humana Military TRCR $2.14
United AllPayerAppendix $5.82
Aetna MGMCR $45.90
Cigna NPR $53.24
Virginia Health Network ULTRA $107.10
United OptionsPPO $111.69
Cigna HMO $122.71
Cigna PPO $134.64
United GlobalBenefitPlan $137.70
Naphcare Federal $153.00
Greenvbrier Sporting Club COMM $183.60
Graham-White Manufacturing COMM $214.20
Richfield Nursing Center COMM $214.20
Virginia Health Network WC $217.26
Virginia Health Network COMM $217.26
CorVel WorkersComp $220.32
Community Care Network COMM $229.50
Richfield Retirement Community COMM $229.50
OccuNet Workers Comp WorkersComp $244.80
One Health Plan POS $244.80
One Health Plan PPO $244.80
CSX Hotels Product $244.80
Patients Choice COMM $269.28
Star Transportation COMM $275.40
Multiplan PHCS $275.40
PHCS COMM $275.40
4Most COMM $275.40
Alleghany Highland Community COMM $275.40
American Postal Workers Union COMM $275.40
C&O Employees Hospital Assn COMM $275.40
United Behavioral Health VACCN $306.00

Visitor-reported prices

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Fluorouracil 50 mg/ml intravenous solution (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $26.07 $2.67 – $18.40
Inova Fairfax Hospital Falls Church $26.07 $2.67 – $18.40
Inova Fair Oaks Hospital VA 22033-1709 $26.07 $2.67 – $18.40
Inova Loudoun Hospital Leesburg $26.07 $2.67 – $18.40
Inova Mount Vernon Hospital Alexandria $26.07 $2.67 – $18.40
STONESPRINGS HOSPITAL CENTER Dulles $87.49 $1.66 – $5.14
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $1.88 – $5.14
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1.88 – $5.14

All Virginia hospitals for this procedure →