Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (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.

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The hospital's undiscounted list price — almost no one pays this.

$0.12 with TriAtlantic vs $11.00 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.

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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 $0.12
Health Net TRICR $0.13
Humana Military TRCR $0.14
United AllPayerAppendix $0.42
Aetna MGMCR $1.65
Cigna NPR $1.91
Virginia Health Network ULTRA $3.85
United OptionsPPO $4.01
Cigna HMO $4.41
Cigna PPO $4.84
United GlobalBenefitPlan $4.95
Naphcare Federal $5.50
Greenvbrier Sporting Club COMM $6.60
Graham-White Manufacturing COMM $7.70
Richfield Nursing Center COMM $7.70
Virginia Health Network WC $7.81
Virginia Health Network COMM $7.81
CorVel WorkersComp $7.92
Community Care Network COMM $8.25
Richfield Retirement Community COMM $8.25
OccuNet Workers Comp WorkersComp $8.80
One Health Plan POS $8.80
One Health Plan PPO $8.80
CSX Hotels Product $8.80
Patients Choice COMM $9.68
Star Transportation COMM $9.90
Multiplan PHCS $9.90
PHCS COMM $9.90
4Most COMM $9.90
Alleghany Highland Community COMM $9.90
American Postal Workers Union COMM $9.90
C&O Employees Hospital Assn COMM $9.90
United Behavioral Health VACCN $11.00

Visitor-reported prices

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Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $0.12 – $0.37
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $0.12 – $0.37
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $0.12 – $0.37
LEWISGALE HOSPITAL-PULASKI PULASKI not published $0.11 – $0.37
TRICITIES HOSPITAL HOPEWELL not published $0.12 – $0.37
RESTON HOSPITAL CENTER VIENNA not published $0.13 – $0.37
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $0.14 – $0.37
STONESPRINGS HOSPITAL CENTER Dulles not published $0.11 – $0.37

All Virginia hospitals for this procedure →