IV Fluids (each additional hour) at LEWISGALE MEDICAL CENTER
1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785
not published by hospital
Cash price 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 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.
$37.93 with Cigna vs $196.20 with Star Transportation — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Cigna | NPR | $37.93 | — |
| Lifeworks | MCR | $41.42 | — |
| Universal Healthcare Group | MCR | $47.96 | — |
| Virginia Health Network | ULTRA | $76.30 | — |
| Aetna | SharedSavings | $78.48 | — |
| Greenbrier Sporting Club | COMM | $79.22 | — |
| United | OptionsPPO | $79.57 | — |
| Cigna | HMO | $87.42 | — |
| Cigna | PPO | $95.92 | — |
| United | GlobalBenefitPlan | $98.10 | — |
| Naphcare | Federal | $109.00 | — |
| Aetna | Broad | $115.54 | — |
| Greenvbrier Sporting Club | COMM | $130.80 | — |
| United | AllPayerAppendix | $143.52 | — |
| Graham-White Manufacturing | COMM | $152.60 | — |
| Richfield Nursing Center | COMM | $152.60 | — |
| Virginia Health Network | COMM | $154.78 | — |
| Virginia Health Network | WC | $154.78 | — |
| CorVel | WorkersComp | $156.96 | — |
| Richfield Retirement Community | COMM | $163.50 | — |
| Community Care Network | COMM | $163.50 | — |
| One Health Plan | POS | $174.40 | — |
| OccuNet Workers Comp | WorkersComp | $174.40 | — |
| One Health Plan | PPO | $174.40 | — |
| CSX Hotels | Product | $174.40 | — |
| Patients Choice | COMM | $191.84 | — |
| Multiplan | PHCS | $196.20 | — |
| Alleghany Highland Community | COMM | $196.20 | — |
| American Postal Workers Union | COMM | $196.20 | — |
| C&O Employees Hospital Assn | COMM | $196.20 | — |
| 4Most | COMM | $196.20 | — |
| PHCS | COMM | $196.20 | — |
| Star Transportation | COMM | $196.20 | — |
Visitor-reported prices
Comments
IV Fluids (each additional hour) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $115.50 | $46.14 – $177.99 |
| Inova Fairfax Hospital | Falls Church | $115.50 | $46.14 – $177.99 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $115.50 | $46.14 – $177.99 |
| Inova Loudoun Hospital | Leesburg | $115.50 | $46.14 – $177.99 |
| Inova Mount Vernon Hospital | Alexandria | $115.50 | $46.14 – $177.99 |
| Johnston Memorial Hospital | ABINGDON | $27.60 | $14.70 – $652.33 |
| Russell County Hospital | LEBANON | $27.60 | $14.70 – $652.33 |
| Sentara Martha Jefferson Hospital | Charlottesville | $107.00 | $46.60 – $47.97 |