Leuprolide 3.75 mg intramuscular syringe kit 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.

$1,372.69 with Cigna vs $7,100.10 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
Cigna NPR $1,372.69
TriAtlantic TRICR $1,419.75
Health Net TRICR $1,503.27
Humana Military TRCR $1,620.19
Virginia Health Network ULTRA $2,761.15
United OptionsPPO $2,879.49
Cigna HMO $3,163.49
Cigna PPO $3,471.16
United GlobalBenefitPlan $3,550.05
Naphcare Federal $3,944.50
Greenvbrier Sporting Club COMM $4,733.40
United AllPayerAppendix $5,291.61
Richfield Nursing Center COMM $5,522.30
Graham-White Manufacturing COMM $5,522.30
Virginia Health Network COMM $5,601.19
Virginia Health Network WC $5,601.19
CorVel WorkersComp $5,680.08
Community Care Network COMM $5,916.75
Richfield Retirement Community COMM $5,916.75
OccuNet Workers Comp WorkersComp $6,311.20
One Health Plan POS $6,311.20
CSX Hotels Product $6,311.20
One Health Plan PPO $6,311.20
Patients Choice COMM $6,942.32
Star Transportation COMM $7,100.10
PHCS COMM $7,100.10
4Most COMM $7,100.10
Alleghany Highland Community COMM $7,100.10
American Postal Workers Union COMM $7,100.10
C&O Employees Hospital Assn COMM $7,100.10
Multiplan PHCS $7,100.10

Visitor-reported prices

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Leuprolide 3.75 mg intramuscular syringe kit at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $2,304.62 $1,377.23 – $2,703.97
Inova Fairfax Hospital Falls Church $2,304.62 $1,377.23 – $2,703.97
Inova Fair Oaks Hospital VA 22033-1709 $2,304.62 $1,377.23 – $2,703.97
Inova Loudoun Hospital Leesburg $2,304.62 $1,377.23 – $2,703.97
Inova Mount Vernon Hospital Alexandria $2,304.62 $1,377.23 – $2,703.97
HENRICO DOCTORS HOSPITAL RICHMOND $13,092.00 $1,419.75 – $4,674.26
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $1,419.75 – $4,674.26
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1,419.75 – $4,674.26

All Virginia hospitals for this procedure →