Leuprolide 30 mg (4 month) 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.

Full explanation →

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.

$146.45 with TriAtlantic vs $3,726.00 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
TriAtlantic TRICR $146.45
Health Net TRICR $155.06
Humana Military TRCR $167.12
United AllPayerAppendix $512.34
Cigna NPR $720.36
Virginia Health Network ULTRA $1,449.00
United OptionsPPO $1,511.10
Cigna HMO $1,660.14
Cigna PPO $1,821.60
United GlobalBenefitPlan $1,863.00
Naphcare Federal $2,070.00
Greenvbrier Sporting Club COMM $2,484.00
Graham-White Manufacturing COMM $2,898.00
Richfield Nursing Center COMM $2,898.00
Virginia Health Network COMM $2,939.40
Virginia Health Network WC $2,939.40
CorVel WorkersComp $2,980.80
Community Care Network COMM $3,105.00
Richfield Retirement Community COMM $3,105.00
OccuNet Workers Comp WorkersComp $3,312.00
One Health Plan POS $3,312.00
CSX Hotels Product $3,312.00
One Health Plan PPO $3,312.00
Patients Choice COMM $3,643.20
Star Transportation COMM $3,726.00
PHCS COMM $3,726.00
4Most COMM $3,726.00
Alleghany Highland Community COMM $3,726.00
American Postal Workers Union COMM $3,726.00
C&O Employees Hospital Assn COMM $3,726.00
Multiplan PHCS $3,726.00

Visitor-reported prices

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Leuprolide 30 mg (4 month) intramuscular syringe kit at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $2,746.43 $90.75 – $241.92
Inova Fairfax Hospital Falls Church $2,746.43 $90.75 – $241.92
Inova Fair Oaks Hospital VA 22033-1709 $2,746.43 $90.75 – $241.92
Inova Loudoun Hospital Leesburg $2,746.43 $90.75 – $241.92
Inova Mount Vernon Hospital Alexandria $2,746.43 $90.75 – $241.92
LEWISGALE HOSPITAL-PULASKI PULASKI $4,196.00 $129.22 – $452.57
STONESPRINGS HOSPITAL CENTER Dulles $3,842.28 $129.22 – $452.57
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $146.45 – $452.57

All Virginia hospitals for this procedure →