Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk 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.

$1.33 with TriAtlantic vs $689.00 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.

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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 $1.33
Health Net TRICR $1.41
Humana Military TRCR $1.52
United AllPayerAppendix $4.05
Aetna MGMCR $103.35
Cigna NPR $119.89
Virginia Health Network ULTRA $241.15
United OptionsPPO $251.49
Cigna HMO $276.29
Cigna PPO $303.16
United GlobalBenefitPlan $310.05
Naphcare Federal $344.50
Greenvbrier Sporting Club COMM $413.40
Graham-White Manufacturing COMM $482.30
Richfield Nursing Center COMM $482.30
Virginia Health Network WC $489.19
Virginia Health Network COMM $489.19
CorVel WorkersComp $496.08
Community Care Network COMM $516.75
Richfield Retirement Community COMM $516.75
OccuNet Workers Comp WorkersComp $551.20
One Health Plan POS $551.20
One Health Plan PPO $551.20
CSX Hotels Product $551.20
Patients Choice COMM $606.32
Star Transportation COMM $620.10
Multiplan PHCS $620.10
PHCS COMM $620.10
4Most COMM $620.10
Alleghany Highland Community COMM $620.10
American Postal Workers Union COMM $620.10
C&O Employees Hospital Assn COMM $620.10
United Behavioral Health VACCN $689.00

Visitor-reported prices

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Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $82.00 $1.33 – $3.58
Inova Alexandria Hospital Alexandria $33.31 $2.03 – $6.93
Inova Fairfax Hospital Falls Church $33.31 $2.03 – $6.93
Inova Fair Oaks Hospital VA 22033-1709 $33.31 $2.03 – $6.93
Inova Loudoun Hospital Leesburg $33.31 $2.03 – $6.93
Inova Mount Vernon Hospital Alexandria $33.31 $2.03 – $6.93
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $181.00 $1.33 – $3.58
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $1.33 – $3.58

All Virginia hospitals for this procedure →