Nalbuphine 10 mg/ml injection solution 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.

$2.62 with TriAtlantic vs $83.00 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.

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 $2.62
Health Net TRICR $2.77
Humana Military TRCR $2.99
United AllPayerAppendix $10.35
Aetna MGMCR $12.45
Cigna NPR $14.44
Virginia Health Network ULTRA $29.05
United OptionsPPO $30.30
Cigna HMO $33.28
Cigna PPO $36.52
United GlobalBenefitPlan $37.35
Naphcare Federal $41.50
Greenvbrier Sporting Club COMM $49.80
Graham-White Manufacturing COMM $58.10
Richfield Nursing Center COMM $58.10
Virginia Health Network WC $58.93
Virginia Health Network COMM $58.93
CorVel WorkersComp $59.76
Community Care Network COMM $62.25
Richfield Retirement Community COMM $62.25
OccuNet Workers Comp WorkersComp $66.40
One Health Plan POS $66.40
One Health Plan PPO $66.40
CSX Hotels Product $66.40
Patients Choice COMM $73.04
Star Transportation COMM $74.70
Multiplan PHCS $74.70
PHCS COMM $74.70
4Most COMM $74.70
Alleghany Highland Community COMM $74.70
American Postal Workers Union COMM $74.70
C&O Employees Hospital Assn COMM $74.70
United Behavioral Health VACCN $83.00

Visitor-reported prices

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Nalbuphine 10 mg/ml injection solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $162.00 $2.62 – $9.14
Inova Alexandria Hospital Alexandria $16.88 $5.17 – $24.48
Inova Fairfax Hospital Falls Church $16.88 $5.17 – $24.48
Inova Fair Oaks Hospital VA 22033-1709 $16.88 $5.17 – $24.48
Inova Loudoun Hospital Leesburg $16.88 $5.17 – $24.48
Inova Mount Vernon Hospital Alexandria $16.88 $5.17 – $24.48
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $237.00 $2.62 – $9.14
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $18.00 $2.62 – $9.14

All Virginia hospitals for this procedure →