Natalizumab 300 mg/15 ml intravenous solution 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.
$12.35 with Cigna vs $73.53 with United — 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 | $12.35 | — |
| TriAtlantic | TRICR | $20.71 | — |
| Health Net | TRICR | $21.93 | — |
| Humana Military | TRCR | $23.64 | — |
| Virginia Health Network | ULTRA | $24.85 | — |
| United | OptionsPPO | $25.91 | — |
| Cigna | HMO | $28.47 | — |
| Cigna | PPO | $31.24 | — |
| United | GlobalBenefitPlan | $31.95 | — |
| Naphcare | Federal | $35.50 | — |
| Greenvbrier Sporting Club | COMM | $42.60 | — |
| Richfield Nursing Center | COMM | $49.70 | — |
| Graham-White Manufacturing | COMM | $49.70 | — |
| Virginia Health Network | WC | $50.41 | — |
| Virginia Health Network | COMM | $50.41 | — |
| CorVel | WorkersComp | $51.12 | — |
| Community Care Network | COMM | $53.25 | — |
| Richfield Retirement Community | COMM | $53.25 | — |
| OccuNet Workers Comp | WorkersComp | $56.80 | — |
| One Health Plan | POS | $56.80 | — |
| One Health Plan | PPO | $56.80 | — |
| CSX Hotels | Product | $56.80 | — |
| Patients Choice | COMM | $62.48 | — |
| Star Transportation | COMM | $63.90 | — |
| PHCS | COMM | $63.90 | — |
| 4Most | COMM | $63.90 | — |
| Alleghany Highland Community | COMM | $63.90 | — |
| American Postal Workers Union | COMM | $63.90 | — |
| C&O Employees Hospital Assn | COMM | $63.90 | — |
| Multiplan | PHCS | $63.90 | — |
| United | AllPayerAppendix | $73.53 | — |
Visitor-reported prices
Comments
Natalizumab 300 mg/15 ml intravenous solution at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $45,991.00 | $20.71 – $64.95 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $45,991.00 | $20.71 – $64.95 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $20.71 – $64.95 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $20.71 – $64.95 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $18.28 – $64.95 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $20.71 – $64.95 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $22.18 – $64.95 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $23.64 – $64.95 |