Octreotide,microspheres ER 20 mg intramuscular susp, extended release 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.

$109.79 with Cigna vs $597.51 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 →

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 $109.79
TriAtlantic TRICR $173.90
Health Net TRICR $184.13
Humana Military TRCR $198.45
Virginia Health Network ULTRA $220.85
United OptionsPPO $230.31
Cigna HMO $253.03
Cigna PPO $277.64
United GlobalBenefitPlan $283.95
Naphcare Federal $315.50
Greenvbrier Sporting Club COMM $378.60
Richfield Nursing Center COMM $441.70
Graham-White Manufacturing COMM $441.70
Virginia Health Network WC $448.01
Virginia Health Network COMM $448.01
CorVel WorkersComp $454.32
Community Care Network COMM $473.25
Richfield Retirement Community COMM $473.25
OccuNet Workers Comp WorkersComp $504.80
One Health Plan POS $504.80
One Health Plan PPO $504.80
CSX Hotels Product $504.80
Patients Choice COMM $555.28
Star Transportation COMM $567.90
PHCS COMM $567.90
4Most COMM $567.90
Alleghany Highland Community COMM $567.90
American Postal Workers Union COMM $567.90
C&O Employees Hospital Assn COMM $567.90
Multiplan PHCS $567.90
United AllPayerAppendix $597.51

Visitor-reported prices

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Octreotide,microspheres ER 20 mg intramuscular susp, extended release at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $1,473.00 $173.90 – $527.80
RESTON HOSPITAL CENTER VIENNA $24,883.60 $186.18 – $527.80
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $173.90 – $527.80
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $173.90 – $527.80
LEWISGALE HOSPITAL-PULASKI PULASKI not published $153.44 – $527.80
TRICITIES HOSPITAL HOPEWELL not published $173.90 – $527.80
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $198.45 – $527.80
STONESPRINGS HOSPITAL CENTER Dulles not published $153.44 – $527.80

All Virginia hospitals for this procedure →