Pralatrexate injection 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.

$143.03 with Cigna vs $1,178.16 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 $143.03
Virginia Health Network ULTRA $287.70
United OptionsPPO $300.03
TriAtlantic TRICR $317.70
Cigna HMO $329.62
Health Net TRICR $336.39
Cigna PPO $361.68
Humana Military TRCR $362.56
United GlobalBenefitPlan $369.90
Naphcare Federal $411.00
Greenvbrier Sporting Club COMM $493.20
Richfield Nursing Center COMM $575.40
Graham-White Manufacturing COMM $575.40
Virginia Health Network WC $583.62
Virginia Health Network COMM $583.62
CorVel WorkersComp $591.84
Community Care Network COMM $616.50
Richfield Retirement Community COMM $616.50
OccuNet Workers Comp WorkersComp $657.60
One Health Plan POS $657.60
One Health Plan PPO $657.60
CSX Hotels Product $657.60
Patients Choice COMM $723.36
Star Transportation COMM $739.80
PHCS COMM $739.80
4Most COMM $739.80
Alleghany Highland Community COMM $739.80
American Postal Workers Union COMM $739.80
C&O Employees Hospital Assn COMM $739.80
Multiplan PHCS $739.80
United AllPayerAppendix $1,178.16

Visitor-reported prices

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Pralatrexate injection at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $317.70 – $1,040.71
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $317.70 – $1,040.71
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $317.70 – $1,040.71
LEWISGALE HOSPITAL-PULASKI PULASKI not published $280.33 – $1,040.71
TRICITIES HOSPITAL HOPEWELL not published $317.70 – $1,040.71
RESTON HOSPITAL CENTER VIENNA not published $340.13 – $1,040.71
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $362.56 – $1,040.71
STONESPRINGS HOSPITAL CENTER Dulles not published $280.33 – $1,040.71

All Virginia hospitals for this procedure →