Procainamide 100 mg/ml injection (wrapper) 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.

$241.69 with TriAtlantic vs $4,226.40 with Multiplan — 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 $241.69
Health Net TRICR $255.91
Humana Military TRCR $275.81
Cigna NPR $817.10
United AllPayerAppendix $1,033.59
Virginia Health Network ULTRA $1,643.60
United OptionsPPO $1,714.04
Cigna HMO $1,883.10
Cigna PPO $2,066.24
United GlobalBenefitPlan $2,113.20
Naphcare Federal $2,348.00
Greenvbrier Sporting Club COMM $2,817.60
Graham-White Manufacturing COMM $3,287.20
Richfield Nursing Center COMM $3,287.20
Virginia Health Network COMM $3,334.16
Virginia Health Network WC $3,334.16
CorVel WorkersComp $3,381.12
Community Care Network COMM $3,522.00
Richfield Retirement Community COMM $3,522.00
OccuNet Workers Comp WorkersComp $3,756.80
One Health Plan POS $3,756.80
CSX Hotels Product $3,756.80
One Health Plan PPO $3,756.80
Patients Choice COMM $4,132.48
Star Transportation COMM $4,226.40
PHCS COMM $4,226.40
4Most COMM $4,226.40
Alleghany Highland Community COMM $4,226.40
American Postal Workers Union COMM $4,226.40
C&O Employees Hospital Assn COMM $4,226.40
Multiplan PHCS $4,226.40

Visitor-reported prices

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Procainamide 100 mg/ml injection (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $437.00 $241.69 – $913.00
Inova Alexandria Hospital Alexandria $47.80 $74.23 – $324.16
Inova Fairfax Hospital Falls Church $47.80 $74.23 – $324.16
Inova Fair Oaks Hospital VA 22033-1709 $47.80 $74.23 – $324.16
Inova Loudoun Hospital Leesburg $47.80 $74.23 – $324.16
Inova Mount Vernon Hospital Alexandria $47.80 $74.23 – $324.16
TRICITIES HOSPITAL HOPEWELL $926.00 $241.69 – $913.00
RESTON HOSPITAL CENTER VIENNA $712.72 $258.75 – $913.00

All Virginia hospitals for this procedure →