Tacrolimus 1 mg capsule, immediate-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.

$0.16 with TriAtlantic vs $43.00 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 $0.16
Health Net TRICR $0.17
Humana Military TRCR $0.18
United AllPayerAppendix $0.60
Aetna MGMCR $6.45
Cigna NPR $7.48
Virginia Health Network ULTRA $15.05
United OptionsPPO $15.70
Cigna HMO $17.24
Cigna PPO $18.92
United GlobalBenefitPlan $19.35
Naphcare Federal $21.50
Greenvbrier Sporting Club COMM $25.80
Graham-White Manufacturing COMM $30.10
Richfield Nursing Center COMM $30.10
Virginia Health Network WC $30.53
Virginia Health Network COMM $30.53
CorVel WorkersComp $30.96
Community Care Network COMM $32.25
Richfield Retirement Community COMM $32.25
OccuNet Workers Comp WorkersComp $34.40
One Health Plan POS $34.40
One Health Plan PPO $34.40
CSX Hotels Product $34.40
Patients Choice COMM $37.84
Star Transportation COMM $38.70
Multiplan PHCS $38.70
PHCS COMM $38.70
4Most COMM $38.70
Alleghany Highland Community COMM $38.70
American Postal Workers Union COMM $38.70
C&O Employees Hospital Assn COMM $38.70
United Behavioral Health VACCN $43.00

Visitor-reported prices

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Tacrolimus 1 mg capsule, immediate-release at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $4.89 $0.24 – $1.15
Inova Fairfax Hospital Falls Church $4.89 $0.24 – $1.15
Inova Fair Oaks Hospital VA 22033-1709 $4.89 $0.24 – $1.15
Inova Loudoun Hospital Leesburg $4.89 $0.24 – $1.15
Inova Mount Vernon Hospital Alexandria $4.89 $0.24 – $1.15
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $0.16 – $0.53
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $0.16 – $0.53
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $0.16 – $0.53

All Virginia hospitals for this procedure →