Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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.

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The hospital's undiscounted list price — almost no one pays this.

$65.95 with Cigna vs $560.91 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 $65.95
Virginia Health Network ULTRA $132.65
TriAtlantic TRICR $138.09
United OptionsPPO $138.34
Health Net TRICR $146.21
Cigna HMO $151.98
Humana Military TRCR $157.59
Cigna PPO $166.76
United GlobalBenefitPlan $170.55
Naphcare Federal $189.50
Greenvbrier Sporting Club COMM $227.40
Richfield Nursing Center COMM $265.30
Graham-White Manufacturing COMM $265.30
Virginia Health Network WC $269.09
Virginia Health Network COMM $269.09
CorVel WorkersComp $272.88
Community Care Network COMM $284.25
Richfield Retirement Community COMM $284.25
OccuNet Workers Comp WorkersComp $303.20
One Health Plan POS $303.20
One Health Plan PPO $303.20
CSX Hotels Product $303.20
Patients Choice COMM $333.52
Star Transportation COMM $341.10
PHCS COMM $341.10
4Most COMM $341.10
Alleghany Highland Community COMM $341.10
American Postal Workers Union COMM $341.10
C&O Employees Hospital Assn COMM $341.10
Multiplan PHCS $341.10
United AllPayerAppendix $560.91

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Virginia hospitals

Hospital City Cash price Negotiated range
RESTON HOSPITAL CENTER VIENNA $21,617.89 $147.84 – $495.47
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $138.09 – $495.47
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $138.09 – $495.47
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $138.09 – $495.47
LEWISGALE HOSPITAL-PULASKI PULASKI not published $121.84 – $495.47
TRICITIES HOSPITAL HOPEWELL not published $138.09 – $495.47
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $157.59 – $495.47
STONESPRINGS HOSPITAL CENTER Dulles not published $121.84 – $495.47

All Virginia hospitals for this procedure →