Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im 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

$121.00

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.

$121.00

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.

$21.05 with Cigna vs $108.90 with Star Transportation — 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 $21.05 ↓ -83%
TriAtlantic TRICR $26.92 ↓ -78%
Health Net TRICR $28.50 ↓ -76%
Humana Military TRCR $30.72 ↓ -75%
Virginia Health Network ULTRA $42.35 ↓ -65%
United OptionsPPO $44.16 ↓ -64%
Cigna HMO $48.52 ↓ -60%
Cigna PPO $53.24 ↓ -56%
United GlobalBenefitPlan $54.45 ↓ -55%
Naphcare Federal $60.50 ↓ -50%
Greenvbrier Sporting Club COMM $72.60 ↓ -40%
Richfield Nursing Center COMM $84.70 ↓ -30%
Graham-White Manufacturing COMM $84.70 ↓ -30%
Virginia Health Network WC $85.91 ↓ -29%
Virginia Health Network COMM $85.91 ↓ -29%
CorVel WorkersComp $87.12 ↓ -28%
Richfield Retirement Community COMM $90.75 ↓ -25%
Community Care Network COMM $90.75 ↓ -25%
OccuNet Workers Comp WorkersComp $96.80 ↓ -20%
CSX Hotels Product $96.80 ↓ -20%
One Health Plan PPO $96.80 ↓ -20%
One Health Plan POS $96.80 ↓ -20%
United AllPayerAppendix $99.60 ↓ -18%
Patients Choice COMM $106.48 ↓ -12%
Multiplan PHCS $108.90 ↓ -10%
PHCS COMM $108.90 ↓ -10%
4Most COMM $108.90 ↓ -10%
Alleghany Highland Community COMM $108.90 ↓ -10%
American Postal Workers Union COMM $108.90 ↓ -10%
C&O Employees Hospital Assn COMM $108.90 ↓ -10%
Star Transportation COMM $108.90 ↓ -10%
Clear Spring Health Plan MCR not published by hospital
Cigna HealthSpring MCR not published by hospital
Virginia Premier Health MGMCR not published by hospital
Evernorth Behavioral Health MCR not published by hospital
Aetna MGMCR not published by hospital
United Behavioral Health VACCN not published by hospital
Anthem MGMCR not published by hospital
Align Senior Care MGMCR not published by hospital
United MGMCR not published by hospital
United VACCN not published by hospital
Good Samaritan Hospice COMM not published by hospital
Humana MCR not published by hospital
Devoted MCR not published by hospital
United Mine Workers MCR not published by hospital
Optima Health POS not published by hospital
Pyramid Life MGMCR not published by hospital
Sentara Health MCR not published by hospital
Optima Health HMO not published by hospital
Optima Health PPO not published by hospital

Visitor-reported prices

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Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $143.00 $26.92 – $87.98
Inova Alexandria Hospital Alexandria $28.46 $29.71 – $49.30
Inova Fairfax Hospital Falls Church $28.46 $29.71 – $49.30
Inova Fair Oaks Hospital VA 22033-1709 $28.46 $29.71 – $49.30
Inova Loudoun Hospital Leesburg $28.46 $29.71 – $49.30
Inova Mount Vernon Hospital Alexandria $28.46 $29.71 – $49.30
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $301.00 $26.92 – $87.98
LEWISGALE HOSPITAL-PULASKI PULASKI $308.00 $23.75 – $87.98

All Virginia hospitals for this procedure →