Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) 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

$622.00

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.

$622.00

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.

$93.30 with Aetna vs $635.70 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
Aetna MGMCR $93.30 ↓ -85%
Cigna NPR $108.23 ↓ -83%
TriAtlantic TRICR $152.59 ↓ -75%
Health Net TRICR $161.57 ↓ -74%
Humana Military TRCR $174.13 ↓ -72%
Virginia Health Network ULTRA $217.70 ↓ -65%
United OptionsPPO $227.03 ↓ -64%
Cigna HMO $249.42 ↓ -60%
Cigna PPO $273.68 ↓ -56%
United GlobalBenefitPlan $279.90 ↓ -55%
Naphcare Federal $311.00 ↓ -50%
Greenvbrier Sporting Club COMM $373.20 ↓ -40%
Graham-White Manufacturing COMM $435.40 ↓ -30%
Richfield Nursing Center COMM $435.40 ↓ -30%
Virginia Health Network COMM $441.62 ↓ -29%
Virginia Health Network WC $441.62 ↓ -29%
CorVel WorkersComp $447.84 ↓ -28%
Richfield Retirement Community COMM $466.50 ↓ -25%
Community Care Network COMM $466.50 ↓ -25%
One Health Plan POS $497.60 ↓ -20%
OccuNet Workers Comp WorkersComp $497.60 ↓ -20%
CSX Hotels Product $497.60 ↓ -20%
One Health Plan PPO $497.60 ↓ -20%
Patients Choice COMM $547.36 ↓ -12%
Alleghany Highland Community COMM $559.80 ↓ -10%
American Postal Workers Union COMM $559.80 ↓ -10%
C&O Employees Hospital Assn COMM $559.80 ↓ -10%
Multiplan PHCS $559.80 ↓ -10%
Star Transportation COMM $559.80 ↓ -10%
4Most COMM $559.80 ↓ -10%
PHCS COMM $559.80 ↓ -10%
United Behavioral Health VACCN $622.00 ↑ +0%
United AllPayerAppendix $635.70 ↑ +2%
Optima Health POS 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 meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $164.74 $66.33 – $184.03
Inova Fairfax Hospital Falls Church $164.74 $66.33 – $184.03
Inova Fair Oaks Hospital VA 22033-1709 $164.74 $66.33 – $184.03
Inova Loudoun Hospital Leesburg $164.74 $66.33 – $184.03
Inova Mount Vernon Hospital Alexandria $164.74 $66.33 – $184.03
RESTON HOSPITAL CENTER VIENNA $653.13 $169.95 – $561.54
HENRICO DOCTORS HOSPITAL RICHMOND $692.00 $152.59 – $561.54
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $152.59 – $561.54

All Virginia hospitals for this procedure →