Ziv-aflibercept 25 mg/ml intravenous solution (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.

$7.06 with TriAtlantic vs $81.00 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 $7.06
Health Net TRICR $7.47
Humana Military TRCR $8.05
Cigna NPR $15.66
United AllPayerAppendix $21.66
Virginia Health Network ULTRA $31.50
United OptionsPPO $32.85
Cigna HMO $36.09
Cigna PPO $39.60
United GlobalBenefitPlan $40.50
Naphcare Federal $45.00
Greenvbrier Sporting Club COMM $54.00
Graham-White Manufacturing COMM $63.00
Richfield Nursing Center COMM $63.00
Virginia Health Network COMM $63.90
Virginia Health Network WC $63.90
CorVel WorkersComp $64.80
Community Care Network COMM $67.50
Richfield Retirement Community COMM $67.50
OccuNet Workers Comp WorkersComp $72.00
One Health Plan POS $72.00
CSX Hotels Product $72.00
One Health Plan PPO $72.00
Patients Choice COMM $79.20
Star Transportation COMM $81.00
PHCS COMM $81.00
4Most COMM $81.00
Alleghany Highland Community COMM $81.00
American Postal Workers Union COMM $81.00
C&O Employees Hospital Assn COMM $81.00
Multiplan PHCS $81.00

Visitor-reported prices

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Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $7.06 – $19.13
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $7.06 – $19.13
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $7.06 – $19.13
LEWISGALE HOSPITAL-PULASKI PULASKI not published $6.23 – $19.13
TRICITIES HOSPITAL HOPEWELL not published $7.06 – $19.13
RESTON HOSPITAL CENTER VIENNA not published $7.55 – $19.13
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $8.05 – $19.13
STONESPRINGS HOSPITAL CENTER Dulles not published $6.23 – $19.13

All Virginia hospitals for this procedure →