CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Lewisgale Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $4,356
  • Cash Discount Price: $6,673
  • vs. Medicare Baseline: 40.78x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Lewisgale Medical Center is $4,356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,673. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 40.78x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$6,673

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,356

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $6,673 (6248%)
Insurance Median: $4,356 (4078%)
Cash: $6,673 (6248% of Medicare)
Ins. Median: $4,356 (4078% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 4078% of the Medicare baseline (a markup of 3978%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $226 - $692 212%
United $245 - $3,003 229%
Cigna $1,161 1087%
Lifeworks $1,268 1187%
Universal Healthcare Group $1,468 1374%
Virginia Health Network $2,336 - $4,738 2187%
Aetna $2,807 - $4,356 2628%
Naphcare $3,336 3123%
Greenvbrier Sporting Club $4,004 3749%
Graham-White Manufacturing $4,671 4373%
Richfield Nursing Center $4,671 4373%
Corvel $4,805 4499%
Community Care Network $5,005 4686%
Richfield Retirement Community $5,005 4686%
Csx Hotels $5,338 4998%
Occunet Workers Comp $5,338 4998%
One Health Plan $5,338 4998%
Patients Choice $5,872 5498%
4Most $6,006 5623%
Alleghany Highland Community $6,006 5623%
American Postal Workers Union $6,006 5623%
C&O Employees Hospital Assn $6,006 5623%
Multiplan $6,006 5623%
Phcs $6,006 5623%
Star Transportation $6,006 5623%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals