CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lewisgale Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $4,521
Cash Discount Price: $7,535
vs. Medicare Baseline: 25.23x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lewisgale Medical Center is $4,521. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,535. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 25.23x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$7,535

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,521

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $7,535 (4205%)

Insurance Median: $4,521 (2523%)

Cash: $7,535 (4205% of Medicare)

Ins. Median: $4,521 (2523% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 2523% of the Medicare baseline (a markup of 2423%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$238 - $774	133%
United	$402 - $3,391	224%
Cigna	$1,311	732%
Lifeworks	$1,432	799%
Universal Healthcare Group	$1,658	925%
Virginia Health Network	$2,637 - $5,350	1472%
Aetna	$2,807 - $4,356	1566%
Naphcare	$3,768	2103%
Greenvbrier Sporting Club	$4,521	2523%
Graham-White Manufacturing	$5,274	2943%
Richfield Nursing Center	$5,274	2943%
Corvel	$5,425	3027%
Community Care Network	$5,651	3153%
Richfield Retirement Community	$5,651	3153%
Csx Hotels	$6,028	3364%
Occunet Workers Comp	$6,028	3364%
One Health Plan	$6,028	3364%
Patients Choice	$6,631	3700%
4Most	$6,782	3785%
Alleghany Highland Community	$6,782	3785%
American Postal Workers Union	$6,782	3785%
C&O Employees Hospital Assn	$6,782	3785%
Multiplan	$6,782	3785%
Phcs	$6,782	3785%
Star Transportation	$6,782	3785%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $7,535.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lewisgale Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.