CMS Price Transparency Data

X-ray, ankle

Facility: Lewisgale Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $836
Cash Discount Price: $1,345
vs. Medicare Baseline: 9.40x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Lewisgale Medical Center is $836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,345. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.40x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$1,345

Average discount available for prompt cash payment at this facility.

Insurance Median

$836

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $1,345 (1513%)

Insurance Median: $836 (940%)

Cash: $1,345 (1513% of Medicare)

Ins. Median: $836 (940% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 940% of the Medicare baseline (a markup of 840%). 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	$38 - $194	43%
United	$182 - $724	205%
Cigna	$188 - $280	211%
Lifeworks	$205 - $306	231%
Universal Healthcare Group	$237 - $354	267%
Virginia Health Network	$378 - $1,143	425%
Naphcare	$540 - $805	607%
Greenvbrier Sporting Club	$647 - $966	728%
Graham-White Manufacturing	$755 - $1,127	849%
Richfield Nursing Center	$755 - $1,127	849%
Corvel	$777 - $1,159	874%
Community Care Network	$809 - $1,208	910%
Richfield Retirement Community	$809 - $1,208	910%
Csx Hotels	$863 - $1,288	971%
Occunet Workers Comp	$863 - $1,288	971%
One Health Plan	$863 - $1,288	971%
Patients Choice	$950 - $1,417	1068%
4Most	$971 - $1,449	1092%
Alleghany Highland Community	$971 - $1,449	1092%
American Postal Workers Union	$971 - $1,449	1092%
C&O Employees Hospital Assn	$971 - $1,449	1092%
Multiplan	$971 - $1,449	1092%
Phcs	$971 - $1,449	1092%
Star Transportation	$971 - $1,449	1092%

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 $1,345.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.