CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lewisgale Hospital Montgomery

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,586
Cash Discount Price: $5,977
vs. Medicare Baseline: 14.71x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Lewisgale Hospital Montgomery is $3,586. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,977. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.71x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$5,977

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,586

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $5,977 (2452%)

Insurance Median: $3,586 (1471%)

Cash: $5,977 (2452% of Medicare)

Ins. Median: $3,586 (1471% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1471% of the Medicare baseline (a markup of 1371%). 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	$337 - $881	138%
United	$518 - $2,690	212%
Cigna	$1,040	427%
Lifeworks	$1,136	466%
Universal Healthcare Group	$1,315	539%
Virginia Health Network	$2,092 - $4,244	858%
Aetna	$2,807 - $4,356	1151%
Greenvbrier Sporting Club	$3,586	1471%
Corvel	$4,303	1765%
Richfield Nursing Center	$4,483	1839%
Richfield Retirement Community	$4,483	1839%
Multiplan	$4,602	1888%
Community Care Network	$4,782	1962%
Graham-White Manufacturing	$4,782	1962%
Occunet Workers Comp	$4,782	1962%
One Health Plan	$4,782	1962%
Phcs	$5,080	2084%
Patients Choice	$5,260	2158%
4Most	$5,379	2207%
American Postal Workers Union	$5,379	2207%
Star Transportation	$5,379	2207%

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 $5,977.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lewisgale Hospital Montgomery is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.