CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Lewisgale Hospital Montgomery

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,354
Cash Discount Price: $3,316
vs. Medicare Baseline: 22.04x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Lewisgale Hospital Montgomery is $2,354. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,316. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.04x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$3,316

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,354

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: $3,316 (3105%)

Insurance Median: $2,354 (2204%)

Cash: $3,316 (3105% of Medicare)

Ins. Median: $2,354 (2204% 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 2204% of the Medicare baseline (a markup of 2104%). 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	$166 - $514	155%
United	$245 - $1,492	229%
Cigna	$577	540%
Lifeworks	$630	590%
Universal Healthcare Group	$730	683%
Virginia Health Network	$1,161 - $2,354	1087%
Greenvbrier Sporting Club	$1,990	1863%
Corvel	$2,388	2236%
Richfield Nursing Center	$2,487	2328%
Richfield Retirement Community	$2,487	2328%
Multiplan	$2,553	2390%
Community Care Network	$2,653	2484%
Graham-White Manufacturing	$2,653	2484%
Occunet Workers Comp	$2,653	2484%
One Health Plan	$2,653	2484%
Aetna	$2,807 - $4,356	2628%
Phcs	$2,819	2639%
Patients Choice	$2,918	2732%
4Most	$2,984	2794%
American Postal Workers Union	$2,984	2794%
Star Transportation	$2,984	2794%

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 $3,316.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

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 70450.
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.