CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lewisgale Hospital Montgomery

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,280
Cash Discount Price: $5,466
vs. Medicare Baseline: 18.30x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lewisgale Hospital Montgomery is $3,280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,466. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 18.30x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$5,466

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,280

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: $5,466 (3050%)

Insurance Median: $3,280 (1830%)

Cash: $5,466 (3050% of Medicare)

Ins. Median: $3,280 (1830% 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 1830% of the Medicare baseline (a markup of 1730%). 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	$247 - $836	138%
United	$402 - $2,460	224%
Cigna	$951	531%
Lifeworks	$1,039	580%
Universal Healthcare Group	$1,203	671%
Virginia Health Network	$1,913 - $3,881	1068%
Aetna	$2,807 - $4,356	1566%
Greenvbrier Sporting Club	$3,280	1830%
Corvel	$3,936	2196%
Richfield Nursing Center	$4,100	2288%
Richfield Retirement Community	$4,100	2288%
Multiplan	$4,209	2349%
Community Care Network	$4,373	2440%
Graham-White Manufacturing	$4,373	2440%
Occunet Workers Comp	$4,373	2440%
One Health Plan	$4,373	2440%
Phcs	$4,646	2593%
Patients Choice	$4,810	2684%
4Most	$4,919	2745%
American Postal Workers Union	$4,919	2745%
Star Transportation	$4,919	2745%

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 $5,466.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.