CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lewisgale Hospital Montgomery

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $4,531
Cash Discount Price: $7,551
vs. Medicare Baseline: 18.59x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lewisgale Hospital Montgomery is $4,531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,551. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 18.59x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$7,551

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,531

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: $7,551 (3098%)

Insurance Median: $4,531 (1859%)

Cash: $7,551 (3098% of Medicare)

Ins. Median: $4,531 (1859% 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 1859% of the Medicare baseline (a markup of 1759%). 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	$265 - $990	109%
United	$518 - $3,398	212%
Cigna	$1,314	539%
Lifeworks	$1,435	589%
Universal Healthcare Group	$1,661	681%
Virginia Health Network	$2,643 - $5,361	1084%
Aetna	$2,994 - $4,644	1228%
Greenvbrier Sporting Club	$4,531	1859%
Corvel	$5,437	2230%
Richfield Nursing Center	$5,663	2323%
Richfield Retirement Community	$5,663	2323%
Multiplan	$5,814	2385%
Community Care Network	$6,041	2478%
Graham-White Manufacturing	$6,041	2478%
Occunet Workers Comp	$6,041	2478%
One Health Plan	$6,041	2478%
Phcs	$6,418	2633%
Patients Choice	$6,645	2726%
4Most	$6,796	2788%
American Postal Workers Union	$6,796	2788%
Star Transportation	$6,796	2788%

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 $7,551.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

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 73721.
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.