CMS Price Transparency Data

X-ray, foot

Facility: Lewisgale Hospital Montgomery

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $1,135
Cash Discount Price: $1,863
vs. Medicare Baseline: 12.77x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Lewisgale Hospital Montgomery is $1,135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,863. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.77x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$1,863

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,135

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: $1,863 (2095%)

Insurance Median: $1,135 (1277%)

Cash: $1,863 (2095% of Medicare)

Ins. Median: $1,135 (1277% 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 1277% of the Medicare baseline (a markup of 1177%). 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	$34 - $165	38%
United	$182 - $1,005	205%
Cigna	$260 - $389	292%
Lifeworks	$284 - $424	319%
Universal Healthcare Group	$328 - $491	369%
Virginia Health Network	$523 - $1,585	588%
Greenvbrier Sporting Club	$896 - $1,340	1008%
Corvel	$1,075 - $1,608	1209%
Richfield Nursing Center	$1,120 - $1,675	1260%
Richfield Retirement Community	$1,120 - $1,675	1260%
Multiplan	$1,150 - $1,719	1293%
Community Care Network	$1,194 - $1,786	1343%
Graham-White Manufacturing	$1,194 - $1,786	1343%
Occunet Workers Comp	$1,194 - $1,786	1343%
One Health Plan	$1,194 - $1,786	1343%
Phcs	$1,269 - $1,898	1427%
Patients Choice	$1,314 - $1,965	1478%
4Most	$1,344 - $2,010	1512%
American Postal Workers Union	$1,344 - $2,010	1512%
Star Transportation	$1,344 - $2,010	1512%

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 $1,863.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.