CMS Price Transparency Data

X-ray, lower back

Facility: Lewisgale Hospital Montgomery

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $1,257
Cash Discount Price: $2,095
vs. Medicare Baseline: 11.77x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Lewisgale Hospital Montgomery is $1,257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,095. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.77x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$2,095

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,257

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: $2,095 (1961%)

Insurance Median: $1,257 (1177%)

Cash: $2,095 (1961% of Medicare)

Ins. Median: $1,257 (1177% 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 1177% of the Medicare baseline (a markup of 1077%). 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	$54 - $259	51%
United	$245 - $943	229%
Cigna	$365	342%
Lifeworks	$398	373%
Universal Healthcare Group	$461	432%
Virginia Health Network	$733 - $1,487	686%
Greenvbrier Sporting Club	$1,257	1177%
Corvel	$1,508	1412%
Richfield Nursing Center	$1,571	1471%
Richfield Retirement Community	$1,571	1471%
Multiplan	$1,613	1510%
Community Care Network	$1,676	1569%
Graham-White Manufacturing	$1,676	1569%
Occunet Workers Comp	$1,676	1569%
One Health Plan	$1,676	1569%
Phcs	$1,781	1667%
Patients Choice	$1,844	1726%
4Most	$1,886	1766%
American Postal Workers Union	$1,886	1766%
Star Transportation	$1,886	1766%

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 $2,095.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.