CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Lewisgale Hospital Montgomery

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $941
Cash Discount Price: $1,568
vs. Medicare Baseline: 10.58x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Lewisgale Hospital Montgomery is $941. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,568. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 10.58x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$1,568

Average discount available for prompt cash payment at this facility.

Insurance Median

$941

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: $1,568 (1764%)

Insurance Median: $941 (1058%)

Cash: $1,568 (1764% of Medicare)

Ins. Median: $941 (1058% 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 1058% of the Medicare baseline (a markup of 958%). 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	$44 - $193	49%
United	$182 - $706	205%
Cigna	$273	307%
Lifeworks	$298	335%
Universal Healthcare Group	$345	388%
Virginia Health Network	$549 - $1,113	617%
Greenvbrier Sporting Club	$941	1058%
Corvel	$1,129	1270%
Richfield Nursing Center	$1,176	1323%
Richfield Retirement Community	$1,176	1323%
Multiplan	$1,207	1358%
Community Care Network	$1,254	1410%
Graham-White Manufacturing	$1,254	1410%
Occunet Workers Comp	$1,254	1410%
One Health Plan	$1,254	1410%
Phcs	$1,333	1499%
Patients Choice	$1,380	1552%
4Most	$1,411	1587%
American Postal Workers Union	$1,411	1587%
Star Transportation	$1,411	1587%

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 $1,568.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

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 72040.
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.