CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Lewisgale Hospital Pulaski

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $5,211
Cash Discount Price: $9,926
vs. Medicare Baseline: 48.79x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Lewisgale Hospital Pulaski is $5,211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,926. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 48.79x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$9,926

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,211

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: $9,926 (9293%)

Insurance Median: $5,211 (4879%)

Cash: $9,926 (9293% of Medicare)

Ins. Median: $5,211 (4879% 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 4879% of the Medicare baseline (a markup of 4779%). 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	$172 - $529	161%
United	$245 - $4,467	229%
Lifeworks	$1,886	1766%
Universal Healthcare Group	$2,184	2045%
Aetna	$2,807 - $4,467	2628%
Virginia Health Network	$3,474 - $7,047	3253%
Greenvbrier Sporting Club	$5,956	5576%
Corvel	$7,147	6691%
Richfield Nursing Center	$7,444	6969%
Richfield Retirement Community	$7,444	6969%
Multiplan	$7,643	7156%
Community Care Network	$7,941	7435%
Graham-White Manufacturing	$7,941	7435%
Occunet Workers Comp	$7,941	7435%
One Health Plan	$7,941	7435%
Patients Choice	$8,735	8178%
4Most	$8,933	8363%
American Postal Workers Union	$8,933	8363%
Phcs	$8,933	8363%
Star Transportation	$8,933	8363%

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 $9,926.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lewisgale Hospital Pulaski is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.