CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lewisgale Hospital Pulaski

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $4,885
Cash Discount Price: $9,304
vs. Medicare Baseline: 27.26x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lewisgale Hospital Pulaski is $4,885. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,304. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 27.26x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$9,304

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,885

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $9,304 (5192%)

Insurance Median: $4,885 (2726%)

Cash: $9,304 (5192% of Medicare)

Ins. Median: $4,885 (2726% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 2726% of the Medicare baseline (a markup of 2626%). 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	$182 - $591	102%
United	$402 - $4,187	224%
Lifeworks	$1,768	987%
Universal Healthcare Group	$2,047	1142%
Aetna	$2,807 - $4,187	1566%
Virginia Health Network	$3,256 - $6,606	1817%
Greenvbrier Sporting Club	$5,582	3115%
Corvel	$6,699	3738%
Richfield Nursing Center	$6,978	3894%
Richfield Retirement Community	$6,978	3894%
Multiplan	$7,164	3998%
Community Care Network	$7,443	4153%
Graham-White Manufacturing	$7,443	4153%
Occunet Workers Comp	$7,443	4153%
One Health Plan	$7,443	4153%
Patients Choice	$8,188	4569%
4Most	$8,374	4673%
American Postal Workers Union	$8,374	4673%
Phcs	$8,374	4673%
Star Transportation	$8,374	4673%

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 $9,304.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.