CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Lewisgale Hospital Pulaski

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $33
Cash Discount Price: $73
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Lewisgale Hospital Pulaski is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 0.82x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $73 (181%)

Insurance Median: $33 (82%)

Cash: $73 (181% of Medicare)

Ins. Median: $33 (82% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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.

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
Humana	$11 - $13	27%
United Mine Workers	$13	32%
Blue Cross Blue Shield	$13 - $159	32%
Good Samaritan Hospice	$13	32%
Health Net	$13	32%
United	$13 - $57	32%
Magellan	$13	32%
Devoted	$13	32%
Sentara Health	$13	32%
Virginia Premier Health	$13	32%
Aetna	$13 - $33	32%
Triatlantic	$13	32%
Evernorth Behavioral Health	$13	32%
Cigna	$13 - $30	32%
Lifeworks	$14	35%
Pyramid Life	$14	35%
Clear Spring Health Plan	$14	35%
Align Senior Care	$14	35%
Universal Healthcare Group	$16	40%
Virginia Health Network	$26 - $52	64%
Greenvbrier Sporting Club	$44	109%
Corvel	$53	131%
Richfield Nursing Center	$55	136%
Richfield Retirement Community	$55	136%
Multiplan	$56	139%
One Health Plan	$58	144%
Community Care Network	$58	144%
Occunet Workers Comp	$58	144%
Graham-White Manufacturing	$58	144%
Patients Choice	$64	158%
4Most	$66	163%
American Postal Workers Union	$66	163%
PHCS	$66	163%
Star Transportation	$66	163%

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 $73.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0279.

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 HCPCS code G0279.
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.