CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Lewisgale Hospital Alleghany

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $3,093
Cash Discount Price: $6,248
vs. Medicare Baseline: 28.96x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Lewisgale Hospital Alleghany is $3,093. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,248. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 28.96x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$6,248

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,093

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: $6,248 (5850%)

Insurance Median: $3,093 (2896%)

Cash: $6,248 (5850% of Medicare)

Ins. Median: $3,093 (2896% 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 2896% of the Medicare baseline (a markup of 2796%). 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
United	$245 - $2,812	229%
Blue Cross Blue Shield	$255 - $782	239%
Lifeworks	$1,187	1111%
Universal Healthcare Group	$1,375	1287%
Virginia Health Network	$2,187 - $4,436	2048%
Aetna	$2,807 - $3,374	2628%
Greenvbrier Sporting Club	$3,749	3510%
Corvel	$4,499	4212%
Csx Hotels	$4,998	4679%
Occunet Workers Comp	$4,998	4679%
Health Payors Organization	$5,311	4972%
4Most	$5,623	5264%
Alleghany Highland Community	$5,623	5264%
American Postal Workers Union	$5,623	5264%
C&O Employees Hospital Assn	$5,623	5264%
Community Care Network	$5,623	5264%
Multiplan	$5,623	5264%
One Health Plan	$5,623	5264%

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 $6,248.
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 Alleghany 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.