CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lewisgale Hospital Alleghany

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,858
Cash Discount Price: $7,793
vs. Medicare Baseline: 21.53x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lewisgale Hospital Alleghany is $3,858. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,793. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 21.53x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$7,793

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,858

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: $7,793 (4349%)

Insurance Median: $3,858 (2153%)

Cash: $7,793 (4349% of Medicare)

Ins. Median: $3,858 (2153% 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 2153% of the Medicare baseline (a markup of 2053%). 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	$302 - $1,022	169%
United	$402 - $3,507	224%
Lifeworks	$1,481	826%
Universal Healthcare Group	$1,714	956%
Virginia Health Network	$2,728 - $5,533	1522%
Aetna	$2,807 - $4,208	1566%
Greenvbrier Sporting Club	$4,676	2609%
Corvel	$5,611	3131%
Csx Hotels	$6,234	3479%
Occunet Workers Comp	$6,234	3479%
Health Payors Organization	$6,624	3696%
4Most	$7,014	3914%
Alleghany Highland Community	$7,014	3914%
American Postal Workers Union	$7,014	3914%
C&O Employees Hospital Assn	$7,014	3914%
Community Care Network	$7,014	3914%
Multiplan	$7,014	3914%
One Health Plan	$7,014	3914%

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 $7,793.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.