CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lewisgale Hospital Alleghany

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $3,361
Cash Discount Price: $6,789
vs. Medicare Baseline: 18.76x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lewisgale Hospital Alleghany is $3,361. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,789. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 18.76x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$6,789

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,361

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: $6,789 (3789%)

Insurance Median: $3,361 (1876%)

Cash: $6,789 (3789% of Medicare)

Ins. Median: $3,361 (1876% 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 1876% of the Medicare baseline (a markup of 1776%). 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	$269 - $875	150%
United	$402 - $3,055	224%
Lifeworks	$1,290	720%
Universal Healthcare Group	$1,494	834%
Virginia Health Network	$2,376 - $4,820	1326%
Aetna	$2,807 - $3,666	1566%
Greenvbrier Sporting Club	$4,073	2273%
Corvel	$4,888	2728%
Csx Hotels	$5,431	3031%
Occunet Workers Comp	$5,431	3031%
Health Payors Organization	$5,771	3220%
4Most	$6,110	3410%
Alleghany Highland Community	$6,110	3410%
American Postal Workers Union	$6,110	3410%
C&O Employees Hospital Assn	$6,110	3410%
Community Care Network	$6,110	3410%
Multiplan	$6,110	3410%
One Health Plan	$6,110	3410%

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 $6,789.
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 Alleghany 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.