CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Lewisgale Hospital Alleghany

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $3,109
Cash Discount Price: $6,281
vs. Medicare Baseline: 29.11x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Lewisgale Hospital Alleghany is $3,109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,281. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 29.11x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$6,281

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,109

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: $6,281 (5881%)

Insurance Median: $3,109 (2911%)

Cash: $6,281 (5881% of Medicare)

Ins. Median: $3,109 (2911% 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 2911% of the Medicare baseline (a markup of 2811%). 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	$239 - $771	224%
United	$245 - $2,826	229%
Lifeworks	$1,193	1117%
Universal Healthcare Group	$1,382	1294%
Virginia Health Network	$2,198 - $4,460	2058%
Aetna	$2,807 - $3,392	2628%
Greenvbrier Sporting Club	$3,769	3529%
Corvel	$4,522	4234%
Occunet Workers Comp	$5,025	4705%
Csx Hotels	$5,025	4705%
Health Payors Organization	$5,339	4999%
4Most	$5,653	5293%
Alleghany Highland Community	$5,653	5293%
American Postal Workers Union	$5,653	5293%
Community Care Network	$5,653	5293%
One Health Plan	$5,653	5293%
Multiplan	$5,653	5293%
C&O Employees Hospital Assn	$5,653	5293%

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 $6,281.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

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 72125.
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.