CMS Price Transparency Data

CT scan, pelvis

Facility: Lewisgale Hospital Alleghany

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,713
Cash Discount Price: $4,849
vs. Medicare Baseline: 25.40x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Lewisgale Hospital Alleghany is $2,713. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,849. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 25.40x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$4,849

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,713

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: $4,849 (4540%)

Insurance Median: $2,713 (2540%)

Cash: $4,849 (4540% of Medicare)

Ins. Median: $2,713 (2540% 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 2540% of the Medicare baseline (a markup of 2440%). 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 - $2,182	229%
Blue Cross Blue Shield	$257 - $782	241%
Lifeworks	$921	862%
Universal Healthcare Group	$1,067	999%
Virginia Health Network	$1,697 - $3,443	1589%
Aetna	$2,618 - $2,807	2451%
Greenvbrier Sporting Club	$2,909	2724%
Corvel	$3,491	3268%
Csx Hotels	$3,879	3632%
Occunet Workers Comp	$3,879	3632%
Health Payors Organization	$4,122	3859%
4Most	$4,364	4086%
Alleghany Highland Community	$4,364	4086%
American Postal Workers Union	$4,364	4086%
C&O Employees Hospital Assn	$4,364	4086%
Community Care Network	$4,364	4086%
Multiplan	$4,364	4086%
One Health Plan	$4,364	4086%

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 $4,849.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

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 72192.
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.