CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Lewisgale Hospital Alleghany

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $51
Cash Discount Price: $82
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Lewisgale Hospital Alleghany is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.26x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $82 (203%)

Insurance Median: $51 (126%)

Cash: $82 (203% of Medicare)

Ins. Median: $51 (126% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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.

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
Aetna	$12 - $44	30%
Humana	$12 - $15	30%
United	$12 - $57	30%
United Mine Workers	$12	30%
Sentara Health	$12	30%
Good Samaritan Hospice	$12	30%
United Behavioral Health	$12	30%
Devoted	$12	30%
Virginia Premier Health	$13	32%
Triatlantic	$13	32%
Health Net	$13	32%
Align Senior Care	$13	32%
Blue Cross Blue Shield	$13 - $235	32%
Cigna	$13 - $51	32%
Clear Spring Health Plan	$13	32%
Lifeworks	$16	40%
Universal Healthcare Group	$18	45%
Virginia Health Network	$29 - $58	72%
Greenvbrier Sporting Club	$49	121%
Corvel	$59	146%
Csx Hotels	$66	163%
Occunet Workers Comp	$66	163%
Health Payors Organization	$70	173%
Community Care Network	$74	183%
One Health Plan	$74	183%
Multiplan	$74	183%
4Most	$74	183%
Alleghany Highland Community	$74	183%
C&O Employees Hospital Assn	$74	183%
American Postal Workers Union	$74	183%

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 $82.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0279.

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 HCPCS code G0279.
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.