CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lewisgale Hospital Alleghany

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $5,828
Cash Discount Price: $11,774
vs. Medicare Baseline: 23.91x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lewisgale Hospital Alleghany is $5,828. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,774. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 23.91x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$11,774

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,828

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $11,774 (4830%)

Insurance Median: $5,828 (2391%)

Cash: $11,774 (4830% of Medicare)

Ins. Median: $5,828 (2391% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 2391% of the Medicare baseline (a markup of 2291%). 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	$350 - $1,154	144%
United	$518 - $5,298	212%
Lifeworks	$2,237	918%
Universal Healthcare Group	$2,590	1062%
Aetna	$2,994 - $6,358	1228%
Virginia Health Network	$4,121 - $8,360	1691%
Greenvbrier Sporting Club	$7,064	2898%
Corvel	$8,477	3477%
Csx Hotels	$9,419	3864%
Occunet Workers Comp	$9,419	3864%
Health Payors Organization	$10,008	4106%
4Most	$10,597	4347%
Alleghany Highland Community	$10,597	4347%
American Postal Workers Union	$10,597	4347%
C&O Employees Hospital Assn	$10,597	4347%
Community Care Network	$10,597	4347%
Multiplan	$10,597	4347%
One Health Plan	$10,597	4347%

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 $11,774.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

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 70551.
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.