CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lewisgale Hospital Alleghany

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $5,130
Cash Discount Price: $10,363
vs. Medicare Baseline: 21.04x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lewisgale Hospital Alleghany is $5,130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,363. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 21.04x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$10,363

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,130

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: $10,363 (4251%)

Insurance Median: $5,130 (2104%)

Cash: $10,363 (4251% of Medicare)

Ins. Median: $5,130 (2104% 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 2104% of the Medicare baseline (a markup of 2004%). 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	$324 - $1,210	133%
United	$518 - $4,663	212%
Lifeworks	$1,969	808%
Universal Healthcare Group	$2,280	935%
Aetna	$2,994 - $5,596	1228%
Virginia Health Network	$3,627 - $7,358	1488%
Greenvbrier Sporting Club	$6,218	2551%
Corvel	$7,461	3061%
Csx Hotels	$8,290	3401%
Occunet Workers Comp	$8,290	3401%
Health Payors Organization	$8,809	3614%
4Most	$9,327	3826%
Multiplan	$9,327	3826%
Alleghany Highland Community	$9,327	3826%
Community Care Network	$9,327	3826%
C&O Employees Hospital Assn	$9,327	3826%
American Postal Workers Union	$9,327	3826%
One Health Plan	$9,327	3826%

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 $10,363.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

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 73721.
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.