CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Lewisgale Hospital Alleghany

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $5,267
Cash Discount Price: $10,641
vs. Medicare Baseline: 21.61x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Lewisgale Hospital Alleghany is $5,267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,641. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 21.61x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$10,641

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,267

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: $10,641 (4365%)

Insurance Median: $5,267 (2161%)

Cash: $10,641 (4365% of Medicare)

Ins. Median: $5,267 (2161% 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 2161% of the Medicare baseline (a markup of 2061%). 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	$354 - $1,132	145%
United	$518 - $4,788	212%
Lifeworks	$2,022	829%
Universal Healthcare Group	$2,341	960%
Aetna	$2,994 - $5,746	1228%
Virginia Health Network	$3,724 - $7,555	1528%
Greenvbrier Sporting Club	$6,385	2619%
Corvel	$7,662	3143%
Csx Hotels	$8,513	3492%
Occunet Workers Comp	$8,513	3492%
Health Payors Organization	$9,045	3710%
4Most	$9,577	3929%
Alleghany Highland Community	$9,577	3929%
American Postal Workers Union	$9,577	3929%
C&O Employees Hospital Assn	$9,577	3929%
Community Care Network	$9,577	3929%
Multiplan	$9,577	3929%
One Health Plan	$9,577	3929%

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 $10,641.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

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 72148.
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.