CMS Price Transparency Data

X-ray, ankle

Facility: Lewisgale Hospital Alleghany

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $1,043
Cash Discount Price: $1,627
vs. Medicare Baseline: 11.73x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Lewisgale Hospital Alleghany is $1,043. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,627. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.73x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$1,627

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,043

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $1,627 (1830%)

Insurance Median: $1,043 (1173%)

Cash: $1,627 (1830% of Medicare)

Ins. Median: $1,043 (1173% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 1173% of the Medicare baseline (a markup of 1073%). 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	$43 - $220	48%
United	$182 - $878	205%
Lifeworks	$248 - $370	279%
Universal Healthcare Group	$287 - $429	323%
Virginia Health Network	$456 - $1,384	513%
Aetna	$704 - $1,053	792%
Greenvbrier Sporting Club	$782 - $1,170	880%
Corvel	$939 - $1,404	1056%
Csx Hotels	$1,043 - $1,560	1173%
Occunet Workers Comp	$1,043 - $1,560	1173%
Health Payors Organization	$1,108 - $1,658	1246%
4Most	$1,174 - $1,755	1320%
Alleghany Highland Community	$1,174 - $1,755	1320%
American Postal Workers Union	$1,174 - $1,755	1320%
C&O Employees Hospital Assn	$1,174 - $1,755	1320%
Community Care Network	$1,174 - $1,755	1320%
Multiplan	$1,174 - $1,755	1320%
One Health Plan	$1,174 - $1,755	1320%

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 $1,627.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.