CMS Price Transparency Data

X-ray, hand

Facility: Lewisgale Hospital Alleghany

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $544
Cash Discount Price: $851
vs. Medicare Baseline: 6.12x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Lewisgale Hospital Alleghany is $544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $851. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.12x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$851

Average discount available for prompt cash payment at this facility.

Insurance Median

$544

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: $851 (957%)

Insurance Median: $544 (612%)

Cash: $851 (957% of Medicare)

Ins. Median: $544 (612% 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 612% of the Medicare baseline (a markup of 512%). 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	$45 - $226	51%
Lifeworks	$129 - $194	145%
Universal Healthcare Group	$150 - $225	169%
United	$182 - $459	205%
Virginia Health Network	$238 - $725	268%
Aetna	$367 - $551	413%
Greenvbrier Sporting Club	$408 - $613	459%
Corvel	$490 - $735	551%
Csx Hotels	$544 - $817	612%
Occunet Workers Comp	$544 - $817	612%
Health Payors Organization	$578 - $868	650%
4Most	$612 - $919	688%
Alleghany Highland Community	$612 - $919	688%
American Postal Workers Union	$612 - $919	688%
C&O Employees Hospital Assn	$612 - $919	688%
Community Care Network	$612 - $919	688%
Multiplan	$612 - $919	688%
One Health Plan	$612 - $919	688%

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 $851.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

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 73130.
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.