CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Lewisgale Hospital Alleghany

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $582
Cash Discount Price: $1,078
vs. Medicare Baseline: 6.55x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Lewisgale Hospital Alleghany is $582. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,078. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.55x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$1,078

Average discount available for prompt cash payment at this facility.

Insurance Median

$582

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: $1,078 (1212%)

Insurance Median: $582 (655%)

Cash: $1,078 (1212% of Medicare)

Ins. Median: $582 (655% 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 655% of the Medicare baseline (a markup of 555%). 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	$54 - $236	61%
United	$182 - $485	205%
Lifeworks	$205	231%
Universal Healthcare Group	$237	267%
Virginia Health Network	$377 - $765	424%
Aetna	$582	655%
Greenvbrier Sporting Club	$647	728%
Corvel	$776	873%
Csx Hotels	$862	970%
Occunet Workers Comp	$862	970%
Health Payors Organization	$916	1030%
American Postal Workers Union	$970	1091%
One Health Plan	$970	1091%
4Most	$970	1091%
Multiplan	$970	1091%
Community Care Network	$970	1091%
C&O Employees Hospital Assn	$970	1091%
Alleghany Highland Community	$970	1091%

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 $1,078.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

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 72040.
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.