CMS Price Transparency Data

X-ray, shoulder

Facility: Lewisgale Hospital Alleghany

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $649
Cash Discount Price: $1,002
vs. Medicare Baseline: 7.30x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Lewisgale Hospital Alleghany is $649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,002. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.30x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$1,002

Average discount available for prompt cash payment at this facility.

Insurance Median

$649

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: $1,002 (1127%)

Insurance Median: $649 (730%)

Cash: $1,002 (1127% of Medicare)

Ins. Median: $649 (730% 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 730% of the Medicare baseline (a markup of 630%). 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	$47 - $212	53%
Lifeworks	$158 - $223	178%
United	$182 - $529	205%
Universal Healthcare Group	$182 - $258	205%
Virginia Health Network	$290 - $834	326%
Aetna	$448 - $634	504%
Greenvbrier Sporting Club	$497 - $705	559%
Corvel	$597 - $846	671%
Csx Hotels	$663 - $940	746%
Occunet Workers Comp	$663 - $940	746%
Health Payors Organization	$705 - $999	793%
4Most	$746 - $1,058	839%
Alleghany Highland Community	$746 - $1,058	839%
American Postal Workers Union	$746 - $1,058	839%
C&O Employees Hospital Assn	$746 - $1,058	839%
Community Care Network	$746 - $1,058	839%
Multiplan	$746 - $1,058	839%
One Health Plan	$746 - $1,058	839%

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 $1,002.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.