How many shoppable procedure prices are published for Lewisgale Hospital Alleghany?

Lewisgale Hospital Alleghany in Low Moor, VA currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lewisgale Hospital Alleghany's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lewisgale Hospital Alleghany's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Lewisgale Hospital Alleghany's CMS Care Compare overall star rating?

CMS Care Compare assigns Lewisgale Hospital Alleghany an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 95 Beds · urban Updated: 2026-09-01

Lewisgale Hospital Alleghany

One Arh Lane - Po Box 7, Low Moor, VA 24457 · 114 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.39×vs. Fair Market Price

Typical commercial prices here are +39% above the fair benchmark (1.39×) even after accounting for local nurse/doctor wages and patient complexity.

63/100 · Caution

63/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness50

Price Logic96

Peer Alignment63

Clean Billing89

Real Cash Discount6

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.39× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +130% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Lewisgale Hospital Alleghany prices routine shoppable procedures at 2.3× Medicare (median 0.97× Fair BaseRate) while upper-quartile commercial rates jump +130% to 2.23× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#54 of 75 in VA · 70th State Percentile#2,439 of 3,385 in U.S. · 72nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.86× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 66% patient recommendation (72/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Commercial insurance median sits at 0.97× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.23×) jump +130% above the median procedure ratio (Q50 0.97×)
Unnegotiated chargemaster list prices average 20.7× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.43× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+130% Upper Tail

Q25 0.86× · Q50 0.97× · Q75 2.23×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

3.3× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Lewisgale Hospital Alleghany

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$30,181	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$30,181	$13,523	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$24,204	$30,775	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,652	$19,432	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,539	$19,087	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,435	$17,936	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$12,718	$6,109	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$8,040	$3,372	2.4×
Inguinal hernia repair CPT Code: `49505`	—	$7,677	$3,629	unverified
Bunion correction surgery CPT Code: `28296`	—	$7,208	$3,446	2.1×
Breast lump removal CPT Code: `19120`	—	$7,208	$3,875	1.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$6,908	$2,680	2.6×
C-section delivery (full package) CPT Code: `59510`	—	$6,908	$2,975	2.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,217	$8,223	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,154	$5,154	$583	8.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,607	$2,540	1.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$4,607	$1,256	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,489	$3,489	$272	12.8×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,609	$855	3.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,609	$981	2.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,609	$987	2.6×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$2,626	$1,021	2.6×
Blood transfusion CPT Code: `36430`	$4,406	$2,449	$498	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$11,341	$1,312	$448	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$17,753	$1,283	$511	unverified
MRI, knee or other leg joint CPT Code: `73721`	$10,363	$858	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$11,774	$773	$343	2.3×
MRI, lower back (no contrast) CPT Code: `72148`	$10,641	$747	$338	2.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$7,793	$694	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$10,162	$625	$303	2.1×
CT scan, head (with contrast) CPT Code: `70460`	$6,789	$582	$242	2.4×
CT scan, sinuses CPT Code: `70486`	$5,793	$536	$166	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$497	$497	$64	7.8×
CT scan, chest (no contrast) CPT Code: `71250`	$6,248	$504	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$6,281	$510	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,559	$506	$168	unverified
CT scan, pelvis CPT Code: `72192`	$4,849	$502	$163	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,812	$473	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,061	$442	$134	unverified
CT scan, head (no contrast) CPT Code: `70450`	$5,902	$407	$160	2.5×
Ultrasound, pelvis CPT Code: `76856`	$2,501	$419	$130	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$384	$384	$201	1.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,545	$338	$126	unverified
X-ray, lower back CPT Code: `72110`	$1,712	$246	$112	2.2×
Rabies immune globulin HCPCS Code: `90375`	—	$257	$322	0.8×
X-ray, hip CPT Code: `73502`	$943	$219	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$1,078	$178	$93	1.9×
X-ray, hand CPT Code: `73130`	$851	$178	$93	1.9×
X-ray, ankle CPT Code: `73610`	$1,627	$174	$93	1.9×
X-ray, shoulder CPT Code: `73030`	$1,002	$162	$92	1.8×
X-ray, foot CPT Code: `73630`	$1,773	$158	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	$1,294	$139	$93	1.5×
X-ray, chest (single view) CPT Code: `71045`	$1,063	$103	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$984	$119	$110	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$3,794	$131	$151	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,043	$111	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$642	$92	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$3,970	$295	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$190	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$1,009	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$125	$140	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$84	$84	$49	1.7×
Speech therapy (language evaluation) CPT Code: `92507`	$212	$76	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$96	$111	0.9×
Prosthetic fitting and training CPT Code: `97761`	—	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$173	$43	$51	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$63	$63	$86	0.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$404	$14	$14	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$30	$34	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$520	$37	$56	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,250	$11	$11	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$308	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$301	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$290	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$424	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$338	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$491	$30	$31	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$343	$19	$20	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$415	$12	$14	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$143	$31	$37	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$290	$33	$40	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$31	$38	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$229	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$306	$5	$5	1.0×
Blood test, potassium CPT Code: `84132`	$181	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$172	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$308	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$221	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$418	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$343	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$552	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$290	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$275	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$778	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$456	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$681	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$814	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$159	$22	$25	0.9×
Blood test, amylase CPT Code: `82150`	$424	$6	$7	0.9×
Physical therapy (gait training) CPT Code: `97116`	$338	$27	$33	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$149	$31	$39	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$244	$30	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$381	$30	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$221	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$340	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$468	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$165	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$11	$25	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$136	$21	$48	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$82	$13	$35	0.4×
Blood antibody screen CPT Code: `86850`	$747	$10	$46	0.2×

Showing top 25 high-impact procedures of 114 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Lewisgale Hospital Alleghany (Zero PHI Required)

CMS CCN: 490126

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $30,181

1. Amount on Your Bill or Quote ($) Pre-filled with Lewisgale Hospital Alleghany’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Lewisgale Hospital Alleghany's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$59,021 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($72,434) is $59,021 above the denoised Fair BaseRate ($13,413) and 5.5× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 541761046

Public IRS & CMS ownership records classify Lewisgale Hospital Alleghany as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait104 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lewisgale Hospital Alleghany. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-29·administrative_or_closure
Met Requirements
Recorded
2024-02-12·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (218 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lewisgale Hospital Alleghany.

Price Index: 1.65× regional baseline

Quality: 69/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-67.9%

Cigna

-54.1%

Median Household Income$55,160U.S. Census ACS

Local Uninsured Share6.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 63/100 · Caution CMS CCN 490126 EIN 541761046

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 490126) ↗ Verify IRS Form 990 (EIN 541761046) ↗ CMS HCRIS Cost Reports ↗

Published MRF File54-1761046_LEWISGALE-HOSPITAL-ALLEGHANY_standardcharges.json

Publication / Vintage2026-09-01 · 255.45 MB

Validated Rate Rows3,759 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490126

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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