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

Lewisgale Hospital Montgomery in Blacksburg, VA currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Lewisgale Hospital Montgomery's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Lewisgale Hospital Montgomery an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 88 Beds · urban Updated: 2026-09-01

Lewisgale Hospital Montgomery

3700 South Main Street, Blacksburg, VA 24060 · 118 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.68×vs. Fair Market Price

Typical commercial prices here are +68% above the fair benchmark (1.68×) even after accounting for local nurse/doctor wages and patient complexity.

61/100 · Caution

61/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness45

Price Logic97

Peer Alignment63

Clean Billing83

Real Cash Discount6

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.68× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +177% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Lewisgale Hospital Montgomery prices routine shoppable procedures at 5.1× Medicare (median 1.05× Fair BaseRate) while upper-quartile commercial rates jump +177% to 2.91× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#70 of 75 in VA · 92nd State Percentile#2,863 of 3,385 in U.S. · 84th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 77% patient recommendation
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 1.7× markup over Medicare rates
Commercial insurance median sits at 1.05× Fair BaseRate (5.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.91×) jump +177% above the median procedure ratio (Q50 1.05×)
Consolidated metro market (HHI 3,611) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

5.1× Medicare

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

Back-Door Captive & ER1.04× Divergence

5.3× Medicare

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

Quantile Tail Spread+177% Upper Tail

Q25 0.93× · Q50 1.05× · Q75 2.91×

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

5.1× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

1.9× MedicareGood

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

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Lewisgale Hospital Montgomery

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 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`	—	$30,266	$13,413	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,516	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,383	$19,432	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$11,738	$6,109	1.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$10,433	$2,540	4.1×
Inguinal hernia repair CPT Code: `49505`	—	$8,403	$3,629	2.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,105	$8,223	1.0×
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`	—	$7,181	$2,680	2.7×
C-section delivery (full package) CPT Code: `59510`	—	$7,181	$2,975	2.4×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$6,551	$30,775	0.2×
Trauma team activation HCPCS Code: `G0390`	$9,180	$6,564	$1,453	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$4,207	$1,256	3.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,992	$987	3.0×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,921	$855	3.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,921	$981	3.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$7,673	$2,873	$511	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$2,750	$1,021	2.7×
Blood transfusion CPT Code: `36430`	$4,045	$2,628	$498	5.3×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$2,570	$257	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$2,570	$269	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$2,570	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$2,570	$364	unverified
MRI, knee or other leg joint CPT Code: `73721`	$7,551	$2,407	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$6,808	$2,266	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$6,808	$2,266	$338	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,183	$2,260	$583	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$2,968	$1,989	$151	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$4,506	$1,875	$167	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$5,466	$1,802	$258	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$7,056	$1,682	$448	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,977	$1,594	$303	unverified
CT scan, sinuses CPT Code: `70486`	$3,846	$1,280	$166	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,611	$1,066	$126	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,337	$1,090	$272	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$2,340	$956	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,911	$969	$134	unverified
CT scan, head (no contrast) CPT Code: `70450`	$3,316	$903	$160	unverified
X-ray, lower back CPT Code: `72110`	$2,095	$872	$112	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$4,190	$840	$169	unverified
Rabies immune globulin HCPCS Code: `90375`	—	$742	$322	2.3×
X-ray, hand CPT Code: `73130`	$1,863	$743	$93	unverified
X-ray, foot CPT Code: `73630`	$1,493	$707	$92	unverified
CT scan, head (with contrast) CPT Code: `70460`	$4,362	$648	$242	unverified
X-ray, hip CPT Code: `73502`	$1,648	$673	$93	unverified
CT scan, pelvis CPT Code: `72192`	$4,291	$579	$163	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$843	$599	$64	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$1,568	$522	$93	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,942	$544	$168	unverified
X-ray, shoulder CPT Code: `73030`	$1,703	$523	$92	unverified
X-ray, ankle CPT Code: `73610`	$1,863	$524	$93	unverified
X-ray, chest (two views) CPT Code: `71046`	$1,187	$485	$93	unverified
Ultrasound, pelvis CPT Code: `76856`	$2,728	$475	$130	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,182	$482	$148	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$359	$17,936	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$530	$355	$86	unverified
X-ray, chest (single view) CPT Code: `71045`	$772	$295	$92	3.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$406	$292	$201	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	$755	$314	$123	unverified
X-ray, pelvis CPT Code: `72170`	$1,483	$136	$110	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$252	$151	$34	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$179	$120	$35	unverified
Physical therapy (gait training) CPT Code: `97116`	$208	$142	$33	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$202	$129	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$202	$129	$38	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$152	$91	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$3,524	$2,361	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$1,155	$733	$111	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$611	$203	3.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$354	$140	2.5×
Drug screening test HCPCS Code: `G0480`	$421	$337	$116	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$409	$260	$56	unverified
Culture, bacterial CPT Code: `87070`	$343	$206	$9	unverified
Blood test, vitamin D CPT Code: `82306`	$513	$141	$31	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$113	$27	4.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$423	$87	$19	4.6×
Blood test, amylase CPT Code: `82150`	$526	$106	$7	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$150	$107	$37	unverified
Flu vaccine injection HCPCS Code: `G0008`	$154	$109	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$154	$109	$49	unverified
Blood test, magnesium CPT Code: `83735`	$220	$79	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$350	$80	$18	unverified
Orthotic fitting and training CPT Code: `97760`	$202	$48	$51	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$397	$72	$16	unverified
Hepatitis C antibody test CPT Code: `86803`	$343	$68	$15	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$423	$92	$20	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$280	$65	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$206	$15	$3	5.0×
Blood test, liver function panel CPT Code: `80076`	$696	$39	$9	4.3×
Blood test, basic metabolic panel CPT Code: `80048`	$423	$40	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$860	$50	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$529	$64	$14	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$98	$66	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$129	$74	$39	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$95	$67	$49	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$84	$63	$35	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$228	$24	$5	4.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$114	$19	$4	4.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$33	$8	4.1×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Prosthetic fitting and training CPT Code: `97761`	—	$40	$45	0.9×
Blood antibody screen CPT Code: `86850`	$378	$46	$46	unverified
Culture, blood CPT Code: `87040`	$215	$49	$11	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$190	$20	$5	4.0×
Blood test, hemoglobin CPT Code: `85018`	$107	$11	$3	3.7×
Behavioral health living support HCPCS Code: `H2019`	—	$30	$34	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$294	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$30	$38	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$11	$25	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$78	$25	$86	0.3×
Blood test, calcium CPT Code: `82310`	$243	$25	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$300	$46	$10	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$49	$18	$4	unverified
Blood test, lipase CPT Code: `83690`	$193	$33	$7	unverified
Blood test, potassium CPT Code: `84132`	$228	$23	$5	unverified
Blood test, sodium CPT Code: `84295`	$261	$23	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$294	$29	$6	unverified

Showing top 25 high-impact procedures of 118 total

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

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

CMS CCN: 490110

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $30,266

1. Amount on Your Bill or Quote ($) Pre-filled with Lewisgale Hospital Montgomery’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 Montgomery'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 +$59,225 Above Fair BaseRate

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

Your bill ($72,638) is $59,225 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: 540889154

Public IRS & CMS ownership records classify Lewisgale Hospital Montgomery 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 Composite73/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait130 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

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 Montgomery. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-30·administrative_or_closure
Met Requirements
Recorded
2023-12-01·administrative_or_closure
Closure Notice
Recorded
2023-07-12·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (549 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

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

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

Price Index: 0.78× regional baseline

Quality: 74/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-62.6%

Median Household Income$70,769U.S. Census ACS

Local Uninsured Share5.0%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 61/100 · Caution CMS CCN 490110 EIN 540889154

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 490110) ↗ Verify IRS Form 990 (EIN 540889154) ↗ CMS HCRIS Cost Reports ↗

Published MRF File54-0889154_LEWISGALE-HOSPITAL-MONTGOMERY_standardcharges.json

Publication / Vintage2026-09-01 · 310.58 MB

Validated Rate Rows4,092 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490110

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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