Carilion New River Valley Medical Center is a 4-star nonprofit hospital in Christiansburg, VA, part of the Carilion Clinic health system. It publishes prices for 69 common procedures, with cash prices ranging from $16 to $25,624. 69.0% of patients rated this hospital 9 or 10 out of 10.

If you have Humana or UnitedHealthcare, Carilion New River Valley's negotiated rates with those insurers are roughly half of what Anthem pays—which means your out-of-pocket costs could differ dramatically depending on your plan. Before you schedule, call your insurer's customer service and ask what Carilion New River Valley charges for your specific procedure under your plan; that number matters far more than any average. The hospital's gross charges run about 70 percent higher than their cash price (which averages around $2,400), so if you're uninsured and qualify for financial assistance, it's worth asking—they've spent nearly $2 million on charity care annually.

Ask the hospital billing department three things: first, your exact out-of-pocket cost under your insurance plan for this procedure; second, whether you qualify for their financial assistance program if cost is a concern; and third, the cash price if you wanted to self-pay. The hospital has extensive pricing data available, so they can give you real numbers before you commit. Quality-wise, outcomes here match national rates, so safety isn't a distinguishing factor—your choice should come down to cost fit and convenience for your situation.

Quality ★★★★☆ CMS 4-star rating
Patient experience 69.0% rated 9 or 10 out of 10
Safety No penalties Medicare safety check passed
Medicare cost -2% below national avg

Safety at this hospital, versus the national average

Mixed results. Safer on 1, worse on 1. Read the breakdown below before you decide.

MRSA About the same as the national rate
C. diff 66% fewer infections than the national rate
Bloodstream About the same as the national rate
Mortality About the same as the national rate
Readmissions About the same as the national rate
Medicare quality 27 / 100 · below the national median of 38

Source: CMS Hospital Compare — Healthcare-Associated Infections, Mortality & Readmissions, Value-Based Purchasing (FY 2026). Bars show how this hospital compares to the national rate for each metric.

Address: 2900 Lamb Circle, Christiansburg, VA 24073

Phone: 540-510-6300

Type: Hospital · 94 beds · Emergency services

What they charge

Every price below is published by Carilion New River Valley Medical Center in their federally mandated machine-readable file. Click any procedure to compare with nearby hospitals. Prices as of Dec 2025.

Procedure Cash price Gross charge Markup
Chemotherapy Infusion First Hour Cancer Tell us what you paid → $653 $1,867 2.86x
Cardiovascular Stress Test Cardiac Tell us what you paid → $237 $678 2.86x
Carotid Duplex Scan Cardiac Tell us what you paid → $470 $1,342 2.86x
Coronary Stent Placement Cardiac Tell us what you paid → $25,624 $73,212 2.86x
Echocardiogram Complete Cardiac Tell us what you paid → $982 $2,806 2.86x
Left Heart Catheterization Cardiac Tell us what you paid → $8,222 $23,490 2.86x
Stress Echocardiogram Cardiac Tell us what you paid → $1,542 $4,406 2.86x
Skin Biopsy Punch Dermatology Tell us what you paid → $300 $856 2.86x
Skin Biopsy Tangential Dermatology Tell us what you paid → $200 $570 2.86x
Emergency Room Visit — Critical (Level 5) Emergency Tell us what you paid → $1,160 $3,315 2.86x
Emergency Room Visit — High Acuity (Level 4) Emergency Tell us what you paid → $762 $2,178 2.86x
Emergency Room Visit — Moderate (Level 3) Emergency Tell us what you paid → $462 $1,320 2.86x
HPV High-Risk Test Gynecologic Tell us what you paid → $115 $329 2.86x
Pap Smear Liquid-Based Cytology Gynecologic Tell us what you paid → $66 $188 2.86x
CT Abdomen and Pelvis with Contrast Imaging Tell us what you paid → $1,542 $4,406 2.86x
CT Abdomen and Pelvis without Contrast Imaging Tell us what you paid → $1,191 $3,402 2.86x
CT Angiography Chest Imaging Tell us what you paid → $1,095 $3,129 2.86x
CT Chest with Contrast Imaging Tell us what you paid → $1,029 $2,939 2.86x
CT Chest without Contrast Imaging Tell us what you paid → $869 $2,482 2.86x
CT Head without Contrast Imaging Tell us what you paid → $799 $2,282 2.86x
Chest X-Ray 2 Views Imaging Tell us what you paid → $145 $415 2.86x
DEXA Scan (Bone Density) Imaging Tell us what you paid → $351 $1,004 2.86x
Heart Calcium Score (Cardiac CT) Imaging Tell us what you paid → $225 $642 2.86x
MRI Brain with Contrast Imaging Tell us what you paid → $1,372 $3,920 2.86x
MRI Brain with and without Contrast Imaging Tell us what you paid → $2,298 $6,565 2.86x
MRI Brain without Contrast Imaging Tell us what you paid → $1,192 $3,407 2.86x
MRI Cervical Spine without Contrast Imaging Tell us what you paid → $1,445 $4,128 2.86x
MRI Knee with and without Contrast Imaging Tell us what you paid → $2,424 $6,926 2.86x
MRI Knee without Contrast Imaging Tell us what you paid → $1,353 $3,865 2.86x
MRI Lumbar Spine with and without Contrast Imaging Tell us what you paid → $2,104 $6,010 2.86x
MRI Lumbar Spine without Contrast Imaging Tell us what you paid → $1,252 $3,578 2.86x
MRI Shoulder without Contrast Imaging Tell us what you paid → $1,311 $3,747 2.86x
PET Scan Whole Body Imaging Tell us what you paid → $3,468 $9,908 2.86x
Screening Mammography Imaging Tell us what you paid → $222 $634 2.86x
Shoulder X-Ray Imaging Tell us what you paid → $188 $538 2.86x
Ultrasound Abdomen Complete Imaging Tell us what you paid → $527 $1,507 2.86x
Ultrasound Pregnancy Imaging Tell us what you paid → $404 $1,155 2.86x
Ultrasound Transvaginal Imaging Tell us what you paid → $387 $1,106 2.86x
Blood Draw / Venipuncture Lab Tell us what you paid → $16 $46 2.86x
CBC Complete Blood Count Lab Tell us what you paid → $51 $146 2.86x
Comprehensive Metabolic Panel Lab Tell us what you paid → $170 $487 2.86x
Ferritin Level Lab Tell us what you paid → $64 $182 2.86x
Hemoglobin A1C Lab Tell us what you paid → $49 $140 2.86x
Lipid Panel Lab Tell us what you paid → $64 $183 2.86x
PSA Prostate Screening Lab Tell us what you paid → $72 $207 2.86x
TSH Thyroid Test Lab Tell us what you paid → $98 $279 2.86x
Urinalysis with Microscopy Lab Tell us what you paid → $41 $116 2.86x
Vitamin D Level Lab Tell us what you paid → $111 $317 2.86x
Office Visit Established Patient Level 3 Office Tell us what you paid → $79 $225 2.86x
Office Visit Established Patient Level 4 Office Tell us what you paid → $105 $300 2.86x
Epidural Steroid Injection Pain Tell us what you paid → $980 $2,800 2.86x
Joint Injection Pain Tell us what you paid → $366 $1,047 2.86x
Transforaminal Epidural Injection Pain Tell us what you paid → $1,197 $3,420 2.86x
Neuromuscular Re-education Rehab Tell us what you paid → $57 $164 2.86x
Physical Therapy Manual Therapy Rehab Tell us what you paid → $57 $164 2.86x
Physical Therapy Therapeutic Exercise Rehab Tell us what you paid → $50 $143 2.86x
Therapeutic Activities Rehab Tell us what you paid → $60 $170 2.86x
Colonoscopy Diagnostic Screening Tell us what you paid → $1,131 $3,231 2.86x
Colonoscopy with Biopsy Screening Tell us what you paid → $1,463 $4,179 2.86x
Colonoscopy with Polyp Removal Screening Tell us what you paid → $1,463 $4,179 2.86x
Diagnostic Mammography Bilateral Screening Tell us what you paid → $287 $820 2.86x
Diagnostic Mammography Unilateral Screening Tell us what you paid → $229 $653 2.86x
Screening Colonoscopy Average Risk Screening Tell us what you paid → $1,131 $3,231 2.86x
Screening Colonoscopy High Risk Screening Tell us what you paid → $1,131 $3,231 2.86x
Sleep Study Screening Tell us what you paid → $1,532 $4,376 2.86x
Spirometry Pulmonary Function Test Screening Tell us what you paid → $220 $630 2.86x
Upper GI Endoscopy with Biopsy Surgery Tell us what you paid → $1,163 $3,323 2.86x
ESWL Shockwave Lithotripsy Urologic Tell us what you paid → $8,794 $25,125 2.86x
Prostate Biopsy Urologic Tell us what you paid → $2,541 $7,260 2.86x

What this price typically doesn't include

Procedure codes generally cover the procedure itself. Other services that often appear on the same bill are listed under separate codes — for example:

  • Anesthesia (CPT 00xxx)
  • Pathology, if a sample is taken (CPT 88xxx)
  • Drugs administered during the visit (J-codes)
  • Facility vs. professional split — one charge from the hospital, another from the doctor
  • Room and board, if the procedure is inpatient

Asking what other codes might appear on the bill is a useful follow-up so the total is not a surprise. Once you receive the bill, asking for an itemized statement listing each service code separately makes it easier to match against the disclosed prices above.

Observations about billing-code conventions. Not medical advice. Not legal advice.

Citing this price when you call

A way some patients have asked Carilion New River Valley Medical Center to apply the disclosed cash price to a self-pay visit.

  1. Call billing. 540-510-6300
  2. Cite the disclosed cash price. Reference the specific procedure from the table above. Each cash price was published by Carilion New River Valley Medical Center in its federally-mandated machine-readable file under 45 CFR 180.50.
  3. Ask whether the disclosed price can be applied to your visit as a self-pay patient. Outcomes vary by hospital and by procedure.

The cash prices above are published by Carilion New River Valley Medical Center as part of federal price-transparency rules. Patients have asked billing departments to apply them; results differ. If a different price ends up on your bill, the disclosed amount stays on this page for your reference. You can share what happened on /report-price — it helps the next person.

Not medical advice. Not legal advice. The cash prices shown are published by the hospital under 45 CFR 180; HospitalCost displays them as published.

What your insurance pays here

Average negotiated rates by insurance plan. If the cash price above is lower and you haven't met your deductible, ask billing about paying cash.

Insurance plan Procedures covered Avg negotiated rate Rate range
Aetna
Choice POS II
69 $1,998 $25 — $37,924
Aetna
Commercial
69 $2,251 $31 — $37,265
Cigna
Commercial
69 $2,656 $33 — $49,345
Connecticare
Commercial
69 $2,699 $32 — $51,248
Gateway - Tier 1
Commercial
69 $3,635 $44 — $69,551
Gateway - Tier 2
Commercial
69 $3,086 $38 — $58,570
Gateway - Tier 3
Commercial
69 $2,111 $26 — $40,267
Sentara Health Plan
Commercial
69 $2,390 $29 — $45,391
UnitedHealthcare
Commercial
69 $2,566 $24 — $52,757
VHN
Commercial
69 $3,062 $37 — $58,570

The financial picture

What this hospital earns, spends on charity care, and pays its executives.

Patient revenue $956.0M CMS cost report
Charity care $2.0M 0.21% of revenue
Charge-to-payment 3.93x charges vs Medicare payment
Net income $51.0M CMS cost report
Beds 94 licensed beds

Compare these procedures near Roanoke

See how Carilion New River Valley Medical Center's prices compare to other hospitals in the Roanoke area for the same procedure.

Other Carilion Clinic hospitals

Other hospitals in the Carilion Clinic health system that publish prices.

Other hospitals to compare in VA

Before you schedule, see how Carilion New River Valley Medical Center stacks up against these nearby options by price and quality.

Help us ground-truth published prices

Did you have a procedure at Carilion New River Valley Medical Center? Tell us what you actually paid — anonymously. We use patient-reported prices alongside published rates so the next reader gets a clearer picture.

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Prices from Carilion New River Valley Medical Center's published machine-readable file, dated Dec 2025. Quality and financial data from CMS Hospital Compare, Cost Reports, and IRS Form 990 via ProPublica, compiled August 2026. Full methodology →