Carilion Rockbridge Community Hospital

Lexington, VA · Carilion Clinic · Nonprofit

Carilion Rockbridge Community Hospital is a 3-star nonprofit hospital in Lexington, VA, part of the Carilion Clinic health system. It publishes prices for 61 common procedures, with cash prices ranging from $17 to $8,794. 75.0% of patients rated this hospital 9 or 10 out of 10.

If you have Sentara Health Plan insurance, you're looking at significantly lower negotiated rates here—around $742 per procedure on average, compared to $877 for cash pay. That's the opposite of most hospitals, where cash patients usually save money. But if you're on one of the VHN plans (ULTRA, PLUS, Link, or Secondary Payors), your rates jump to $1,500–$2,400 per procedure, which means your out-of-pocket costs depend heavily on your specific plan and deductible. Call Carilion's billing department before you schedule and ask what your insurance plan negotiated for your specific procedure—the range here is wide enough that knowing your plan's rate matters more than the hospital average.

This is a small 25-bed community hospital, so the procedures they publicly price may not include yours—ask billing to confirm. If cost is a major concern and you have options nearby, that's worth exploring. The hospital does have a charity care program that covered about $560,000 last year, but there's no publicly listed income threshold, so call their financial assistance team directly to ask if you might qualify based on your household income.

Written from data as of 2026-07-30. Prices above are current; figures quoted in this summary reflect that date.

Quality ★★★☆☆ CMS 3-star rating
Patient experience 75.0% rated 9 or 10 out of 10
Mortality Average vs national average
ED wait 198 min median wait time

Safety at this hospital, versus the national average

About average across every metric we track — this hospital sits close to the national rate on infections, mortality and readmissions.

C. diff About the same as the national rate
Mortality About the same as the national rate
Readmissions About the same as the national rate

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: 1 Health Circle, Lexington, VA 24450

Phone: 540-510-6300

Type: Critical Access · 25 beds · Emergency services

What they charge

Every price below is published by Carilion Rockbridge Community Hospital 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
Carotid Duplex Scan Cardiac Tell us what you paid → $470 $1,342 2.86x
Echocardiogram Complete Cardiac Tell us what you paid → $982 $2,806 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
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 → $1,132 $3,235 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 → $67 $191 2.86x
DEXA Scan (Bone Density) Imaging Tell us what you paid → $370 $1,058 2.86x
MRI Brain with Contrast Imaging Tell us what you paid → $1,166 $3,330 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 → $916 $2,617 2.86x
MRI Cervical Spine without Contrast Imaging Tell us what you paid → $1,350 $3,857 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 → $1,349 $3,855 2.86x
MRI Lumbar Spine with and without Contrast Imaging Tell us what you paid → $2,250 $6,428 2.86x
MRI Lumbar Spine without Contrast Imaging Tell us what you paid → $1,258 $3,595 2.86x
MRI Shoulder without Contrast Imaging Tell us what you paid → $1,689 $4,826 2.86x
Screening Mammography Imaging Tell us what you paid → $222 $634 2.86x
Shoulder X-Ray Imaging Tell us what you paid → $323 $924 2.86x
Ultrasound Abdomen Complete Imaging Tell us what you paid → $851 $2,431 2.86x
Ultrasound Pregnancy Imaging Tell us what you paid → $404 $1,155 2.86x
Ultrasound Transvaginal Imaging Tell us what you paid → $589 $1,682 2.86x
Blood Draw / Venipuncture Lab Tell us what you paid → $17 $48 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 → $78 $224 2.86x
Lipid Panel Lab Tell us what you paid → $75 $215 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 → $106 $302 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
Joint Injection Pain Tell us what you paid → $477 $1,364 2.86x
Neuromuscular Re-education Rehab Tell us what you paid → $61 $174 2.86x
Physical Therapy Manual Therapy Rehab Tell us what you paid → $115 $328 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 Rockbridge Community Hospital 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 Rockbridge Community Hospital 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 Rockbridge Community Hospital 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		 61 $1,296 $25 — $13,015
Aetna
Commercial		 61 $1,448 $24 — $12,789
Beech Street
Commercial		 61 $2,327 $44 — $23,115
Cigna
Commercial		 61 $2,022 $38 — $20,125
Connecticare
Commercial		 61 $1,754 $34 — $17,588
Gateway - Tier 1
Commercial		 61 $2,402 $46 — $23,869
Gateway - Tier 2
Commercial		 61 $2,023 $38 — $20,100
Gateway - Tier 3
Commercial		 61 $1,374 $26 — $13,819
Integrated Health Plan
Commercial		 61 $2,150 $41 — $21,356
Sentara Health Plan
Commercial		 61 $1,568 $30 — $15,578

The financial picture

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

Patient revenue $233.0M CMS cost report
Charity care $559,566 0.24% of revenue
Net income $10.0M CMS cost report
Beds 25 licensed beds

Compare these procedures near Roanoke

See how Carilion Rockbridge Community Hospital's prices compare to other hospitals in the Roanoke area for the same procedure.

Chemotherapy Infusion First Hour Carilion Rockbridge Community Hospital: $653 Compare in Roanoke → Carotid Duplex Scan Carilion Rockbridge Community Hospital: $470 Compare in Roanoke → Echocardiogram Complete Carilion Rockbridge Community Hospital: $982 Compare in Roanoke → Stress Echocardiogram Carilion Rockbridge Community Hospital: $1,542 Compare in Roanoke → Skin Biopsy Punch Carilion Rockbridge Community Hospital: $300 Compare in Roanoke → Skin Biopsy Tangential Carilion Rockbridge Community Hospital: $200 Compare in Roanoke → Emergency Room Visit — Critical (Level 5) Carilion Rockbridge Community Hospital: $1,160 Compare in Roanoke → Emergency Room Visit — High Acuity (Level 4) Carilion Rockbridge Community Hospital: $762 Compare in Roanoke →

Other Carilion Clinic hospitals

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

Carilion Giles Community Hospital Pearisburg, VA
4★ CMS
View profile → Carilion New River Valley Medical Center Christiansburg, VA
4★ CMS
View profile → Carilion Franklin Memorial Hospital Rocky Mount, VA
4★ CMS
View profile → Carilion Tazewell Community Hospital Tazewell, VA
View profile →

Other hospitals to compare in VA

Before you schedule, see how Carilion Rockbridge Community Hospital stacks up against these nearby options by price and quality.

Dominion Hospital Falls Church, VA
$248 avg price
View profile → Buchanan General Hospital Grundy, VA
2★ CMS 80% satisfaction $744 avg price
View profile → Carilion Franklin Memorial Hospital Rocky Mount, VA
4★ CMS $852 avg price
View profile → Carilion Giles Community Hospital Pearisburg, VA
4★ CMS 83% satisfaction $875 avg price
View profile → Carilion Tazewell Community Hospital Tazewell, VA
80% satisfaction $967 avg price
View profile → Sentara RMH Medical Center Harrisonburg, VA
4★ CMS 75% satisfaction $1,148 avg price
View profile →

Help us ground-truth published prices

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

Tell us what you paid →

Prices from Carilion Rockbridge Community Hospital'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 →