ER Visit Level 4 (High) cost in Roanoke, VA
Comparing 7 hospitals within 25 miles
Price range near Roanoke
Sentara Halifax Regional Hospital (3★) has the lowest price — $1,300 less than the most expensive option nearby.
Hospital prices near Roanoke
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Before you schedule
If you end up in the ER in Roanoke for a serious problem, your cash price could range anywhere from about $645 to $1,945 depending on which hospital you're taken to — that's a threefold difference. Carilion Medical Center, the facility shown here, charges $1,307 cash, which is close to the middle of that range and notably lower than the state average of $1,714. Since emergency visits don't give you time to shop around, knowing this tells you that if you're uninsured or thinking about cash pay, Roanoke's prices aren't the highest in Virginia, though they do vary significantly across town.
Before your ER visit (or if you're reviewing a bill afterward), call Carilion's billing department and confirm their cash discount directly — ER bills often include charges you can negotiate down. Ask whether they have financial assistance if your income is limited; many people qualify but don't apply. If you do get billed later, don't assume the first bill is final — hospitals frequently reduce charges when you ask.
Questions to ask when you call
Before scheduling, call the hospital's billing department. These are the exact questions that get you the answers you need.
"What is your cash price for ER Visit Level 4 (High)?"
If you haven't met your deductible, the cash price may be lower than what your insurance negotiates. Many hospitals will honor their published cash price if you ask.
"What will my insurance plan pay for this, and what's my out-of-pocket?"
Get a written estimate. Ask them to include your deductible status and coinsurance percentage. This is called a "Good Faith Estimate" and you're legally entitled to one.
"Are there any other charges I should expect — radiologist, anesthesiologist, or facility fees?"
These prices are facility fees. Your doctor, radiologist, and anesthesiologist bill separately. Ask how much those could add.
ER Visit Level 4 (High) costs $644 at Sentara Halifax Regional Hospital (3-star CMS rating) and up to $1,945 at Lewisgale Medical Center in Roanoke, Virginia — a 3.0x difference for the same procedure across 7 facilities. The Virginia statewide average is $1,842.
What else you should know
Surgery center alternatives
These ambulatory surgery centers are near Roanoke. ASCs often perform outpatient procedures at lower cost than hospitals.
View full data table
| Facility | Cash Price | Gross Charge | Stars | Patient Rating | Ownership | Distance |
|---|---|---|---|---|---|---|
| Sentara Halifax Regional HospitalSentara Health | $644 | $1,289 | 3/5 | 71.0% | Nonprofit | 0.1 mi |
| Sovah Health Danville | $979 | $2,448 | 2/5 | 59.0% | For-profit | 0.1 mi |
| Carilion Stonewall Jackson HospitalCarilion Clinic | $1,129 | $1,881 | 3/5 | 75.0% | Nonprofit | 0.1 mi |
| Carilion Giles Community HospitalCarilion Clinic | $1,307 | $2,178 | 4/5 | 83.0% | Nonprofit | 0.1 mi |
| Carilion New River Valley Medical CenterCarilion Clinic | $1,307 | $2,178 | 4/5 | 69.0% | Nonprofit | 0.1 mi |
| Carilion Medical CenterCarilion Clinic | $1,307 | $2,178 | 4/5 | 66.0% | Nonprofit | 0.0 mi |
| Lewisgale Medical CenterHCA Virginia | $1,945 | $1,945 | 2/5 | 57.0% | For-profit | 0.1 mi |
Common questions
How much does ER Visit Level 4 (High) cost in Roanoke, VA?
ER Visit Level 4 (High) costs between $644 and $1,945 at 7 facilities near Roanoke, Virginia. The median price is $1,307. The Virginia statewide average is $1,842.
Which hospital is cheapest for ER Visit Level 4 (High) near Roanoke?
Sentara Halifax Regional Hospital has the lowest published cash price at $644. It has a 3-star CMS quality rating and 71.0% patient satisfaction.
Does a cheaper hospital mean lower quality?
No. In Roanoke, the lowest-priced facility (Sentara Halifax Regional Hospital) has a 3-star CMS rating, while the highest-priced facility (Lewisgale Medical Center) has a 2-star rating.
Where does this pricing data come from?
All prices are from each hospital's federally mandated machine-readable file under the CMS Hospital Price Transparency Rule (45 CFR Part 180). Quality ratings are from CMS Hospital Compare. We do not estimate prices. See full methodology →
How much can I save by choosing a different hospital?
The maximum savings for ER Visit Level 4 (High) near Roanoke is $1,300 — the difference between Sentara Halifax Regional Hospital ($644) and Lewisgale Medical Center ($1,945).
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Data compiled from 17 federal sources including CMS Hospital Price Transparency files, Hospital Compare, HCAHPS, and Medicare Cost Reports. Updated April 2026. Full methodology →