Price range near Roanoke

$188 to $829
4.4x price range Virginia avg: $426

Carilion New River Valley Medical Center (4★) has the lowest price — $640 less than the most expensive option nearby.

Hospital prices near Roanoke

What the data shows

Lowest published price here: Carilion New River Valley Medical Center

Carilion New River Valley Medical Center has the lowest published cash price in this comparison ($188) and Medicare's 4-star CMS rating. Combining lowest price with strong government-rated quality is often a useful starting point — your situation may call for different priorities.

→ Worth verifying with the hospital's billing office, and reading the full profile before deciding.

Information from published hospital prices and Medicare quality data. Not medical advice.

1
Carilion New River Valley Medical Center Carilion Clinic · Nonprofit · 0.1 mi Price as of Dec 2025
Cash price $188
4★ 69.0% satisfied
2
Carilion Franklin Memorial Hospital Carilion Clinic · Nonprofit · 19.0 mi Price as of Dec 2025
Cash price $188
4★
+0% vs lowest Compare
3
Sentara Halifax Regional Hospital Sentara Health · Nonprofit · 0.1 mi Price as of Apr 2026
Cash price $198
3★ 71.0% satisfied
+5% vs lowest Compare
4
Sovah Health Danville For-profit · 0.1 mi · For-profit Price as of Apr 2026
Cash price $293
2★ 59.0% satisfied
+55% vs lowest Compare
5
Carilion Giles Community Hospital Carilion Clinic · Nonprofit · 0.1 mi · Critical Access Price as of Dec 2025
Cash price $323
4★ 83.0% satisfied
+72% vs lowest Compare
6
Carilion Rockbridge Community Hospital Carilion Clinic · Nonprofit · 0.1 mi · Critical Access Price as of Dec 2025
Cash price $323
3★ 75.0% satisfied
+72% vs lowest Compare
7
Lewisgale Medical Center HCA Virginia · For-profit · 0.1 mi · For-profit Price as of Mar 2026
Cash price $829
2★ 57.0% satisfied
+340% vs lowest Compare

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.

Take this comparison with you.

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Before you schedule

Best value Carilion New River Valley Medical Center — $188 4★ CMS rating
You could save $641 by choosing the lowest-priced facility
Virginia average $426 — prices near Roanoke are below average
Call billing before you schedule Ask: "What is the cash price for this procedure?" — if you haven't met your deductible, it may be hundreds less than going through insurance
Expect a separate bill These are facility fees. Your doctor, radiologist, or anesthesiologist bills separately — ask about those costs too

A shoulder X-ray in Roanoke ranges from $198 to $829 depending on where you go—that's a four-fold difference for the same procedure. Carilion Medical Center, the facility listed here, charges $322.80 as a cash price, which is right at the median for the city. The wider issue is that Roanoke's prices overall run lower than the state average of $580, so you're in a relatively affordable market. The real savings opportunity isn't between hospitals here—it's between paying cash upfront versus letting insurance handle it, since gross charges to insurers are typically much higher.

Before you schedule, call Carilion's billing department and ask for their cash price for a shoulder X-ray to confirm it's still $322.80 and whether they'll lock that in if you pay at time of service. If that price feels high, you have room to shop—the $198 minimum shows competitors in your area can do it for significantly less. Ask those cheaper facilities the same question. Get the answer in writing before your appointment so there's no surprise at checkout.

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.

1

"What is your cash price for Shoulder X-Ray?"

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.

2

"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.

3

"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.

Shoulder X-Ray costs $188 at Carilion New River Valley Medical Center (4-star CMS rating) and up to $829 at Lewisgale Medical Center in Roanoke, Virginia — a 4.4x difference for the same procedure across 7 facilities. The Virginia statewide average is $426.

What else you should know

46% of insurance rates exceed the cash price 69 of 151 negotiated rates at these hospitals cost more than paying cash. If you haven't met your deductible, ask for the cash rate. Learn more
Ownership affects price For-profit: avg $561, 2.0★ (2 hospitals). Nonprofit: avg $244, 3.6★ (5 hospitals)

Surgery center alternatives

These ambulatory surgery centers are near Roanoke. ASCs often perform outpatient procedures at lower cost than hospitals.

Roanoke Ambulatory Surgery Center LLC 0.1 mi
Roanoke, VA 24016
Roanoke Valley Center for Sight LLC 0.1 mi
Salem, VA 24153
Carilion Surgery Center New River Valley LLC 0.1 mi
Christiansburg, VA 24073
100% satisfied 128 cases/yr
Roanoke Surgery Center Lp 0.1 mi
Salem, VA 24153
89% satisfied 2171 cases/yr
Fairlawn Surgery Center LLC 0.1 mi
Roanoke, VA 24014
View full data table
FacilityCash PriceGross ChargeStarsPatient RatingOwnershipDistance
Carilion New River Valley Medical CenterCarilion Clinic $188 $538 4/5 69.0% Nonprofit 0.1 mi
Carilion Franklin Memorial HospitalCarilion Clinic $188 $538 4/5 Nonprofit 19.0 mi
Sentara Halifax Regional HospitalSentara Health $198 $396 3/5 71.0% Nonprofit 0.1 mi
Sovah Health Danville $293 $732 2/5 59.0% For-profit 0.1 mi
Carilion Giles Community HospitalCarilion Clinic $323 $924 4/5 83.0% Nonprofit 0.1 mi
Carilion Rockbridge Community HospitalCarilion Clinic $323 $924 3/5 75.0% Nonprofit 0.1 mi
Lewisgale Medical CenterHCA Virginia $829 $829 2/5 57.0% For-profit 0.1 mi

Common questions

How much does Shoulder X-Ray cost in Roanoke, VA?

Shoulder X-Ray costs between $188 and $829 at 7 facilities near Roanoke, Virginia. The median price is $293. The Virginia statewide average is $426.

Which hospital is cheapest for Shoulder X-Ray near Roanoke?

Carilion New River Valley Medical Center has the lowest published cash price at $188. It has a 4-star CMS quality rating and 69.0% patient satisfaction.

Does a cheaper hospital mean lower quality?

No. In Roanoke, the lowest-priced facility (Carilion New River Valley Medical Center) has a 4-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 Shoulder X-Ray near Roanoke is $641 — the difference between Carilion New River Valley Medical Center ($188) and Lewisgale Medical Center ($829).

Each hospital's prices come from its own published price file, dated per facility above. Quality and financial data compiled from CMS Hospital Compare, HCAHPS, and Medicare Cost Reports, August 2026. Full methodology →