Summary

6 facilities within 25 miles of Roanoke publish prices for Bone Density Scan (DEXA). Cash prices range from $266 to $1,918 — a 7.2x difference for an identical procedure. The Virginia average is $657.

Choosing the lowest-priced facility over the highest saves $1,652.

$266 lowest
$1,918 highest
Best Value

Carilion Giles Community Hospital

Pearisburg, VA · Carilion Clinic · 0.1 mi

$602 Cash price
4/5 CMS rating
83.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 83%. Cash price of $602 is below the statewide average of $657.

All facilities ranked by price

1
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$266
2
Carilion Stonewall Jackson Hospital 3★ · 0.1 mi · Nonprofit
$358
3
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$602
4
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$602
5
Carilion Medical Center 4★ · 0.0 mi · Nonprofit
$602
6
Lewisgale Medical Center 2★ · 0.1 mi · For-profit
$1,918
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $266 $532 2.0x 3/5 71.0% Nonprofit
2 Carilion Stonewall Jackson Hospital Carilion Clinic Lexington, VA · 0.1 mi $358 $596 1.67x 3/5 75.0% Nonprofit
3 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $602 $1,004 1.67x 4/5 83.0% Nonprofit
4 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $602 $1,004 1.67x 4/5 69.0% Nonprofit
5 Carilion Medical Center Carilion Clinic Roanoke, VA · 0.0 mi $602 $1,004 1.67x 4/5 66.0% Nonprofit
6 Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi $1,918 $1,918 1.0x 2/5 57.0% For-profit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Bone Density Scan (DEXA). Your actual out-of-pocket cost depends on your deductible status and copay structure.

Sentara Halifax Regional Hospital

Cash: $266
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $105 -$161
Humana Medicare Managed Care Plan $106 -$160
Anthem Anthem Medicare Managed Care Plan $108 -$158
UnitedHealthcare Snp Medicare Managed Care Plan $108 -$158
UnitedHealthcare All Commercial Plans $116 -$150
Anthem Anthem Exchange $330 +$64
Anthem Anthem Hmo $354 +$88
Anthem Anthem Ppo $365 +$99

Carilion Stonewall Jackson Hospital

Cash: $358
Insurance Plan Negotiated Rate vs Cash
Medicaid Traditional Medicaid $31 -$326
Virginia Premier - CCC Plus CCC Plus $31 -$326
Virginia Premier Managed Medicaid $32 -$325
HealthKeepers Plus Managed Medicaid $33 -$325
Aetna Managed Medicaid $35 -$323
Community Plan Managed Medicaid $35 -$323
Intotal Health Managed Medicaid $35 -$323
Magellan Complete Care Managed Medicaid $35 -$323
Magellan Complete Care MLTSS/CCC+ $35 -$323
Medicaid Managed Medicaid $35 -$323
Humana Dual Eligible $107 -$251
Humana Medicare Advantage $109 -$249
Medicare Traditional Medicare $109 -$249
Anthem Medicare Advantage $114 -$243

21 additional plans not shown.

Carilion Giles Community Hospital

Cash: $602
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $35 -$567
Sentara Health Plan Managed Medicaid $36 -$567
Humana Managed Medicaid $37 -$566
UnitedHealthcare Managed Medicaid $37 -$566
ABH of VA (formerly Coventry) Managed Medicaid $37 -$566
Aetna Medicare Advantage $90 -$512
Humana Dual Eligible $94 -$509
Humana Tricare $94 -$508
UnitedHealthcare Medicare Advantage $98 -$505
Humana Medicare Advantage $98 -$505
Anthem Medicare Advantage $99 -$504
Sentara Health Plan Medicare Advantage $100 -$502
Aetna Exchange $482 -$120
Anthem Exchange $490 -$112

15 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $602
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $35 -$567
Sentara Health Plan Managed Medicaid $36 -$567
Humana Managed Medicaid $37 -$566
UnitedHealthcare Managed Medicaid $37 -$566
ABH of VA (formerly Coventry) Managed Medicaid $37 -$566
Aetna Medicare Advantage $90 -$512
Humana Dual Eligible $94 -$509
Humana Tricare $94 -$508
UnitedHealthcare Medicare Advantage $98 -$505
Humana Medicare Advantage $98 -$505
Anthem Medicare Advantage $99 -$504
Sentara Health Plan Medicare Advantage $100 -$502
Anthem Exchange $405 -$198
Anthem Commercial $450 -$153

15 additional plans not shown.

Carilion Medical Center

Cash: $602
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $35 -$567
Sentara Health Plan Managed Medicaid $36 -$567
Humana Managed Medicaid $37 -$566
UnitedHealthcare Managed Medicaid $37 -$566
ABH of VA (formerly Coventry) Managed Medicaid $37 -$566
Aetna Medicare Advantage $90 -$512
Humana Dual Eligible $94 -$509
Humana Tricare $94 -$508
UnitedHealthcare Medicare Advantage $98 -$505
Humana Medicare Advantage $98 -$505
Anthem Medicare Advantage $99 -$504
Sentara Health Plan Medicare Advantage $100 -$502
Anthem Exchange $466 -$136
Aetna Exchange $482 -$120

15 additional plans not shown.

Lewisgale Medical Center

Cash: $1,918
Insurance Plan Negotiated Rate vs Cash
Anthem HIX $48 -$1,870
Anthem HMO $54 -$1,864
Anthem PPO $54 -$1,864
UnitedHealthcare AllPayerAppendix $245 -$1,673
Lifeworks MCR $364 -$1,554
Universal Healthcare Group MCR $422 -$1,496
Virginia Health Network ULTRA $671 -$1,247
UnitedHealthcare OptionsPPO $729 -$1,189
UnitedHealthcare GlobalBenefitPlan $863 -$1,055
Aetna Broad $1,036 -$882
Greenvbrier Sporting Club COMM $1,151 -$767
Virginia Health Network COMM $1,362 -$556
Virginia Health Network WC $1,362 -$556
CorVel WorkersComp $1,381 -$537
CSX Hotels Product $1,534 -$384

10 additional plans not shown.

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Bone Density Scan (DEXA) (CPT 77080). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Sentara Halifax Regional Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Stonewall Jackson Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Giles Community Hospital Nonprofit Call billing, request Financial Assistance application
Carilion New River Valley Medical Center Nonprofit Call billing, request Financial Assistance application
Carilion Medical Center Nonprofit Call billing, request Financial Assistance application
Lewisgale Medical Center For-profit N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.