Summary

6 facilities within 25 miles of Roanoke publish prices for Chemotherapy Infusion First Hour. Cash prices range from $653 to $1,564 — a 2.4x difference for an identical procedure. The Virginia average is $1,289.

Choosing the lowest-priced facility over the highest saves $910. The lowest-priced facility (Carilion Giles Community Hospital) has a 4-star CMS quality rating — lower price does not mean lower quality.

$653 lowest
$1,564 highest
Best Value

Carilion Giles Community Hospital

Pearisburg, VA · Carilion Clinic · 0.1 mi

$653 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 $653 is below the statewide average of $1,289.

All facilities ranked by price

1
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$653
2
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$653
3
Carilion Franklin Memorial Hospital 4★ · 19.0 mi · Nonprofit
$653
4
Carilion Rockbridge Community Hospital 3★ · 0.1 mi · Nonprofit
$653
5
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$879
6
Sovah Health Danville 2★ · 0.1 mi · For-profit
$1,564
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $653 $1,867 2.86x 4/5 83.0% Nonprofit
2 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $653 $1,867 2.86x 4/5 69.0% Nonprofit
3 Carilion Franklin Memorial Hospital Carilion Clinic Rocky Mount, VA · 19.0 mi $653 $1,867 2.86x 4/5 Nonprofit
4 Carilion Rockbridge Community Hospital Carilion Clinic Lexington, VA · 0.1 mi $653 $1,867 2.86x 3/5 75.0% Nonprofit
5 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $879 $1,758 2.0x 3/5 71.0% Nonprofit
6 Sovah Health Danville Danville, VA · 0.1 mi $1,564 $3,910 2.5x 2/5 59.0% For-profit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Chemotherapy Infusion First Hour. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion Giles Community Hospital

Cash: $653
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $113 -$540
Sentara Health Plan Managed Medicaid $115 -$538
UnitedHealthcare Managed Medicaid $118 -$535
Humana Managed Medicaid $118 -$535
ABH of VA (formerly Coventry) Managed Medicaid $118 -$535
Humana Tricare $293 -$360
Humana Dual Eligible $302 -$351
Humana Medicare Advantage $315 -$339
Anthem Medicare Advantage $315 -$339
Aetna Medicare Advantage $318 -$336
UnitedHealthcare Medicare Advantage $318 -$336
Sentara Health Plan Medicare Advantage $324 -$330
Aetna Commercial $950 +$297
Aetna Choice POS II $967 +$314

14 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $653
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $113 -$540
Sentara Health Plan Managed Medicaid $115 -$538
ABH of VA (formerly Coventry) Managed Medicaid $118 -$535
Humana Managed Medicaid $118 -$535
UnitedHealthcare Managed Medicaid $118 -$535
Humana Tricare $293 -$360
Humana Dual Eligible $302 -$351
Humana Medicare Advantage $315 -$339
Anthem Medicare Advantage $315 -$339
Aetna Medicare Advantage $318 -$336
UnitedHealthcare Medicare Advantage $318 -$336
Sentara Health Plan Medicare Advantage $324 -$330
Aetna Commercial $950 +$297
Aetna Choice POS II $967 +$314

14 additional plans not shown.

Carilion Franklin Memorial Hospital

Cash: $653
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $113 -$540
Sentara Health Plan Managed Medicaid $115 -$538
Humana Managed Medicaid $118 -$535
ABH of VA (formerly Coventry) Managed Medicaid $118 -$535
UnitedHealthcare Managed Medicaid $118 -$535
Humana Tricare $293 -$360
Humana Dual Eligible $302 -$351
Humana Medicare Advantage $315 -$339
Anthem Medicare Advantage $315 -$339
UnitedHealthcare Medicare Advantage $318 -$336
Aetna Medicare Advantage $318 -$336
Sentara Health Plan Medicare Advantage $324 -$330
Aetna Commercial $950 +$297
Aetna Choice POS II $967 +$314

14 additional plans not shown.

Carilion Rockbridge Community Hospital

Cash: $653
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $113 -$540
Sentara Health Plan Managed Medicaid $115 -$538
Humana Managed Medicaid $118 -$535
ABH of VA (formerly Coventry) Managed Medicaid $118 -$535
UnitedHealthcare Managed Medicaid $118 -$535
Humana Tricare $293 -$360
Humana Dual Eligible $302 -$351
Anthem Medicare Advantage $315 -$339
Humana Medicare Advantage $315 -$339
Aetna Medicare Advantage $318 -$336
UnitedHealthcare Medicare Advantage $318 -$336
Sentara Health Plan Medicare Advantage $324 -$330
UnitedHealthcare Commercial $935 +$282
Aetna Choice POS II $967 +$314

16 additional plans not shown.

Sentara Halifax Regional Hospital

Cash: $879
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $331 -$548
Humana Medicare Managed Care Plan $335 -$544
Blue Cross Blue Shield Anthem Medicare Managed Care Plan $340 -$539
UnitedHealthcare Snp Medicare Managed Care Plan $341 -$538
Blue Cross Blue Shield Anthem Exchange $1,041 +$162
Blue Cross Blue Shield Anthem Hmo $1,119 +$240
Blue Cross Blue Shield Anthem Ppo $1,154 +$275

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 Chemotherapy Infusion First Hour (CPT 96413). 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
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 Franklin Memorial Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Rockbridge Community Hospital Nonprofit Call billing, request Financial Assistance application
Sentara Halifax Regional Hospital Nonprofit Call billing, request Financial Assistance application
Sovah Health Danville 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.