Summary

7 facilities within 25 miles of Roanoke publish prices for Colonoscopy Diagnostic. Cash prices range from $932 to $5,584 — a 6.0x difference for an identical procedure. The Virginia average is $2,830.

$932 lowest
$5,584 highest
Best Value

Carilion Giles Community Hospital

Pearisburg, VA · Carilion Clinic · 0.1 mi

$1,939 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 $1,939 is below the statewide average of $2,830.

All facilities ranked by price

1
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$932
2
Carilion Stonewall Jackson Hospital 3★ · 0.1 mi · Nonprofit
$1,837
3
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$1,939
4
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$1,939
5
Carilion Medical Center 4★ · 0.0 mi · Nonprofit
$1,939
6
Sovah Health Danville 2★ · 0.1 mi · For-profit
$5,584
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 $932 $1,863 2.0x 3/5 71.0% Nonprofit
2 Carilion Stonewall Jackson Hospital Carilion Clinic Lexington, VA · 0.1 mi $1,837 $3,062 1.67x 3/5 75.0% Nonprofit
3 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $1,939 $3,231 1.67x 4/5 83.0% Nonprofit
4 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $1,939 $3,231 1.67x 4/5 69.0% Nonprofit
5 Carilion Medical Center Carilion Clinic Roanoke, VA · 0.0 mi $1,939 $3,231 1.67x 4/5 66.0% Nonprofit
6 Sovah Health Danville Danville, VA · 0.1 mi $5,584 $13,960 2.5x 2/5 59.0% For-profit
7 Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi 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 Colonoscopy Diagnostic. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Sentara Halifax Regional Hospital

Cash: $932
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $933 +$1
Humana Medicare Managed Care Plan $942 +$10
Anthem Anthem Medicare Managed Care Plan $958 +$26
UnitedHealthcare Snp Medicare Managed Care Plan $960 +$29
Anthem Anthem Exchange $2,931 +$2,000
Anthem Anthem Hmo $3,152 +$2,220
Anthem Anthem Ppo $3,249 +$2,318

Carilion Stonewall Jackson Hospital

Cash: $1,837
Insurance Plan Negotiated Rate vs Cash
Medicaid Traditional Medicaid $290 -$1,547
Virginia Premier - CCC Plus CCC Plus $290 -$1,547
Virginia Premier Managed Medicaid $297 -$1,540
HealthKeepers Plus Managed Medicaid $305 -$1,533
Aetna Managed Medicaid $319 -$1,518
Community Plan Managed Medicaid $319 -$1,518
Intotal Health Managed Medicaid $319 -$1,518
Magellan Complete Care Managed Medicaid $319 -$1,518
Magellan Complete Care MLTSS/CCC+ $319 -$1,518
Medicaid Managed Medicaid $319 -$1,518
Aetna Medicare Advantage $704 -$1,133
Humana Dual Eligible $778 -$1,059
Humana Medicare Advantage $794 -$1,044
Medicare Traditional Medicare $794 -$1,044

20 additional plans not shown.

Carilion Giles Community Hospital

Cash: $1,939
Insurance Plan Negotiated Rate vs Cash
Humana Tricare $96 -$1,842
Anthem Managed Medicaid $304 -$1,635
Sentara Health Plan Managed Medicaid $310 -$1,629
ABH of VA (formerly Coventry) Managed Medicaid $319 -$1,620
UnitedHealthcare Managed Medicaid $319 -$1,620
Humana Managed Medicaid $319 -$1,620
Aetna Medicare Advantage $771 -$1,168
Humana Dual Eligible $804 -$1,135
Humana Medicare Advantage $836 -$1,102
UnitedHealthcare Medicare Advantage $836 -$1,102
Anthem Medicare Advantage $845 -$1,094
Sentara Health Plan Medicare Advantage $861 -$1,078
Aetna Exchange $1,551 -$388
Aetna Choice POS II $1,677 -$262

15 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $1,939
Insurance Plan Negotiated Rate vs Cash
Humana Tricare $96 -$1,842
Anthem Managed Medicaid $304 -$1,635
Sentara Health Plan Managed Medicaid $310 -$1,629
ABH of VA (formerly Coventry) Managed Medicaid $319 -$1,620
Humana Managed Medicaid $319 -$1,620
UnitedHealthcare Managed Medicaid $319 -$1,620
Humana Dual Eligible $804 -$1,135
UnitedHealthcare Medicare Advantage $836 -$1,102
Humana Medicare Advantage $836 -$1,102
Aetna Medicare Advantage $845 -$1,094
Anthem Medicare Advantage $845 -$1,094
Sentara Health Plan Medicare Advantage $861 -$1,078
Aetna Exchange $1,551 -$388
UnitedHealthcare Commercial $1,620 -$319

15 additional plans not shown.

Carilion Medical Center

Cash: $1,939
Insurance Plan Negotiated Rate vs Cash
Humana Tricare $96 -$1,842
Anthem Managed Medicaid $304 -$1,635
Sentara Health Plan Managed Medicaid $310 -$1,629
Humana Managed Medicaid $319 -$1,620
ABH of VA (formerly Coventry) Managed Medicaid $319 -$1,620
UnitedHealthcare Managed Medicaid $319 -$1,620
Humana Dual Eligible $804 -$1,135
Humana Medicare Advantage $836 -$1,102
UnitedHealthcare Medicare Advantage $836 -$1,102
Aetna Medicare Advantage $845 -$1,094
Anthem Medicare Advantage $845 -$1,094
Sentara Health Plan Medicare Advantage $861 -$1,078
Aetna Exchange $1,551 -$388
Aetna Choice POS II $1,677 -$262

15 additional plans not shown.

Lewisgale Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $1,995
Anthem HIX $2,324
Lifeworks MCR $2,550
Anthem HMO $2,583
Anthem PPO $2,583
Optima Health HMO $4,845
Optima Health POS $4,845
Optima Health PPO $4,845
UnitedHealthcare AllPayerAppendix $5,393

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 Colonoscopy Diagnostic (CPT 45378). 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
Sovah Health Danville For-profit N/A (for-profit)
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.