Price Comparison Report

Colonoscopy with Biopsy

Roanoke, VA · 7 facilities · CPT 45380 · September 06, 2026

Summary

7 facilities within 25 miles of Roanoke publish prices for Colonoscopy with Biopsy. Cash prices range from $1,463 to $5,207 — a 3.6x difference for an identical procedure. The Virginia average is $3,175.

$1,463 lowest
$5,207 highest
Best Value

Carilion Giles Community Hospital

Pearisburg, VA · Carilion Clinic · 0.1 mi

$1,463 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 $1,463 is below the statewide average of $3,175.

All facilities ranked by price

1
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$1,463
2
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$1,463
3
Carilion Franklin Memorial Hospital 4★ · 19.0 mi · Nonprofit
$1,463
4
Carilion Rockbridge Community Hospital 3★ · 0.1 mi · Nonprofit
$1,463
5
Sovah Health Danville 2★ · 0.1 mi · For-profit
$5,207
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 $1,463 $4,179 2.86x 4/5 83.0% Nonprofit
2 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $1,463 $4,179 2.86x 4/5 69.0% Nonprofit
3 Carilion Franklin Memorial Hospital Carilion Clinic Rocky Mount, VA · 19.0 mi $1,463 $4,179 2.86x 4/5 — Nonprofit
4 Carilion Rockbridge Community Hospital Carilion Clinic Lexington, VA · 0.1 mi $1,463 $4,179 2.86x 3/5 75.0% Nonprofit
5 Sovah Health Danville Danville, VA · 0.1 mi $5,207 $12,629 2.43x 2/5 59.0% For-profit
6 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi — — — 3/5 71.0% Nonprofit
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 with Biopsy. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion Giles Community Hospital

Cash: $1,463
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $388 -$1,075
Sentara Health Plan Managed Medicaid $395 -$1,068
ABH of VA (formerly Coventry) Managed Medicaid $406 -$1,057
Humana Managed Medicaid $406 -$1,057
UnitedHealthcare Managed Medicaid $406 -$1,057
Humana Tricare $1,042 -$421
Aetna Medicare Advantage $1,051 -$412
Humana Dual Eligible $1,095 -$367
Humana Medicare Advantage $1,140 -$323
Anthem Medicare Advantage $1,140 -$323
UnitedHealthcare Medicare Advantage $1,151 -$311
Sentara Health Plan Medicare Advantage $1,174 -$289
Aetna Commercial $2,127 +$664
Aetna Choice POS II $2,165 +$702

14 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $1,463
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $388 -$1,075
Sentara Health Plan Managed Medicaid $395 -$1,068
UnitedHealthcare Managed Medicaid $406 -$1,057
Humana Managed Medicaid $406 -$1,057
ABH of VA (formerly Coventry) Managed Medicaid $406 -$1,057
Humana Tricare $1,042 -$421
Humana Dual Eligible $1,095 -$367
Humana Medicare Advantage $1,140 -$323
Anthem Medicare Advantage $1,140 -$323
UnitedHealthcare Medicare Advantage $1,151 -$311
Aetna Medicare Advantage $1,151 -$311
Sentara Health Plan Medicare Advantage $1,174 -$289
Aetna Choice POS II $2,165 +$702
Gateway - Tier 3 Commercial $2,298 +$836

14 additional plans not shown.

Carilion Franklin Memorial Hospital

Cash: $1,463
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $388 -$1,075
Sentara Health Plan Managed Medicaid $395 -$1,068
ABH of VA (formerly Coventry) Managed Medicaid $406 -$1,057
UnitedHealthcare Managed Medicaid $406 -$1,057
Humana Managed Medicaid $406 -$1,057
Humana Tricare $1,042 -$421
Aetna Medicare Advantage $1,051 -$412
Humana Dual Eligible $1,095 -$367
Humana Medicare Advantage $1,140 -$323
Anthem Medicare Advantage $1,140 -$323
UnitedHealthcare Medicare Advantage $1,151 -$311
Sentara Health Plan Medicare Advantage $1,174 -$289
UnitedHealthcare Commercial $2,094 +$631
Aetna Commercial $2,127 +$664

14 additional plans not shown.

Carilion Rockbridge Community Hospital

Cash: $1,463
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $388 -$1,075
Sentara Health Plan Managed Medicaid $395 -$1,068
UnitedHealthcare Managed Medicaid $406 -$1,057
Humana Managed Medicaid $406 -$1,057
ABH of VA (formerly Coventry) Managed Medicaid $406 -$1,057
Humana Tricare $1,042 -$421
Humana Dual Eligible $1,095 -$367
Anthem Medicare Advantage $1,140 -$323
Humana Medicare Advantage $1,140 -$323
Aetna Medicare Advantage $1,151 -$311
UnitedHealthcare Medicare Advantage $1,151 -$311
Sentara Health Plan Medicare Advantage $1,174 -$289
Aetna Choice POS II $2,165 +$702
Gateway - Tier 3 Commercial $2,298 +$836

16 additional plans not shown.

Sentara Halifax Regional Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Sentara Health Plan Medicare Managed Care Plan $1,200
Humana Medicare Managed Care Plan $1,212
Blue Cross Blue Shield Anthem Medicare Managed Care Plan $1,233
UnitedHealthcare Snp Medicare Managed Care Plan $1,236
Blue Cross Blue Shield Anthem Exchange $3,772
Blue Cross Blue Shield Anthem Hmo $4,055
Blue Cross Blue Shield Anthem Ppo $4,181

Lewisgale Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $1,995
Lifeworks MCR $2,550
Anthem HIX $4,104
Anthem HMO $4,561
Anthem PPO $4,561
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 with Biopsy (CPT 45380). 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
Sovah Health Danville For-profit — N/A (for-profit)
Sentara Halifax Regional Hospital 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.