Price Comparison Report

Colonoscopy with Biopsy

Roanoke, VA · 7 facilities · CPT 45380 · May 30, 2026

Summary

7 facilities within 25 miles of Roanoke publish prices for Colonoscopy with Biopsy. Cash prices range from $1,923 to $5,594 — a 2.9x difference for an identical procedure. The Virginia average is $3,563.

$1,923 lowest
$5,594 highest
Best Value

Carilion Giles Community Hospital

Pearisburg, VA · Carilion Clinic · 0.1 mi

$1,923 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 $1,923 is below the statewide average of $3,563.

All facilities ranked by price

1
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$1,923
2
Carilion Stonewall Jackson Hospital 3★ · 0.1 mi · Nonprofit
$1,990
3
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$2,088
4
Carilion Medical Center 4★ · 0.0 mi · Nonprofit
$2,507
5
Sovah Health Danville 2★ · 0.1 mi · For-profit
$5,594
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 $1,923 $3,206 1.67x 4/5 83.0% Nonprofit
2 Carilion Stonewall Jackson Hospital Carilion Clinic Lexington, VA · 0.1 mi $1,990 $3,317 1.67x 3/5 75.0% Nonprofit
3 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $2,088 $3,480 1.67x 4/5 69.0% Nonprofit
4 Carilion Medical Center Carilion Clinic Roanoke, VA · 0.0 mi $2,507 $4,179 1.67x 4/5 66.0% Nonprofit
5 Sovah Health Danville Danville, VA · 0.1 mi $5,594 $13,984 2.5x 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: $1,923
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $388 -$1,536
Sentara Health Plan Managed Medicaid $395 -$1,528
Humana Managed Medicaid $406 -$1,517
UnitedHealthcare Managed Medicaid $406 -$1,517
ABH of VA (formerly Coventry) Managed Medicaid $406 -$1,517
Humana Dual Eligible $1,039 -$884
Humana Tricare $1,042 -$882
UnitedHealthcare Medicare Advantage $1,082 -$842
Humana Medicare Advantage $1,082 -$842
Anthem Medicare Advantage $1,092 -$831
Aetna Medicare Advantage $1,092 -$831
Sentara Health Plan Medicare Advantage $1,114 -$810
Aetna Exchange $2,006 +$83
Aetna Commercial $2,132 +$208

15 additional plans not shown.

Carilion Stonewall Jackson Hospital

Cash: $1,990
Insurance Plan Negotiated Rate vs Cash
Medicaid Traditional Medicaid $375 -$1,615
Virginia Premier - CCC Plus CCC Plus $375 -$1,615
Virginia Premier Managed Medicaid $384 -$1,606
HealthKeepers Plus Managed Medicaid $394 -$1,596
Aetna Managed Medicaid $413 -$1,578
Community Plan Managed Medicaid $413 -$1,578
Intotal Health Managed Medicaid $413 -$1,578
Magellan Complete Care Managed Medicaid $413 -$1,578
Magellan Complete Care MLTSS/CCC+ $413 -$1,578
Medicaid Managed Medicaid $413 -$1,578
Aetna Medicare Advantage $763 -$1,227
UnitedHealthcare Medicare Advantage $962 -$1,028
Humana Dual Eligible $1,016 -$974
Humana Medicare Advantage $1,037 -$953
Medicare Traditional Medicare $1,037 -$953

20 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $2,088
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $388 -$1,700
Sentara Health Plan Managed Medicaid $395 -$1,693
ABH of VA (formerly Coventry) Managed Medicaid $406 -$1,682
Humana Managed Medicaid $406 -$1,682
UnitedHealthcare Managed Medicaid $406 -$1,682
Aetna Medicare Advantage $997 -$1,091
Humana Dual Eligible $1,039 -$1,049
Humana Tricare $1,042 -$1,046
Humana Medicare Advantage $1,082 -$1,006
UnitedHealthcare Medicare Advantage $1,082 -$1,006
Anthem Medicare Advantage $1,092 -$996
Sentara Health Plan Medicare Advantage $1,114 -$974
Gateway - Tier 3 Commercial $1,914 -$174
Aetna Exchange $2,006 -$82

15 additional plans not shown.

Carilion Medical Center

Cash: $2,507
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $388 -$2,120
Sentara Health Plan Managed Medicaid $395 -$2,112
UnitedHealthcare Managed Medicaid $406 -$2,101
Humana Managed Medicaid $406 -$2,101
ABH of VA (formerly Coventry) Managed Medicaid $406 -$2,101
Humana Dual Eligible $1,039 -$1,468
Humana Tricare $1,042 -$1,466
Humana Medicare Advantage $1,082 -$1,426
UnitedHealthcare Medicare Advantage $1,082 -$1,426
Anthem Medicare Advantage $1,092 -$1,415
Aetna Medicare Advantage $1,092 -$1,415
Sentara Health Plan Medicare Advantage $1,114 -$1,394
Gateway - Tier 3 Commercial $1,914 -$593
Aetna Exchange $2,006 -$501

15 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
Anthem Anthem Medicare Managed Care Plan $1,233
UnitedHealthcare Snp Medicare Managed Care Plan $1,236
Anthem Anthem Exchange $3,772
Anthem Anthem Hmo $4,055
Anthem 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 Stonewall Jackson 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)
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.