Summary

7 facilities within 25 miles of Roanoke publish prices for Colonoscopy with Polyp Removal. Cash prices range from $2,441 to $6,128 — a 2.5x difference for an identical procedure. The Virginia average is $3,566.

$2,441 lowest
$6,128 highest
Best Value

Carilion Giles Community Hospital

Pearisburg, VA · Carilion Clinic · 0.1 mi

$2,441 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 $2,441 is below the statewide average of $3,566.

All facilities ranked by price

1
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$2,441
2
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$2,507
3
Carilion Medical Center 4★ · 0.0 mi · Nonprofit
$2,650
4
Carilion Stonewall Jackson Hospital 3★ · 0.1 mi · Nonprofit
$2,975
5
Sovah Health Danville 2★ · 0.1 mi · For-profit
$6,128
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 $2,441 $4,068 1.67x 4/5 83.0% Nonprofit
2 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $2,507 $4,179 1.67x 4/5 69.0% Nonprofit
3 Carilion Medical Center Carilion Clinic Roanoke, VA · 0.0 mi $2,650 $4,417 1.67x 4/5 66.0% Nonprofit
4 Carilion Stonewall Jackson Hospital Carilion Clinic Lexington, VA · 0.1 mi $2,975 $4,959 1.67x 3/5 75.0% Nonprofit
5 Sovah Health Danville Danville, VA · 0.1 mi $6,128 $15,320 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 Polyp Removal. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion Giles Community Hospital

Cash: $2,441
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $406 -$2,035
Sentara Health Plan Managed Medicaid $414 -$2,028
Humana Managed Medicaid $425 -$2,016
UnitedHealthcare Managed Medicaid $425 -$2,016
ABH of VA (formerly Coventry) Managed Medicaid $425 -$2,016
Humana Dual Eligible $1,039 -$1,402
Humana Tricare $1,042 -$1,399
UnitedHealthcare Medicare Advantage $1,082 -$1,359
Humana Medicare Advantage $1,082 -$1,359
Aetna Medicare Advantage $1,092 -$1,349
Anthem Medicare Advantage $1,092 -$1,349
Sentara Health Plan Medicare Advantage $1,114 -$1,328
Aetna Exchange $1,953 -$488
Aetna Commercial $2,071 -$370

15 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $2,507
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $406 -$2,102
Sentara Health Plan Managed Medicaid $414 -$2,094
UnitedHealthcare Managed Medicaid $425 -$2,082
ABH of VA (formerly Coventry) Managed Medicaid $425 -$2,082
Humana Managed Medicaid $425 -$2,082
Aetna Medicare Advantage $997 -$1,511
Humana Dual Eligible $1,039 -$1,468
Humana Tricare $1,042 -$1,466
UnitedHealthcare Medicare Advantage $1,082 -$1,426
Humana Medicare Advantage $1,082 -$1,426
Anthem Medicare Advantage $1,092 -$1,415
Sentara Health Plan Medicare Advantage $1,114 -$1,394
Aetna Exchange $2,006 -$501
Aetna Commercial $2,127 -$380

15 additional plans not shown.

Carilion Medical Center

Cash: $2,650
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $406 -$2,244
Sentara Health Plan Managed Medicaid $414 -$2,237
ABH of VA (formerly Coventry) Managed Medicaid $425 -$2,225
UnitedHealthcare Managed Medicaid $425 -$2,225
Humana Managed Medicaid $425 -$2,225
Humana Dual Eligible $1,039 -$1,611
Humana Tricare $1,042 -$1,608
UnitedHealthcare Medicare Advantage $1,082 -$1,569
Humana Medicare Advantage $1,082 -$1,569
Anthem Medicare Advantage $1,092 -$1,558
Aetna Medicare Advantage $1,092 -$1,558
Sentara Health Plan Medicare Advantage $1,114 -$1,537
Aetna Exchange $2,120 -$530
Aetna Choice POS II $2,169 -$481

15 additional plans not shown.

Carilion Stonewall Jackson Hospital

Cash: $2,975
Insurance Plan Negotiated Rate vs Cash
Medicaid Traditional Medicaid $388 -$2,587
Virginia Premier - CCC Plus CCC Plus $388 -$2,587
Virginia Premier Managed Medicaid $398 -$2,577
HealthKeepers Plus Managed Medicaid $408 -$2,568
Aetna Managed Medicaid $427 -$2,548
Community Plan Managed Medicaid $427 -$2,548
Intotal Health Managed Medicaid $427 -$2,548
Magellan Complete Care Managed Medicaid $427 -$2,548
Magellan Complete Care MLTSS/CCC+ $427 -$2,548
Medicaid Managed Medicaid $427 -$2,548
Humana Dual Eligible $1,016 -$1,959
Humana Medicare Advantage $1,037 -$1,938
Medicare Traditional Medicare $1,037 -$1,938
Anthem Medicare Advantage $1,089 -$1,887

18 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 Polyp Removal (CPT 45385). 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 Medical Center Nonprofit Call billing, request Financial Assistance application
Carilion Stonewall Jackson 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.