Summary

7 facilities within 25 miles of Roanoke publish prices for Emergency Room Visit — Moderate (Level 3). Cash prices range from $421 to $1,272 — a 3.0x difference for an identical procedure. The Virginia average is $1,104.

Choosing the lowest-priced facility over the highest saves $851.

$421 lowest
$1,272 highest
Best Value

Carilion Giles Community Hospital

Pearisburg, VA · Carilion Clinic · 0.1 mi

$462 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 $462 is below the statewide average of $1,104.

All facilities ranked by price

1
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$421
2
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$462
3
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$462
4
Carilion Franklin Memorial Hospital 4★ · 19.0 mi · Nonprofit
$462
5
Carilion Rockbridge Community Hospital 3★ · 0.1 mi · Nonprofit
$462
6
Sovah Health Danville 2★ · 0.1 mi · For-profit
$570
7
Lewisgale Medical Center 2★ · 0.1 mi · For-profit
$1,272
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 $421 $842 2.0x 3/5 71.0% Nonprofit
2 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $462 $1,320 2.86x 4/5 83.0% Nonprofit
3 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $462 $1,320 2.86x 4/5 69.0% Nonprofit
4 Carilion Franklin Memorial Hospital Carilion Clinic Rocky Mount, VA · 19.0 mi $462 $1,320 2.86x 4/5 Nonprofit
5 Carilion Rockbridge Community Hospital Carilion Clinic Lexington, VA · 0.1 mi $462 $1,320 2.86x 3/5 75.0% Nonprofit
6 Sovah Health Danville Danville, VA · 0.1 mi $570 $1,424 2.5x 2/5 59.0% For-profit
7 Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi $1,272 $1,272 1.0x 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 Emergency Room Visit — Moderate (Level 3). Your actual out-of-pocket cost depends on your deductible status and copay structure.

Sentara Halifax Regional Hospital

Cash: $421
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $274 -$147
Humana Medicare Managed Care Plan $276 -$144
Blue Cross Blue Shield Anthem Medicare Managed Care Plan $281 -$140
UnitedHealthcare Snp Medicare Managed Care Plan $282 -$139
Blue Cross Blue Shield Anthem Exchange $860 +$439
Blue Cross Blue Shield Anthem Hmo $925 +$504
Blue Cross Blue Shield Anthem Ppo $954 +$533

Carilion Giles Community Hospital

Cash: $462
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $51 -$411
Sentara Health Plan Managed Medicaid $52 -$410
ABH of VA (formerly Coventry) Managed Medicaid $53 -$409
UnitedHealthcare Managed Medicaid $53 -$409
Humana Managed Medicaid $53 -$409
Humana Tricare $248 -$214
Humana Dual Eligible $250 -$212
Humana Medicare Advantage $260 -$202
Anthem Medicare Advantage $260 -$202
Aetna Medicare Advantage $263 -$199
UnitedHealthcare Medicare Advantage $263 -$199
Sentara Health Plan Medicare Advantage $268 -$194
UnitedHealthcare Commercial $661 +$199
Aetna Commercial $672 +$210

14 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $462
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $51 -$411
Sentara Health Plan Managed Medicaid $52 -$410
ABH of VA (formerly Coventry) Managed Medicaid $53 -$409
Humana Managed Medicaid $53 -$409
UnitedHealthcare Managed Medicaid $53 -$409
Humana Tricare $248 -$214
Humana Dual Eligible $250 -$212
Humana Medicare Advantage $260 -$202
Anthem Medicare Advantage $260 -$202
Aetna Medicare Advantage $263 -$199
UnitedHealthcare Medicare Advantage $263 -$199
Sentara Health Plan Medicare Advantage $268 -$194
Aetna Commercial $672 +$210
Aetna Choice POS II $684 +$222

14 additional plans not shown.

Carilion Franklin Memorial Hospital

Cash: $462
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $51 -$411
Sentara Health Plan Managed Medicaid $52 -$410
ABH of VA (formerly Coventry) Managed Medicaid $53 -$409
UnitedHealthcare Managed Medicaid $53 -$409
Humana Managed Medicaid $53 -$409
Humana Tricare $248 -$214
Humana Dual Eligible $250 -$212
Anthem Medicare Advantage $260 -$202
Humana Medicare Advantage $260 -$202
Aetna Medicare Advantage $263 -$199
UnitedHealthcare Medicare Advantage $263 -$199
Sentara Health Plan Medicare Advantage $268 -$194
Aetna Choice POS II $684 +$222
Gateway - Tier 3 Commercial $726 +$264

14 additional plans not shown.

Carilion Rockbridge Community Hospital

Cash: $462
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $51 -$411
Sentara Health Plan Managed Medicaid $52 -$410
UnitedHealthcare Managed Medicaid $53 -$409
Humana Managed Medicaid $53 -$409
ABH of VA (formerly Coventry) Managed Medicaid $53 -$409
Aetna Medicare Advantage $240 -$222
Humana Tricare $248 -$214
Humana Dual Eligible $250 -$212
Anthem Medicare Advantage $260 -$202
Humana Medicare Advantage $260 -$202
UnitedHealthcare Medicare Advantage $263 -$199
Sentara Health Plan Medicare Advantage $268 -$194
Aetna Commercial $672 +$210
Aetna Choice POS II $684 +$222

16 additional plans not shown.

Lewisgale Medical Center

Cash: $1,272
Insurance Plan Negotiated Rate vs Cash
Virginia Health Network ULTRA $445 -$827
UnitedHealthcare OptionsPPO $483 -$789
UnitedHealthcare GlobalBenefitPlan $572 -$700
Greenvbrier Sporting Club COMM $763 -$509
Cigna HMO $787 -$485
Cigna PPO $787 -$485
Virginia Health Network COMM $903 -$369
Virginia Health Network WC $903 -$369
CorVel WorkersComp $916 -$356
CSX Hotels Product $1,018 -$254
OccuNet Workers Comp WorkersComp $1,018 -$254
Health Payors Organization COMM $1,081 -$191
4Most COMM $1,145 -$127
Alleghany Highland Community COMM $1,145 -$127
American Postal Workers Union COMM $1,145 -$127

14 additional plans not shown.

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 Emergency Room Visit — Moderate (Level 3) (CPT 99283). 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 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)
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.