Price Comparison Report
Emergency Room Visit — High Acuity (Level 4)
Roanoke, VA · 7 facilities · CPT 99284 · September 06, 2026
Summary
7 facilities within 25 miles of Roanoke publish prices for Emergency Room Visit — High Acuity (Level 4). Cash prices range from $644 to $1,945 — a 3.0x difference for an identical procedure. The Virginia average is $1,514.
Choosing the lowest-priced facility over the highest saves $1,300.
Carilion Giles Community Hospital
Pearisburg, VA · Carilion Clinic · 0.1 mi
Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 83%. Cash price of $762 is below the statewide average of $1,514.
All facilities ranked by price
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 | $644 | $1,289 | 2.0x | 3/5 | 71.0% | Nonprofit |
| 2 | Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi | $762 | $2,178 | 2.86x | 4/5 | 83.0% | Nonprofit |
| 3 | Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi | $762 | $2,178 | 2.86x | 4/5 | 69.0% | Nonprofit |
| 4 | Carilion Franklin Memorial Hospital Carilion Clinic Rocky Mount, VA · 19.0 mi | $762 | $2,178 | 2.86x | 4/5 | — | Nonprofit |
| 5 | Carilion Rockbridge Community Hospital Carilion Clinic Lexington, VA · 0.1 mi | $762 | $2,178 | 2.86x | 3/5 | 75.0% | Nonprofit |
| 6 | Sovah Health Danville Danville, VA · 0.1 mi | $979 | $2,448 | 2.5x | 2/5 | 59.0% | For-profit |
| 7 | Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi | $1,945 | $1,945 | 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 — High Acuity (Level 4). Your actual out-of-pocket cost depends on your deductible status and copay structure.
Sentara Halifax Regional Hospital
Cash: $644| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $419 | -$226 |
| Humana | Medicare Managed Care Plan | $423 | -$222 |
| Blue Cross Blue Shield | Anthem Medicare Managed Care Plan | $430 | -$215 |
| UnitedHealthcare | Snp Medicare Managed Care Plan | $431 | -$214 |
| Blue Cross Blue Shield | Anthem Exchange | $1,315 | +$671 |
| Blue Cross Blue Shield | Anthem Hmo | $1,414 | +$770 |
| Blue Cross Blue Shield | Anthem Ppo | $1,458 | +$813 |
Carilion Giles Community Hospital
Cash: $762| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Anthem | Managed Medicaid | $87 | -$675 |
| Sentara Health Plan | Managed Medicaid | $88 | -$674 |
| UnitedHealthcare | Managed Medicaid | $91 | -$671 |
| Humana | Managed Medicaid | $91 | -$671 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $91 | -$671 |
| Humana | Tricare | $376 | -$386 |
| Humana | Dual Eligible | $382 | -$380 |
| Anthem | Medicare Advantage | $398 | -$365 |
| Humana | Medicare Advantage | $398 | -$365 |
| Aetna | Medicare Advantage | $401 | -$361 |
| UnitedHealthcare | Medicare Advantage | $401 | -$361 |
| Sentara Health Plan | Medicare Advantage | $409 | -$353 |
| Aetna | Choice POS II | $1,128 | +$366 |
| Gateway - Tier 3 | Commercial | $1,198 | +$436 |
14 additional plans not shown.
Carilion New River Valley Medical Center
Cash: $762| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Anthem | Managed Medicaid | $87 | -$675 |
| Sentara Health Plan | Managed Medicaid | $88 | -$674 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $91 | -$671 |
| UnitedHealthcare | Managed Medicaid | $91 | -$671 |
| Humana | Managed Medicaid | $91 | -$671 |
| Humana | Tricare | $376 | -$386 |
| Humana | Dual Eligible | $382 | -$380 |
| Humana | Medicare Advantage | $398 | -$365 |
| Anthem | Medicare Advantage | $398 | -$365 |
| UnitedHealthcare | Medicare Advantage | $401 | -$361 |
| Aetna | Medicare Advantage | $401 | -$361 |
| Sentara Health Plan | Medicare Advantage | $409 | -$353 |
| UnitedHealthcare | Commercial | $1,091 | +$329 |
| Aetna | Commercial | $1,109 | +$346 |
14 additional plans not shown.
Carilion Franklin Memorial Hospital
Cash: $762| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Anthem | Managed Medicaid | $87 | -$675 |
| Sentara Health Plan | Managed Medicaid | $88 | -$674 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $91 | -$671 |
| UnitedHealthcare | Managed Medicaid | $91 | -$671 |
| Humana | Managed Medicaid | $91 | -$671 |
| Humana | Tricare | $376 | -$386 |
| Humana | Dual Eligible | $382 | -$380 |
| Anthem | Medicare Advantage | $398 | -$365 |
| Humana | Medicare Advantage | $398 | -$365 |
| Aetna | Medicare Advantage | $401 | -$361 |
| UnitedHealthcare | Medicare Advantage | $401 | -$361 |
| Sentara Health Plan | Medicare Advantage | $409 | -$353 |
| Aetna | Commercial | $1,109 | +$346 |
| Aetna | Choice POS II | $1,128 | +$366 |
14 additional plans not shown.
Carilion Rockbridge Community Hospital
Cash: $762| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Anthem | Managed Medicaid | $87 | -$675 |
| Sentara Health Plan | Managed Medicaid | $88 | -$674 |
| UnitedHealthcare | Managed Medicaid | $91 | -$671 |
| Humana | Managed Medicaid | $91 | -$671 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $91 | -$671 |
| Aetna | Medicare Advantage | $366 | -$396 |
| Humana | Tricare | $376 | -$386 |
| Humana | Dual Eligible | $382 | -$380 |
| Anthem | Medicare Advantage | $398 | -$365 |
| Humana | Medicare Advantage | $398 | -$365 |
| UnitedHealthcare | Medicare Advantage | $401 | -$361 |
| Sentara Health Plan | Medicare Advantage | $409 | -$353 |
| UnitedHealthcare | Commercial | $1,091 | +$329 |
| Aetna | Commercial | $1,109 | +$346 |
16 additional plans not shown.
Lewisgale Medical Center
Cash: $1,945| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Virginia Health Network | ULTRA | $681 | -$1,264 |
| UnitedHealthcare | OptionsPPO | $739 | -$1,206 |
| UnitedHealthcare | GlobalBenefitPlan | $875 | -$1,070 |
| Greenvbrier Sporting Club | COMM | $1,167 | -$778 |
| Cigna | HMO | $1,204 | -$741 |
| Cigna | PPO | $1,204 | -$741 |
| Virginia Health Network | COMM | $1,381 | -$564 |
| Virginia Health Network | WC | $1,381 | -$564 |
| CorVel | WorkersComp | $1,400 | -$545 |
| CSX Hotels | Product | $1,556 | -$389 |
| OccuNet Workers Comp | WorkersComp | $1,556 | -$389 |
| Health Payors Organization | COMM | $1,653 | -$292 |
| 4Most | COMM | $1,750 | -$194 |
| Alleghany Highland Community | COMM | $1,750 | -$194 |
| American Postal Workers Union | COMM | $1,750 | -$194 |
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 — High Acuity (Level 4) (CPT 99284). 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
Data sources
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
CMS Hospital Compare, updated quarterly
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
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.