Summary

6 facilities within 25 miles of Roanoke publish prices for MRI Shoulder without Contrast. Cash prices range from $2,028 to $10,363 — a 5.1x difference for an identical procedure. The Virginia average is $2,778.

Choosing the lowest-priced facility over the highest saves $8,334.

$2,028 lowest
$10,363 highest
Best Value

Carilion New River Valley Medical Center

Christiansburg, VA · Carilion Clinic · 0.1 mi

$2,248 Cash price
4/5 CMS rating
69.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 69%. Cash price of $2,248 is below the statewide average of $2,778.

All facilities ranked by price

1
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$2,028
2
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$2,248
3
Carilion Medical Center 4★ · 0.0 mi · Nonprofit
$2,248
4
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$2,896
5
Sovah Health Danville 2★ · 0.1 mi · For-profit
$3,702
6
Lewisgale Medical Center 2★ · 0.1 mi · For-profit
$10,363
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 $2,028 $4,057 2.0x 3/5 71.0% Nonprofit
2 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $2,248 $3,747 1.67x 4/5 69.0% Nonprofit
3 Carilion Medical Center Carilion Clinic Roanoke, VA · 0.0 mi $2,248 $3,747 1.67x 4/5 66.0% Nonprofit
4 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $2,896 $4,826 1.67x 4/5 83.0% Nonprofit
5 Sovah Health Danville Danville, VA · 0.1 mi $3,702 $9,255 2.5x 2/5 59.0% For-profit
6 Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi $10,363 $10,363 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 MRI Shoulder without Contrast. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Sentara Halifax Regional Hospital

Cash: $2,028
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $239 -$1,789
Humana Medicare Managed Care Plan $242 -$1,787
Anthem Anthem Medicare Managed Care Plan $246 -$1,783
UnitedHealthcare Snp Medicare Managed Care Plan $246 -$1,782
UnitedHealthcare All Commercial Plans $558 -$1,470
Anthem Anthem Exchange $752 -$1,276
Anthem Anthem Hmo $809 -$1,220
Anthem Anthem Ppo $834 -$1,195

Carilion New River Valley Medical Center

Cash: $2,248
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $187 -$2,061
Sentara Health Plan Managed Medicaid $190 -$2,058
Humana Managed Medicaid $196 -$2,053
UnitedHealthcare Managed Medicaid $196 -$2,053
ABH of VA (formerly Coventry) Managed Medicaid $196 -$2,053
Humana Dual Eligible $213 -$2,035
Humana Tricare $214 -$2,034
Humana Medicare Advantage $222 -$2,026
UnitedHealthcare Medicare Advantage $222 -$2,026
Aetna Medicare Advantage $224 -$2,024
Anthem Medicare Advantage $224 -$2,024
Sentara Health Plan Medicare Advantage $228 -$2,020
Anthem Exchange $920 -$1,328
Anthem Commercial $1,022 -$1,226

15 additional plans not shown.

Carilion Medical Center

Cash: $2,248
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $187 -$2,061
Sentara Health Plan Managed Medicaid $190 -$2,058
Humana Managed Medicaid $196 -$2,053
UnitedHealthcare Managed Medicaid $196 -$2,053
ABH of VA (formerly Coventry) Managed Medicaid $196 -$2,053
Humana Dual Eligible $213 -$2,035
Humana Tricare $214 -$2,034
Humana Medicare Advantage $222 -$2,026
UnitedHealthcare Medicare Advantage $222 -$2,026
Aetna Medicare Advantage $224 -$2,024
Anthem Medicare Advantage $224 -$2,024
Sentara Health Plan Medicare Advantage $228 -$2,020
Anthem Exchange $1,059 -$1,189
Anthem Commercial $1,177 -$1,071

15 additional plans not shown.

Carilion Giles Community Hospital

Cash: $2,896
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $187 -$2,709
Sentara Health Plan Managed Medicaid $190 -$2,705
ABH of VA (formerly Coventry) Managed Medicaid $196 -$2,700
Humana Managed Medicaid $196 -$2,700
UnitedHealthcare Managed Medicaid $196 -$2,700
Humana Dual Eligible $213 -$2,683
Humana Tricare $214 -$2,681
UnitedHealthcare Medicare Advantage $222 -$2,674
Humana Medicare Advantage $222 -$2,674
Anthem Medicare Advantage $224 -$2,672
Aetna Medicare Advantage $224 -$2,672
Sentara Health Plan Medicare Advantage $228 -$2,667
Anthem Exchange $1,114 -$1,781
Anthem Commercial $1,238 -$1,658

15 additional plans not shown.

Lewisgale Medical Center

Cash: $10,363
Insurance Plan Negotiated Rate vs Cash
Anthem HIX $326 -$10,037
Anthem HMO $362 -$10,001
Anthem PPO $362 -$10,001
UnitedHealthcare AllPayerAppendix $518 -$9,845
Lifeworks MCR $1,969 -$8,394
Universal Healthcare Group MCR $2,280 -$8,083
Aetna SharedSavings $2,994 -$7,369
Virginia Health Network ULTRA $3,627 -$6,736
UnitedHealthcare OptionsPPO $3,938 -$6,425
UnitedHealthcare GlobalBenefitPlan $4,663 -$5,700
Aetna Broad $5,596 -$4,767
Greenvbrier Sporting Club COMM $6,218 -$4,145
Virginia Health Network COMM $7,358 -$3,005
Virginia Health Network WC $7,358 -$3,005
CorVel WorkersComp $7,461 -$2,902

11 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 MRI Shoulder without Contrast (CPT 73221). 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 New River Valley Medical Center Nonprofit Call billing, request Financial Assistance application
Carilion Medical Center Nonprofit Call billing, request Financial Assistance application
Carilion Giles 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.