Summary

7 facilities within 25 miles of Roanoke publish prices for MRI Shoulder without Contrast. Cash prices range from $1,311 to $10,363 — a 7.9x difference for an identical procedure. The Virginia average is $2,512.

Choosing the lowest-priced facility over the highest saves $9,051. The lowest-priced facility (Carilion New River Valley Medical Center) has a 4-star CMS quality rating — lower price does not mean lower quality.

$1,311 lowest
$10,363 highest
Best Value

Carilion New River Valley Medical Center

Christiansburg, VA · Carilion Clinic · 0.1 mi

$1,311 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 $1,311 is below the statewide average of $2,512.

All facilities ranked by price

1
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$1,311
2
Carilion Franklin Memorial Hospital 4★ · 19.0 mi · Nonprofit
$1,311
3
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$1,689
4
Carilion Rockbridge Community Hospital 3★ · 0.1 mi · Nonprofit
$1,689
5
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$2,028
6
Sovah Health Danville 2★ · 0.1 mi · For-profit
$4,035
7
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 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $1,311 $3,747 2.86x 4/5 69.0% Nonprofit
2 Carilion Franklin Memorial Hospital Carilion Clinic Rocky Mount, VA · 19.0 mi $1,311 $3,747 2.86x 4/5 Nonprofit
3 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $1,689 $4,826 2.86x 4/5 83.0% Nonprofit
4 Carilion Rockbridge Community Hospital Carilion Clinic Lexington, VA · 0.1 mi $1,689 $4,826 2.86x 3/5 75.0% Nonprofit
5 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $2,028 $4,057 2.0x 3/5 71.0% Nonprofit
6 Sovah Health Danville Danville, VA · 0.1 mi $4,035 $10,088 2.5x 2/5 59.0% For-profit
7 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.

Carilion New River Valley Medical Center

Cash: $1,311
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $187 -$1,125
Sentara Health Plan Managed Medicaid $190 -$1,121
Humana Managed Medicaid $196 -$1,116
ABH of VA (formerly Coventry) Managed Medicaid $196 -$1,116
UnitedHealthcare Managed Medicaid $196 -$1,116
Aetna Medicare Advantage $209 -$1,102
Humana Tricare $214 -$1,097
Humana Dual Eligible $218 -$1,093
Humana Medicare Advantage $227 -$1,084
Anthem Medicare Advantage $227 -$1,084
UnitedHealthcare Medicare Advantage $230 -$1,082
Sentara Health Plan Medicare Advantage $234 -$1,077
Anthem Exchange $912 -$399
Anthem Commercial $1,014 -$298

14 additional plans not shown.

Carilion Franklin Memorial Hospital

Cash: $1,311
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $187 -$1,125
Sentara Health Plan Managed Medicaid $190 -$1,121
Humana Managed Medicaid $196 -$1,116
UnitedHealthcare Managed Medicaid $196 -$1,116
ABH of VA (formerly Coventry) Managed Medicaid $196 -$1,116
Humana Tricare $214 -$1,097
Humana Dual Eligible $218 -$1,093
Humana Medicare Advantage $227 -$1,084
Anthem Medicare Advantage $227 -$1,084
Aetna Medicare Advantage $230 -$1,082
UnitedHealthcare Medicare Advantage $230 -$1,082
Sentara Health Plan Medicare Advantage $234 -$1,077
Anthem Exchange $1,052 -$259
Anthem Commercial $1,169 -$142

14 additional plans not shown.

Carilion Giles Community Hospital

Cash: $1,689
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $187 -$1,502
Sentara Health Plan Managed Medicaid $190 -$1,499
Humana Managed Medicaid $196 -$1,493
UnitedHealthcare Managed Medicaid $196 -$1,493
ABH of VA (formerly Coventry) Managed Medicaid $196 -$1,493
Aetna Medicare Advantage $209 -$1,480
Humana Tricare $214 -$1,475
Humana Dual Eligible $218 -$1,471
Anthem Medicare Advantage $227 -$1,462
Humana Medicare Advantage $227 -$1,462
UnitedHealthcare Medicare Advantage $230 -$1,460
Sentara Health Plan Medicare Advantage $234 -$1,455
Anthem Exchange $1,107 -$582
Anthem Commercial $1,230 -$459

14 additional plans not shown.

Carilion Rockbridge Community Hospital

Cash: $1,689
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $187 -$1,502
Sentara Health Plan Managed Medicaid $190 -$1,499
ABH of VA (formerly Coventry) Managed Medicaid $196 -$1,493
UnitedHealthcare Managed Medicaid $196 -$1,493
Humana Managed Medicaid $196 -$1,493
Humana Tricare $214 -$1,475
Humana Dual Eligible $218 -$1,471
Humana Medicare Advantage $227 -$1,462
Anthem Medicare Advantage $227 -$1,462
UnitedHealthcare Medicare Advantage $230 -$1,460
Aetna Medicare Advantage $230 -$1,460
Sentara Health Plan Medicare Advantage $234 -$1,455
Anthem Exchange $1,002 -$687
Anthem Commercial $1,113 -$576

16 additional plans not shown.

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
Blue Cross Blue Shield Anthem Medicare Managed Care Plan $246 -$1,783
UnitedHealthcare Snp Medicare Managed Care Plan $246 -$1,782
UnitedHealthcare All Commercial Plans $558 -$1,470
Blue Cross Blue Shield Anthem Exchange $752 -$1,276
Blue Cross Blue Shield Anthem Hmo $809 -$1,220
Blue Cross Blue Shield Anthem Ppo $834 -$1,195

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
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 Giles Community Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Rockbridge Community Hospital Nonprofit Call billing, request Financial Assistance application
Sentara Halifax Regional 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.