Summary

7 facilities within 25 miles of Roanoke publish prices for Physical Therapy Manual Therapy. Cash prices range from $98 to $477 — a 4.8x difference for an identical procedure. The Virginia average is $133.

Choosing the lowest-priced facility over the highest saves $378. The lowest-priced facility (Carilion New River Valley Medical Center) has a 4-star CMS quality rating — lower price does not mean lower quality.

$98 lowest
$477 highest
Best Value

Carilion New River Valley Medical Center

Christiansburg, VA · Carilion Clinic · 0.1 mi

$98 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 $98 is below the statewide average of $133.

All facilities ranked by price

1
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$98
2
Carilion Medical Center 4★ · 0.0 mi · Nonprofit
$98
3
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$100
4
Sovah Health Danville 2★ · 0.1 mi · For-profit
$125
5
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$197
6
Carilion Stonewall Jackson Hospital 3★ · 0.1 mi · Nonprofit
$197
7
Lewisgale Medical Center 2★ · 0.1 mi · For-profit
$477
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 $98 $164 1.67x 4/5 69.0% Nonprofit
2 Carilion Medical Center Carilion Clinic Roanoke, VA · 0.0 mi $98 $164 1.67x 4/5 66.0% Nonprofit
3 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $100 $199 2.0x 3/5 71.0% Nonprofit
4 Sovah Health Danville Danville, VA · 0.1 mi $125 $312 2.5x 2/5 59.0% For-profit
5 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $197 $328 1.67x 4/5 83.0% Nonprofit
6 Carilion Stonewall Jackson Hospital Carilion Clinic Lexington, VA · 0.1 mi $197 $328 1.67x 3/5 75.0% Nonprofit
7 Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi $477 $477 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 Physical Therapy Manual Therapy. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion New River Valley Medical Center

Cash: $98
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $28 -$71
Sentara Health Plan Managed Medicaid $28 -$70
Humana Managed Medicaid $29 -$69
UnitedHealthcare Managed Medicaid $29 -$69
ABH of VA (formerly Coventry) Managed Medicaid $29 -$69
Aetna Exchange $79 -$20
Aetna Choice POS II $85 -$13
Gateway - Tier 3 Commercial $90 -$8
UnitedHealthcare Commercial $95 -$4
Sentara Health Plan Commercial $102 +$3
VHN - ULTRA Commercial $102 +$3
Aetna Commercial $109 +$11
Cigna Commercial $118 +$20
Connecticare Commercial $122 +$24

6 additional plans not shown.

Carilion Medical Center

Cash: $98
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $28 -$71
Sentara Health Plan Managed Medicaid $28 -$70
ABH of VA (formerly Coventry) Managed Medicaid $29 -$69
UnitedHealthcare Managed Medicaid $29 -$69
Humana Managed Medicaid $29 -$69
Aetna Exchange $79 -$20
UnitedHealthcare Commercial $82 -$16
Aetna Choice POS II $85 -$13
Gateway - Tier 3 Commercial $90 -$8
Sentara Health Plan Commercial $102 +$3
VHN - ULTRA Commercial $108 +$10
Aetna Commercial $109 +$11
Cigna Commercial $118 +$20
Connecticare Commercial $122 +$24

6 additional plans not shown.

Sentara Halifax Regional Hospital

Cash: $100
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $28 -$72
Humana Medicare Managed Care Plan $28 -$71
Anthem Anthem Medicare Managed Care Plan $29 -$71
UnitedHealthcare Snp Medicare Managed Care Plan $29 -$71

Carilion Giles Community Hospital

Cash: $197
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $28 -$169
Sentara Health Plan Managed Medicaid $28 -$169
Humana Managed Medicaid $29 -$168
UnitedHealthcare Managed Medicaid $29 -$168
ABH of VA (formerly Coventry) Managed Medicaid $29 -$168
Aetna Exchange $157 -$39
UnitedHealthcare Commercial $164 -$32
Aetna Commercial $167 -$30
Aetna Choice POS II $170 -$27
Gateway - Tier 3 Commercial $180 -$16
Sentara Health Plan Commercial $203 +$7
VHN - ULTRA Commercial $203 +$7
Cigna Commercial $221 +$24
Connecticare Commercial $230 +$33

6 additional plans not shown.

Carilion Stonewall Jackson Hospital

Cash: $197
Insurance Plan Negotiated Rate vs Cash
Medicaid Traditional Medicaid $30 -$167
Virginia Premier - CCC Plus CCC Plus $30 -$167
Virginia Premier Managed Medicaid $30 -$166
HealthKeepers Plus Managed Medicaid $31 -$166
Aetna Managed Medicaid $33 -$164
Community Plan Managed Medicaid $33 -$164
Intotal Health Managed Medicaid $33 -$164
Magellan Complete Care Managed Medicaid $33 -$164
Magellan Complete Care MLTSS/CCC+ $33 -$164
Medicaid Managed Medicaid $33 -$164
Aetna Medicare Advantage $75 -$121
UnitedHealthcare Medicare Advantage $95 -$102
Anthem Exchange $100 -$97
Anthem Commercial $111 -$86
Aetna Commercial $167 -$30

13 additional plans not shown.

Lewisgale Medical Center

Cash: $477
Insurance Plan Negotiated Rate vs Cash
TriAtlantic TRICR $23 -$454
Aetna MGMCR $24 -$453
Devoted MCR $24 -$453
Good Samaritan Hospice COMM $24 -$453
Humana MCR $24 -$453
Sentara Health MCR $24 -$453
UnitedHealthcare VACCN $24 -$453
UnitedHealthcare MCR $24 -$453
Health Net TRICR $24 -$453
UnitedHealthcare MGMCR $24 -$453
Virginia Premier Health MGMCR $25 -$452
Anthem MGMCR $25 -$452
Cigna MCR $25 -$452
Clear Spring Health Plan MCR $25 -$452
Align Senior Care MGMCR $26 -$451

23 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 Physical Therapy Manual Therapy (CPT 97140). 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 Medical Center 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)
Carilion Giles Community Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Stonewall Jackson 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.