Summary

5 facilities within 25 miles of Roanoke publish prices for Skin Biopsy Tangential. Cash prices range from $342 to $467 — a 1.4x difference for an identical procedure. The Virginia average is $327.

$342 lowest
$467 highest
Best Value

Carilion Giles Community Hospital

Pearisburg, VA · Carilion Clinic · 0.1 mi

$342 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 $342 is near the statewide average of $327.

All facilities ranked by price

1
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$342
2
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$342
3
Carilion Medical Center 4★ · 0.0 mi · Nonprofit
$342
4
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$467
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $342 $570 1.67x 4/5 83.0% Nonprofit
2 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $342 $570 1.67x 4/5 69.0% Nonprofit
3 Carilion Medical Center Carilion Clinic Roanoke, VA · 0.0 mi $342 $570 1.67x 4/5 66.0% Nonprofit
4 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $467 $934 2.0x 3/5 71.0% Nonprofit
5 Lewisgale Medical Center HCA Virginia Salem, VA · 0.1 mi 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 Skin Biopsy Tangential. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion Giles Community Hospital

Cash: $342
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $90 -$252
Sentara Health Plan Managed Medicaid $92 -$250
UnitedHealthcare Managed Medicaid $94 -$248
ABH of VA (formerly Coventry) Managed Medicaid $94 -$248
Humana Managed Medicaid $94 -$248
Humana Dual Eligible $175 -$167
Humana Tricare $176 -$166
Humana Medicare Advantage $182 -$160
UnitedHealthcare Medicare Advantage $182 -$160
Aetna Medicare Advantage $184 -$158
Anthem Medicare Advantage $184 -$158
Sentara Health Plan Medicare Advantage $188 -$154
Aetna Exchange $274 -$68
Aetna Choice POS II $296 -$46

15 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $342
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $90 -$252
Sentara Health Plan Managed Medicaid $92 -$250
ABH of VA (formerly Coventry) Managed Medicaid $94 -$248
Humana Managed Medicaid $94 -$248
UnitedHealthcare Managed Medicaid $94 -$248
Aetna Medicare Advantage $168 -$174
Humana Dual Eligible $175 -$167
Humana Tricare $176 -$166
Humana Medicare Advantage $182 -$160
UnitedHealthcare Medicare Advantage $182 -$160
Anthem Medicare Advantage $184 -$158
Sentara Health Plan Medicare Advantage $188 -$154
Aetna Exchange $274 -$68
Aetna Choice POS II $296 -$46

15 additional plans not shown.

Carilion Medical Center

Cash: $342
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $90 -$252
Sentara Health Plan Managed Medicaid $92 -$250
ABH of VA (formerly Coventry) Managed Medicaid $94 -$248
Humana Managed Medicaid $94 -$248
UnitedHealthcare Managed Medicaid $94 -$248
Humana Dual Eligible $175 -$167
Humana Tricare $176 -$166
UnitedHealthcare Medicare Advantage $182 -$160
Humana Medicare Advantage $182 -$160
Anthem Medicare Advantage $184 -$158
Aetna Medicare Advantage $184 -$158
Sentara Health Plan Medicare Advantage $188 -$154
Aetna Exchange $274 -$68
Aetna Commercial $290 -$52

15 additional plans not shown.

Sentara Halifax Regional Hospital

Cash: $467
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $408 -$59
Humana Medicare Managed Care Plan $412 -$55
Anthem Anthem Medicare Managed Care Plan $419 -$48
UnitedHealthcare Snp Medicare Managed Care Plan $420 -$47
Anthem Anthem Exchange $1,281 +$814
Anthem Anthem Hmo $1,378 +$911
Anthem Anthem Ppo $1,420 +$953

Lewisgale Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
UnitedHealthcare AllPayerAppendix $1,828
Universal Healthcare Group MCR $1,995
Anthem HIX $2,324
Lifeworks MCR $2,550
Anthem HMO $2,583
Anthem PPO $2,583

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 Skin Biopsy Tangential (CPT 11102). 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 Giles Community 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
Sentara Halifax Regional 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.