Summary

4 facilities within 25 miles of Roanoke publish prices for Sleep Study. Cash prices range from $1,532 to $2,305 — a 1.5x difference for an identical procedure. The Virginia average is $3,083.

$1,532 lowest
$2,305 highest
Best Value

Carilion New River Valley Medical Center

Christiansburg, VA · Carilion Clinic · 0.1 mi

$1,532 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 $1,532 is below the statewide average of $3,083.

All facilities ranked by price

1
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$1,532
2
Carilion Rockbridge Community Hospital 3★ · 0.1 mi · Nonprofit
$1,532
3
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$2,305
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 $1,532 $4,376 2.86x 4/5 69.0% Nonprofit
2 Carilion Rockbridge Community Hospital Carilion Clinic Lexington, VA · 0.1 mi $1,532 $4,376 2.86x 3/5 75.0% Nonprofit
3 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $2,305 $4,610 2.0x 3/5 71.0% Nonprofit
4 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 Sleep Study. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion New River Valley Medical Center

Cash: $1,532
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $560 -$971
Sentara Health Plan Managed Medicaid $571 -$961
UnitedHealthcare Managed Medicaid $587 -$945
Humana Managed Medicaid $587 -$945
ABH of VA (formerly Coventry) Managed Medicaid $587 -$945
Humana Dual Eligible $786 -$746
Humana Medicare Advantage $818 -$714
Anthem Medicare Advantage $818 -$714
UnitedHealthcare Medicare Advantage $826 -$705
Aetna Medicare Advantage $826 -$705
Sentara Health Plan Medicare Advantage $842 -$689
Humana Tricare $906 -$626
UnitedHealthcare Commercial $2,192 +$661
Aetna Choice POS II $2,267 +$735

14 additional plans not shown.

Carilion Rockbridge Community Hospital

Cash: $1,532
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $560 -$971
Sentara Health Plan Managed Medicaid $571 -$961
Humana Managed Medicaid $587 -$945
ABH of VA (formerly Coventry) Managed Medicaid $587 -$945
UnitedHealthcare Managed Medicaid $587 -$945
Humana Dual Eligible $786 -$746
Anthem Medicare Advantage $818 -$714
Humana Medicare Advantage $818 -$714
UnitedHealthcare Medicare Advantage $826 -$705
Aetna Medicare Advantage $826 -$705
Sentara Health Plan Medicare Advantage $842 -$689
Humana Tricare $906 -$626
UnitedHealthcare Commercial $2,192 +$661
Aetna Choice POS II $2,267 +$735

16 additional plans not shown.

Sentara Halifax Regional Hospital

Cash: $2,305
Insurance Plan Negotiated Rate vs Cash
Sentara Health Plan Medicare Managed Care Plan $861 -$1,444
Humana Medicare Managed Care Plan $870 -$1,435
Blue Cross Blue Shield Anthem Medicare Managed Care Plan $885 -$1,420
UnitedHealthcare Snp Medicare Managed Care Plan $887 -$1,418
Blue Cross Blue Shield Anthem Exchange $2,707 +$402
Blue Cross Blue Shield Anthem Hmo $2,910 +$605
Blue Cross Blue Shield Anthem Ppo $3,000 +$695

Lewisgale Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
UnitedHealthcare AllPayerAppendix $2,126
Anthem HIX $2,463
Anthem HMO $2,736
Anthem PPO $2,736

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 Sleep Study (CPT 95810). 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 Rockbridge Community Hospital 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.