Summary

4 facilities within 25 miles of Roanoke publish prices for Sleep Study. Cash prices range from $1,918 to $2,626 — a 1.4x difference for an identical procedure. The Virginia average is $3,305.

$1,918 lowest
$2,626 highest
Best Value

Carilion New River Valley Medical Center

Christiansburg, VA · Carilion Clinic · 0.1 mi

$2,626 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 $2,626 is below the statewide average of $3,305.

All facilities ranked by price

1
Carilion Stonewall Jackson Hospital 3★ · 0.1 mi · Nonprofit
$1,918
2
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$2,305
3
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$2,626
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Carilion Stonewall Jackson Hospital Carilion Clinic Lexington, VA · 0.1 mi $1,918 $3,196 1.67x 3/5 75.0% Nonprofit
2 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $2,305 $4,610 2.0x 3/5 71.0% Nonprofit
3 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $2,626 $4,376 1.67x 4/5 69.0% 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 Stonewall Jackson Hospital

Cash: $1,918
Insurance Plan Negotiated Rate vs Cash
Medicaid Traditional Medicaid $511 -$1,407
Virginia Premier - CCC Plus CCC Plus $511 -$1,407
Virginia Premier Managed Medicaid $524 -$1,394
HealthKeepers Plus Managed Medicaid $536 -$1,381
Aetna Managed Medicaid $562 -$1,356
Community Plan Managed Medicaid $562 -$1,356
Intotal Health Managed Medicaid $562 -$1,356
Magellan Complete Care Managed Medicaid $562 -$1,356
Magellan Complete Care MLTSS/CCC+ $562 -$1,356
Medicaid Managed Medicaid $562 -$1,356
Aetna Medicare Advantage $735 -$1,183
Humana Dual Eligible $901 -$1,016
Humana Medicare Advantage $920 -$998
Medicare Traditional Medicare $920 -$998

20 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
Anthem Anthem Medicare Managed Care Plan $885 -$1,420
UnitedHealthcare Snp Medicare Managed Care Plan $887 -$1,418
Anthem Anthem Exchange $2,707 +$402
Anthem Anthem Hmo $2,910 +$605
Anthem Anthem Ppo $3,000 +$695

Carilion New River Valley Medical Center

Cash: $2,626
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $560 -$2,066
Sentara Health Plan Managed Medicaid $571 -$2,055
ABH of VA (formerly Coventry) Managed Medicaid $587 -$2,039
UnitedHealthcare Managed Medicaid $587 -$2,039
Humana Managed Medicaid $587 -$2,039
Aetna Medicare Advantage $860 -$1,765
Humana Dual Eligible $897 -$1,729
Humana Tricare $906 -$1,720
UnitedHealthcare Medicare Advantage $933 -$1,692
Humana Medicare Advantage $933 -$1,692
Anthem Medicare Advantage $943 -$1,683
Sentara Health Plan Medicare Advantage $961 -$1,665
Aetna Exchange $2,100 -$525
Aetna Commercial $2,227 -$398

15 additional plans not shown.

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 Stonewall Jackson Hospital Nonprofit Call billing, request Financial Assistance application
Sentara Halifax Regional Hospital Nonprofit Call billing, request Financial Assistance application
Carilion New River Valley Medical Center 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.