Summary

5 facilities within 25 miles of Roanoke publish prices for Transforaminal Epidural Injection. Cash prices range from $599 to $4,104 — a 6.9x difference for an identical procedure. The Virginia average is $1,785.

$599 lowest
$4,104 highest
Best Value

Carilion New River Valley Medical Center

Christiansburg, VA · Carilion Clinic · 0.1 mi

$2,052 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 $2,052 is near the statewide average of $1,785.

All facilities ranked by price

1
Carilion Stonewall Jackson Hospital 3★ · 0.1 mi · Nonprofit
$599
2
Carilion New River Valley Medical Center 4★ · 0.1 mi · Nonprofit
$2,052
3
Sentara Halifax Regional Hospital 3★ · 0.1 mi · Nonprofit
$2,190
4
Carilion Giles Community Hospital 4★ · 0.1 mi · Nonprofit
$4,104
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 $599 $998 1.67x 3/5 75.0% Nonprofit
2 Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi $2,052 $3,420 1.67x 4/5 69.0% Nonprofit
3 Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi $2,190 $4,379 2.0x 3/5 71.0% Nonprofit
4 Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi $4,104 $6,840 1.67x 4/5 83.0% 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 Transforaminal Epidural Injection. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Carilion Stonewall Jackson Hospital

Cash: $599
Insurance Plan Negotiated Rate vs Cash
Medicaid Traditional Medicaid $208 -$391
Virginia Premier - CCC Plus CCC Plus $208 -$391
Virginia Premier Managed Medicaid $213 -$386
HealthKeepers Plus Managed Medicaid $218 -$381
Aetna Managed Medicaid $229 -$370
Community Plan Managed Medicaid $229 -$370
Intotal Health Managed Medicaid $229 -$370
Magellan Complete Care Managed Medicaid $229 -$370
Magellan Complete Care MLTSS/CCC+ $229 -$370
Medicaid Managed Medicaid $229 -$370
Aetna Medicare Advantage $230 -$369
UnitedHealthcare Medicare Advantage $289 -$309
Aetna Commercial $507 -$92
Aetna CC Employee $512 -$87
Optima Health Commercial $592 -$6

18 additional plans not shown.

Carilion New River Valley Medical Center

Cash: $2,052
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $221 -$1,831
Sentara Health Plan Managed Medicaid $225 -$1,827
UnitedHealthcare Managed Medicaid $231 -$1,821
ABH of VA (formerly Coventry) Managed Medicaid $231 -$1,821
Humana Managed Medicaid $231 -$1,821
Humana Dual Eligible $785 -$1,267
Humana Tricare $787 -$1,265
UnitedHealthcare Medicare Advantage $817 -$1,235
Humana Medicare Advantage $817 -$1,235
Aetna Medicare Advantage $825 -$1,227
Anthem Medicare Advantage $825 -$1,227
Sentara Health Plan Medicare Advantage $841 -$1,211
Aetna Exchange $1,642 -$410
Aetna Commercial $1,741 -$311

15 additional plans not shown.

Carilion Giles Community Hospital

Cash: $4,104
Insurance Plan Negotiated Rate vs Cash
Anthem Managed Medicaid $221 -$3,883
Sentara Health Plan Managed Medicaid $225 -$3,879
ABH of VA (formerly Coventry) Managed Medicaid $231 -$3,873
Humana Managed Medicaid $231 -$3,873
UnitedHealthcare Managed Medicaid $231 -$3,873
Aetna Medicare Advantage $753 -$3,351
Humana Dual Eligible $785 -$3,319
Humana Tricare $787 -$3,317
UnitedHealthcare Medicare Advantage $817 -$3,287
Humana Medicare Advantage $817 -$3,287
Anthem Medicare Advantage $825 -$3,279
Sentara Health Plan Medicare Advantage $841 -$3,263
Aetna Exchange $1,642 -$2,462
UnitedHealthcare Commercial $1,973 -$2,131

15 additional plans not shown.

Lewisgale Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $1,995
Anthem HIX $2,324
Lifeworks MCR $2,550
Anthem HMO $2,583
Anthem PPO $2,583
UnitedHealthcare AllPayerAppendix $3,394
Optima Health HMO $3,551
Optima Health POS $3,551
Optima Health PPO $3,551

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 Transforaminal Epidural Injection (CPT 64483). 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
Carilion New River Valley Medical Center Nonprofit Call billing, request Financial Assistance application
Sentara Halifax Regional Hospital Nonprofit Call billing, request Financial Assistance application
Carilion Giles Community 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.