Price Comparison Report
Upper GI Endoscopy with Biopsy
Roanoke, VA · 7 facilities · CPT 43239 · May 30, 2026
Summary
7 facilities within 25 miles of Roanoke publish prices for Upper GI Endoscopy with Biopsy. Cash prices range from $1,507 to $5,478 — a 3.6x difference for an identical procedure. The Virginia average is $4,685.
Carilion Giles Community Hospital
Pearisburg, VA · Carilion Clinic · 0.1 mi
Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 83%. Cash price of $1,994 is below the statewide average of $4,685.
All facilities ranked by price
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 | $1,507 | $2,511 | 1.67x | 3/5 | 75.0% | Nonprofit |
| 2 | Carilion Giles Community Hospital Carilion Clinic Pearisburg, VA · 0.1 mi | $1,994 | $3,323 | 1.67x | 4/5 | 83.0% | Nonprofit |
| 3 | Carilion New River Valley Medical Center Carilion Clinic Christiansburg, VA · 0.1 mi | $1,994 | $3,323 | 1.67x | 4/5 | 69.0% | Nonprofit |
| 4 | Carilion Medical Center Carilion Clinic Roanoke, VA · 0.0 mi | $1,994 | $3,323 | 1.67x | 4/5 | 66.0% | Nonprofit |
| 5 | Sovah Health Danville Danville, VA · 0.1 mi | $5,478 | $13,696 | 2.5x | 2/5 | 59.0% | For-profit |
| 6 | Sentara Halifax Regional Hospital Sentara Health South Boston, VA · 0.1 mi | — | — | — | 3/5 | 71.0% | Nonprofit |
| 7 | 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 Upper GI Endoscopy with Biopsy. Your actual out-of-pocket cost depends on your deductible status and copay structure.
Carilion Stonewall Jackson Hospital
Cash: $1,507| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Medicaid | Traditional Medicaid | $326 | -$1,181 |
| Virginia Premier - CCC Plus | CCC Plus | $326 | -$1,181 |
| Virginia Premier | Managed Medicaid | $334 | -$1,173 |
| HealthKeepers Plus | Managed Medicaid | $342 | -$1,165 |
| Aetna | Managed Medicaid | $358 | -$1,148 |
| Community Plan | Managed Medicaid | $358 | -$1,148 |
| Intotal Health | Managed Medicaid | $358 | -$1,148 |
| Magellan Complete Care | Managed Medicaid | $358 | -$1,148 |
| Magellan Complete Care | MLTSS/CCC+ | $358 | -$1,148 |
| Medicaid | Managed Medicaid | $358 | -$1,148 |
| Aetna | Medicare Advantage | $578 | -$929 |
| UnitedHealthcare | Medicare Advantage | $728 | -$778 |
| Humana | Dual Eligible | $793 | -$713 |
| Humana | Medicare Advantage | $810 | -$697 |
| Medicare | Traditional Medicare | $810 | -$697 |
20 additional plans not shown.
Carilion Giles Community Hospital
Cash: $1,994| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Humana | Tricare | $119 | -$1,874 |
| Anthem | Managed Medicaid | $337 | -$1,657 |
| Sentara Health Plan | Managed Medicaid | $343 | -$1,651 |
| Humana | Managed Medicaid | $353 | -$1,641 |
| UnitedHealthcare | Managed Medicaid | $353 | -$1,641 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $353 | -$1,641 |
| Humana | Dual Eligible | $826 | -$1,167 |
| Humana | Medicare Advantage | $860 | -$1,134 |
| UnitedHealthcare | Medicare Advantage | $860 | -$1,134 |
| Aetna | Medicare Advantage | $869 | -$1,125 |
| Anthem | Medicare Advantage | $869 | -$1,125 |
| Sentara Health Plan | Medicare Advantage | $885 | -$1,108 |
| UnitedHealthcare | Commercial | $937 | -$1,057 |
| VHN - ULTRA | Commercial | $1,158 | -$835 |
15 additional plans not shown.
Carilion New River Valley Medical Center
Cash: $1,994| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Humana | Tricare | $119 | -$1,874 |
| Anthem | Managed Medicaid | $337 | -$1,657 |
| Sentara Health Plan | Managed Medicaid | $343 | -$1,651 |
| UnitedHealthcare | Managed Medicaid | $353 | -$1,641 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $353 | -$1,641 |
| Humana | Managed Medicaid | $353 | -$1,641 |
| Aetna | Exchange | $785 | -$1,209 |
| Humana | Dual Eligible | $826 | -$1,167 |
| Humana | Medicare Advantage | $860 | -$1,134 |
| UnitedHealthcare | Medicare Advantage | $860 | -$1,134 |
| Aetna | Medicare Advantage | $869 | -$1,125 |
| Anthem | Medicare Advantage | $869 | -$1,125 |
| Sentara Health Plan | Medicare Advantage | $885 | -$1,108 |
| Gateway - Tier 3 | Commercial | $899 | -$1,095 |
15 additional plans not shown.
Carilion Medical Center
Cash: $1,994| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Humana | Tricare | $119 | -$1,874 |
| Anthem | Managed Medicaid | $337 | -$1,657 |
| Sentara Health Plan | Managed Medicaid | $343 | -$1,651 |
| Humana | Managed Medicaid | $353 | -$1,641 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $353 | -$1,641 |
| UnitedHealthcare | Managed Medicaid | $353 | -$1,641 |
| Aetna | Medicare Advantage | $793 | -$1,201 |
| Humana | Dual Eligible | $826 | -$1,167 |
| Humana | Medicare Advantage | $860 | -$1,134 |
| UnitedHealthcare | Medicare Advantage | $860 | -$1,134 |
| Anthem | Medicare Advantage | $869 | -$1,125 |
| Sentara Health Plan | Medicare Advantage | $885 | -$1,108 |
| UnitedHealthcare | Commercial | $1,222 | -$772 |
| Aetna | Choice POS II | $1,265 | -$728 |
15 additional plans not shown.
Sentara Halifax Regional Hospital
Cash: N/A| Insurance | Plan | Negotiated Rate |
|---|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $910 |
| Humana | Medicare Managed Care Plan | $919 |
| Anthem | Anthem Medicare Managed Care Plan | $934 |
| UnitedHealthcare | Snp Medicare Managed Care Plan | $937 |
| Anthem | Anthem Exchange | $2,859 |
| Anthem | Anthem Hmo | $3,074 |
| Anthem | Anthem Ppo | $3,169 |
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 |
| Optima Health | HMO | $4,845 |
| Optima Health | POS | $4,845 |
| Optima Health | PPO | $4,845 |
| UnitedHealthcare | AllPayerAppendix | $5,393 |
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 Upper GI Endoscopy with Biopsy (CPT 43239). 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 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 |
| Sovah Health Danville | For-profit | — | N/A (for-profit) |
| Sentara Halifax Regional Hospital | Nonprofit | — | Call billing, request Financial Assistance application |
| Lewisgale Medical Center | For-profit | — | N/A (for-profit) |
What to do next
Data sources
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
CMS Hospital Compare, updated quarterly
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
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.