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Carilion Medical Center

1906 Belleview Avenue, Se, Roanoke, VA 24014 · (540) 981-7000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Roanoke, VA metroWebsite ↗

Price file

Prices published

File dated 2026-04-17

14,605 price rows for 48 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 5 lines · metro median $127

$127
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 15 lines · metro median $1,542

$1,542
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 20 lines · metro median $799

$799
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 5 lines · metro median $1,486

$1,486
cash
Cesarean section hospital stay, no complications

MS-DRG 788 · lowest of 5 lines · metro median $17,791

$17,791
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $102

$102
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 5 lines · metro median $1,131

$1,131
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 5 lines · metro median $1,463

$1,463
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 5 lines · metro median $1,463

$1,463
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 5 lines · metro median $51

$51
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 5 lines · metro median $170

$170
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 10 lines · metro median $248

$248
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 5 lines · metro median $97

$97
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 40 lines · metro median $137

$137
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 5 lines · metro median $109

$109
cash
Hip or knee replacement, no major complications

MS-DRG 470 · lowest of 5 lines · metro median $36,747

$36,747
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392 · lowest of 5 lines · metro median $8,130

$8,821
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · lowest of 5 lines · metro median $27,577

$27,577
cash
Left heart catheterization

CPT 93452 · lowest of 5 lines · metro median $5,970

$5,970
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 5 lines · metro median $64

$64
cash
Liver function panel

CPT 80076 · lowest of 5 lines · metro median $83

$83
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 10 lines · metro median $2,298

$2,298
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 10 lines · metro median $1,353

$1,353
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 5 lines · metro median $1,252

$1,252
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 5 lines · metro median $1,445

$1,445
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473 · lowest of 5 lines · metro median $38,372

$38,372
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 20 lines · metro median $1,197

$1,197
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 25 lines · metro median $123

$123
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 20 lines · metro median $158

$158
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 25 lines · metro median $205

$205
cash
PSA test (prostate)

CPT 84153 · lowest of 5 lines · metro median $72

$72
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 5 lines · metro median $42

$42
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 20 lines · metro median $50

$50
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 5 lines · metro median $404

$404
cash
Prostate biopsy

CPT 55700 · lowest of 5 lines · metro median $2,541

$2,541
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 5 lines · metro median $26

$26
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 5 lines · metro median $222

$222
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 10 lines · metro median $1,532

$1,532
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 5 lines · metro median $1,104

$1,104
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 10 lines · metro median $980

$980
cash
TSH test (thyroid)

CPT 84443 · lowest of 5 lines · metro median $98

$98
cash
Transvaginal ultrasound

CPT 76830 · lowest of 10 lines · metro median $387

$387
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 5 lines · metro median $527

$527
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 5 lines · metro median $1,163

$1,163
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 5 lines · metro median $1,163

$1,163
cash
Urinalysis with microscope

CPT 81001 · lowest of 5 lines · metro median $41

$41
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · lowest of 5 lines · metro median $11,141

$11,141
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 10 lines · metro median $345

$345
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.