Does Carilion Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Carilion Medical Center. In a medical emergency, call 911.

Where is Carilion Medical Center?

1906 Belleview Avenue, SE, Roanoke, VA 24014, in Roanoke City, Virginia.

What is the phone number of Carilion Medical Center?

(540) 981-7000, as listed by Medicare (CMS).

What is the Medicare star rating of Carilion Medical Center?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Carilion Medical Center — Roanoke, VA

Quick answers

Does Carilion Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Carilion Medical Center. In a medical emergency, call 911.
Where is Carilion Medical Center?: 1906 Belleview Avenue, SE, Roanoke, VA 24014, in Roanoke City, Virginia.
What is the phone number of Carilion Medical Center?: (540) 981-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Carilion Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Emergency medicine
Pediatric emergency care
Acute care
Behavioral health
Child psychiatry
Brain, spine and neurology
Dentistry
Endocrinology
Gastroenterology
Cardiovascular care
Infectious diseases
Orthopaedics
Otolaryngology (ENT)
Pediatric cardiology
Pediatric otolaryngology
Pediatric endocrinology
Pediatric gastroenterology
Pediatric hematology-oncology
Pediatric orthopaedics
Pediatric pulmonology
Pediatric surgery
Pediatric neurosurgery
Plastic and reconstructive surgery
Pulmonology
Obesity medicine
Women's health
Urology
Maternity services
Neonatal intensive care (NICU)
Pediatric intensive care (PICU)
Adult intensive care
Neuro trauma/critical care
Inpatient oncology
Palliative care
Interventional radiology
Nuclear medicine/molecular imaging
Therapy services (PT, OT, speech, respiratory)

Treatments^[4]

Lactation education and support

Procedures^[4]

MRI, CT and PET/CT imaging
Cerebrovascular neurosurgery
Functional neurosurgery
Neurosurgical oncology
Skull base neurosurgery
Endoscopy
Hybrid OR heart and vascular procedures
Robotic surgery
Inpatient and outpatient surgery

Programs and centers^[4]

Carilion Children's Hospital
Chest pain center
Life-Guard air transportation
Ambulance transportation
Safe Haven Baby Box

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level I

Visiting and practical information

Parking	Free visitor parking in the Terrace View Parking Deck on Hamilton Terrace; more in the Riverwalk Parking Deck off Jefferson St^[4]

Recognition^[4]

Level I Trauma Center
Magnet designation (four-time)
U.S. News Best Regional Hospitals 2025-2026

Doctors and clinicians (1,431)

1,431 doctors and other clinicians list Carilion Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,431)

Aaron B. Wickley, MDInterventional Radiology
Aaron Markwith, DOInternal Medicine
Aaron S. Hammond, DOAnesthesiology
Aaron Schelegle, MDInterventional Cardiology
Aashit K. Shah, MDNeurology
Abdelaziz A. Elsanjak, MDInternal Medicine
Abigail E. Quantock, NPNurse Practitioner
Abigail M. Childs, MDDiagnostic Radiology
Achal PatelPhysician Assistant
Adam Donithan, MDDiagnostic Radiology
Adam JoycePhysician Assistant
Adam R. Bradford, DOPhysical Medicine and Rehabilitation
Adam Tate, MDFamily Practice
Adegbenga A. Bankole, MDRheumatology
Adeolu Olasunkanmi, MDNeurosurgery
Adhara A. Arbaugh, CNACertified Registered Nurse Anesthetist (CRNA)
Aditya Sithamraju, MDPulmonary Disease
Adrienne M. Kinsey, DOInternal Medicine
Afsanah S. Widner, PAPhysician Assistant
Aimee C. Conlee, MDEmergency Medicine
Aimee Carswell, MDDiagnostic Radiology
Alan Auckland, DOUrology
Alan E. McLuckie, MDCardiovascular Disease (Cardiology)
Alan Itkin, MDDiagnostic Radiology

And 1,407 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Salem VA Medical Center4.7 mi · Salem, VA · Federal/VA Acute Care Hospital
Lewisgale Medical Center5.1 mi · Salem, VA · Acute Care Hospital
Carilion Franklin Memorial Hospital18 mi · Rocky Mount, VA · Acute Care Hospital
Centra Bedford Memorial Hospital24 mi · Bedford, VA · Acute Care Hospital
Lewisgale Hospital Montgomery26 mi · Blacksburg, VA · Acute Care Hospital

Other hospitals nearby

Catawba Hospital13 mi · Catawba, VA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Old Southwest Health and Rehabilitation0.6 mi · Roanoke, VA · 1 of 5 stars
Our Lady of the Valley1.8 mi · Roanoke, VA · 5 of 5 stars
South Roanoke Nursing and Rehabilitation2.1 mi · Roanoke, VA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Carilion Hospice Services of Roanoke1.6 mi · Roanoke, VA · 4 of 5 stars
Medi Home Health & Hospice2.5 mi · Roanoke, VA
Good Samaritan Hospice Inc4.1 mi · Roanoke, VA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Carilion Home Care Services - Roanoke1.6 mi · Roanoke, VA
Advanced Health Services2.5 mi · Roanoke, VA
Brandon Oaks at Home6.1 mi · Roanoke, VA

All home health agencies in the state →

Dialysis facilities

BMA - Crystal Spring2.5 mi · Roanoke, VA · 3 of 5 stars
Fresenius Kidney Care South Roanoke2.5 mi · Roanoke, VA · 2 of 5 stars
BMA - North Roanoke5.2 mi · Roanoke, VA · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Roanoke Ambulatory Surgery Center LLC1.6 mi · Roanoke, VA
Endoscopy Center of Southwest Virginia LLC2.5 mi · Roanoke, VA
Fairlawn Surgery Center, LLC2.5 mi · Roanoke, VA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

New Horizons Dental Care, Williamson2.4 mi · Roanoke, VA · Community health center
Kuumba Community Health and Wellness Center, Inc. d/b/a New Horizons Healthcare4.2 mi · Roanoke, VA · Community health center
NHHC Valley View Blvd Medical5.2 mi · Roanoke, VA · Community health center

Clinics and urgent care

Carilion Emergency Services, Inc.2.5 mi · Roanoke, VA · Urgent care center
Medexpress Urgent Care, PC - Virginia5.2 mi · Roanoke, VA · Urgent care center
Neighborcare, PLLC5.2 mi · Roanoke, VA · Urgent care center

Pharmacies

Ultrapharm, Inc T/A Wonder Drug Southeast Pharmacy1.5 mi · Roanoke, VA · Pharmacy
Virginia CVS Pharmacy LLC1.5 mi · Roanoke, VA · Pharmacy
Wal-Mart Stores East LP1.5 mi · Roanoke, VA · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Carilion Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	50%National average: 60%
Completed surveys	1,048Response rate: 20%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.661No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.595No different from the national benchmark
Surgical site infections after colon surgery	1.352No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0No different from the national benchmark
MRSA bloodstream infections	0.718No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.33Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	12.5%
Deaths within 30 days: heart failure patients	10.5%
Deaths within 30 days: pneumonia patients	17.9%
Deaths within 30 days: COPD patients	9.6%
Deaths within 30 days: stroke patients	11.8%
Deaths within 30 days: coronary bypass surgery (CABG)	2.7%
Serious complications (patient safety indicator PSI-90)	1No different from the national rate
Complications after hip or knee replacement	7.9%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.5%
Readmitted within 30 days: heart failure	21.2%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	21.4%
Readmitted within 30 days: coronary bypass surgery	10.5%
Readmitted within 30 days: hip or knee replacement	7.9%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	272 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	50%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Virginia Best hospitals in Virginia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Carilion Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HB EVAL LABOR NEW 2 TO 3 HR ADDL	$350	$122.50	$85.93 – $332.50
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $90.02 ABH of WVA (formerly Coventry) — Managed Medicaid: $90.02 Aetna — Choice POS II: $181.30 Aetna - BoB — Commercial: $232.40 Aetna - Preferred — Commercial: $178.15 Anthem Healthkeeper Plus — Managed Medicaid: $85.93 Cigna - HMO — Commercial: $235.90 Cigna - PPO — Commercial: $252 Connecticare — Commercial: $245 Gateway - Tier 1 — Commercial: $332.50
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HB VISIT OP NEW LEVEL 3 ADDL SERV	$350	$122.50	$85.93 – $332.50
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $90.02 ABH of WVA (formerly Coventry) — Managed Medicaid: $90.02 Aetna — Choice POS II: $181.30 Aetna - BoB — Commercial: $232.40 Aetna - Preferred — Commercial: $178.15 Anthem Healthkeeper Plus — Managed Medicaid: $85.93 Cigna - HMO — Commercial: $235.90 Cigna - PPO — Commercial: $252 Connecticare — Commercial: $245 Gateway - Tier 1 — Commercial: $332.50
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HB VISIT OP NEW LEVEL 3	$350	$122.50	$85.93 – $332.50
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $90.02 ABH of WVA (formerly Coventry) — Managed Medicaid: $90.02 Aetna — Choice POS II: $181.30 Aetna - BoB — Commercial: $232.40 Aetna - Preferred — Commercial: $178.15 Anthem Healthkeeper Plus — Managed Medicaid: $85.93 Cigna - HMO — Commercial: $235.90 Cigna - PPO — Commercial: $252 Connecticare — Commercial: $245 Gateway - Tier 1 — Commercial: $332.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HB EVAL LABOR NEW 3 TO 4 HR ADDL	$450	$157.50	$128.77 – $427.50
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $134.90 ABH of WVA (formerly Coventry) — Managed Medicaid: $134.90 Aetna — Choice POS II: $233.10 Aetna - BoB — Commercial: $298.80 Aetna - Preferred — Commercial: $229.05 Anthem Healthkeeper Plus — Managed Medicaid: $128.77 Cigna - HMO — Commercial: $303.30 Cigna - PPO — Commercial: $324 Connecticare — Commercial: $315 Gateway - Tier 1 — Commercial: $427.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HB VISIT OP NEW LEVEL 4	$450	$157.50	$128.77 – $427.50
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $134.90 ABH of WVA (formerly Coventry) — Managed Medicaid: $134.90 Aetna — Choice POS II: $233.10 Aetna - BoB — Commercial: $298.80 Aetna - Preferred — Commercial: $229.05 Anthem Healthkeeper Plus — Managed Medicaid: $128.77 Cigna - HMO — Commercial: $303.30 Cigna - PPO — Commercial: $324 Connecticare — Commercial: $315 Gateway - Tier 1 — Commercial: $427.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HB VISIT OP NEW LEVEL 4 L AND D	$450	$157.50	$128.77 – $427.50
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $134.90 ABH of WVA (formerly Coventry) — Managed Medicaid: $134.90 Aetna — Choice POS II: $233.10 Aetna - BoB — Commercial: $298.80 Aetna - Preferred — Commercial: $229.05 Anthem Healthkeeper Plus — Managed Medicaid: $128.77 Cigna - HMO — Commercial: $303.30 Cigna - PPO — Commercial: $324 Connecticare — Commercial: $315 Gateway - Tier 1 — Commercial: $427.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HB VISIT OP NEW LEVEL 5 ADDL SERV L AND D	$585	$204.75	$169.94 – $555.75
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $178.04 ABH of WVA (formerly Coventry) — Managed Medicaid: $178.04 Aetna — Choice POS II: $303.03 Aetna - BoB — Commercial: $388.44 Aetna - Preferred — Commercial: $297.77 Anthem Healthkeeper Plus — Managed Medicaid: $169.94 Cigna - HMO — Commercial: $394.29 Cigna - PPO — Commercial: $421.20 Connecticare — Commercial: $409.50 Gateway - Tier 1 — Commercial: $555.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HB VISIT OP NEW LEVEL 5	$585	$204.75	$169.94 – $555.75
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $178.04 ABH of WVA (formerly Coventry) — Managed Medicaid: $178.04 Aetna — Choice POS II: $303.03 Aetna - BoB — Commercial: $388.44 Aetna - Preferred — Commercial: $297.77 Anthem Healthkeeper Plus — Managed Medicaid: $169.94 Cigna - HMO — Commercial: $394.29 Cigna - PPO — Commercial: $421.20 Connecticare — Commercial: $409.50 Gateway - Tier 1 — Commercial: $555.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HB EVAL LABOR NEW > 4 HR ADDL	$585	$204.75	$169.94 – $555.75
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $178.04 ABH of WVA (formerly Coventry) — Managed Medicaid: $178.04 Aetna — Choice POS II: $303.03 Aetna - BoB — Commercial: $388.44 Aetna - Preferred — Commercial: $297.77 Anthem Healthkeeper Plus — Managed Medicaid: $169.94 Cigna - HMO — Commercial: $394.29 Cigna - PPO — Commercial: $421.20 Connecticare — Commercial: $409.50 Gateway - Tier 1 — Commercial: $555.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HB EVAL LABOR ESTAB 2 TO 3 HR	$225	$78.75	$70.08 – $213.75
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $73.41 ABH of WVA (formerly Coventry) — Managed Medicaid: $73.41 Aetna — Choice POS II: $116.55 Aetna - BoB — Commercial: $149.40 Aetna - Preferred — Commercial: $114.53 Anthem Healthkeeper Plus — Managed Medicaid: $70.08 Cigna - HMO — Commercial: $151.65 Cigna - PPO — Commercial: $162 Connecticare — Commercial: $157.50 Gateway - Tier 1 — Commercial: $213.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HB VISIT OP EST LEVEL 3 F/U	$225	$78.75	$70.08 – $213.75
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $73.41 ABH of WVA (formerly Coventry) — Managed Medicaid: $73.41 Aetna — Choice POS II: $116.55 Aetna - BoB — Commercial: $149.40 Aetna - Preferred — Commercial: $114.53 Anthem Healthkeeper Plus — Managed Medicaid: $70.08 Cigna - HMO — Commercial: $151.65 Cigna - PPO — Commercial: $162 Connecticare — Commercial: $157.50 Gateway - Tier 1 — Commercial: $213.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HB VISIT OP ESTAB LEVEL 3 ADDL SERV L AND D	$225	$78.75	$70.08 – $213.75
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $73.41 ABH of WVA (formerly Coventry) — Managed Medicaid: $73.41 Aetna — Choice POS II: $116.55 Aetna - BoB — Commercial: $149.40 Aetna - Preferred — Commercial: $114.53 Anthem Healthkeeper Plus — Managed Medicaid: $70.08 Cigna - HMO — Commercial: $151.65 Cigna - PPO — Commercial: $162 Connecticare — Commercial: $157.50 Gateway - Tier 1 — Commercial: $213.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HB VISIT OP ESTAB LEVEL 4	$300	$105	$98.72 – $370.50
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $103.42 ABH of WVA (formerly Coventry) — Managed Medicaid: $103.42 Aetna — Choice POS II: $155.40 Aetna - BoB — Commercial: $199.20 Aetna - Preferred — Commercial: $152.70 Anthem Healthkeeper Plus — Managed Medicaid: $98.72 Cigna - HMO — Commercial: $202.20 Cigna - PPO — Commercial: $216 Connecticare — Commercial: $210 Gateway - Tier 1 — Commercial: $285
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HB VISIT OP ESTAB LEVEL 4 ADDL SERV L AND D	$300	$105	$98.72 – $370.50
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $103.42 ABH of WVA (formerly Coventry) — Managed Medicaid: $103.42 Aetna — Choice POS II: $155.40 Aetna - BoB — Commercial: $199.20 Aetna - Preferred — Commercial: $152.70 Anthem Healthkeeper Plus — Managed Medicaid: $98.72 Cigna - HMO — Commercial: $202.20 Cigna - PPO — Commercial: $216 Connecticare — Commercial: $210 Gateway - Tier 1 — Commercial: $285
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HB VISIT OP EST LEVEL 4 ADDL SERV F/U	$300	$105	$98.72 – $370.50
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $103.42 ABH of WVA (formerly Coventry) — Managed Medicaid: $103.42 Aetna — Choice POS II: $155.40 Aetna - BoB — Commercial: $199.20 Aetna - Preferred — Commercial: $152.70 Anthem Healthkeeper Plus — Managed Medicaid: $98.72 Cigna - HMO — Commercial: $202.20 Cigna - PPO — Commercial: $216 Connecticare — Commercial: $210 Gateway - Tier 1 — Commercial: $285
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HB ER VISIT LEVEL 3	$1,320	$462	$50.96 – $1,254
Emergency room visit (moderate): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $53.38 ABH of WVA (formerly Coventry) — Managed Medicaid: $53.38 Aetna — Choice POS II: $683.76 Aetna - BoB — Commercial: $876.48 Aetna - Medicare — Medicare Advantage: $262.61 Aetna - Medicare Prime — Medicare Advantage: $239.66 Aetna - Preferred — Commercial: $671.88 Anthem - Exchange — Exchange: $894.25 Anthem - Medicare Advantage — Medicare Advantage: $260.06 Anthem - PPO PAR HMO — Commercial: $993.58
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HB OBED LEVEL 3 W/ADDL SVC	$1,320	$462	$50.96 – $1,254
Emergency room visit (moderate): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $53.38 ABH of WVA (formerly Coventry) — Managed Medicaid: $53.38 Aetna — Choice POS II: $683.76 Aetna - BoB — Commercial: $876.48 Aetna - Medicare — Medicare Advantage: $262.61 Aetna - Medicare Prime — Medicare Advantage: $239.66 Aetna - Preferred — Commercial: $671.88 Anthem - Exchange — Exchange: $894.25 Anthem - Medicare Advantage — Medicare Advantage: $260.06 Anthem - PPO PAR HMO — Commercial: $993.58
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HB OBED VISIT LEVEL 3	$1,320	$462	$50.96 – $1,254
Emergency room visit (moderate): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $53.38 ABH of WVA (formerly Coventry) — Managed Medicaid: $53.38 Aetna — Choice POS II: $683.76 Aetna - BoB — Commercial: $876.48 Aetna - Medicare — Medicare Advantage: $262.61 Aetna - Medicare Prime — Medicare Advantage: $239.66 Aetna - Preferred — Commercial: $671.88 Anthem - Exchange — Exchange: $894.25 Anthem - Medicare Advantage — Medicare Advantage: $260.06 Anthem - PPO PAR HMO — Commercial: $993.58
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HB LEVEL 4 W/ADDITIONAL SERVICE	$2,178	$762.30	$86.82 – $2,069.10
Emergency room visit (moderately high): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $90.96 ABH of WVA (formerly Coventry) — Managed Medicaid: $90.96 Aetna — Choice POS II: $1,128.20 Aetna - BoB — Commercial: $1,446.19 Aetna - Medicare — Medicare Advantage: $401.41 Aetna - Medicare Prime — Medicare Advantage: $366.34 Aetna - Preferred — Commercial: $1,108.60 Anthem - Exchange — Exchange: $1,366.94 Anthem - Medicare Advantage — Medicare Advantage: $397.51 Anthem - PPO PAR HMO — Commercial: $1,518.78
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HB OBED VISIT LEVEL 4	$2,178	$762.30	$86.82 – $2,069.10
Emergency room visit (moderately high): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $90.96 ABH of WVA (formerly Coventry) — Managed Medicaid: $90.96 Aetna — Choice POS II: $1,128.20 Aetna - BoB — Commercial: $1,446.19 Aetna - Medicare — Medicare Advantage: $401.41 Aetna - Medicare Prime — Medicare Advantage: $366.34 Aetna - Preferred — Commercial: $1,108.60 Anthem - Exchange — Exchange: $1,366.94 Anthem - Medicare Advantage — Medicare Advantage: $397.51 Anthem - PPO PAR HMO — Commercial: $1,518.78
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HB ER VISIT LEVEL 4	$2,178	$762.30	$86.82 – $2,069.10
Emergency room visit (moderately high): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $90.96 ABH of WVA (formerly Coventry) — Managed Medicaid: $90.96 Aetna — Choice POS II: $1,128.20 Aetna - BoB — Commercial: $1,446.19 Aetna - Medicare — Medicare Advantage: $401.41 Aetna - Medicare Prime — Medicare Advantage: $366.34 Aetna - Preferred — Commercial: $1,108.60 Anthem - Exchange — Exchange: $1,366.94 Anthem - Medicare Advantage — Medicare Advantage: $397.51 Anthem - PPO PAR HMO — Commercial: $1,518.78
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HB OBED VISIT LEVEL 5	$3,315	$1,160.25	$125.82 – $3,149.25
Emergency room visit (high): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $131.81 ABH of WVA (formerly Coventry) — Managed Medicaid: $131.81 Aetna — Choice POS II: $1,717.17 Aetna - BoB — Commercial: $2,201.16 Aetna - Medicare — Medicare Advantage: $572.91 Aetna - Medicare Prime — Medicare Advantage: $522.85 Aetna - Preferred — Commercial: $1,687.34 Anthem - Exchange — Exchange: $1,950.92 Anthem - Medicare Advantage — Medicare Advantage: $567.34 Anthem - PPO PAR HMO — Commercial: $2,167.63
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HB ER VISIT LEVEL 5	$3,315	$1,160.25	$125.82 – $3,149.25
Emergency room visit (high): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $131.81 ABH of WVA (formerly Coventry) — Managed Medicaid: $131.81 Aetna — Choice POS II: $1,717.17 Aetna - BoB — Commercial: $2,201.16 Aetna - Medicare — Medicare Advantage: $572.91 Aetna - Medicare Prime — Medicare Advantage: $522.85 Aetna - Preferred — Commercial: $1,687.34 Anthem - Exchange — Exchange: $1,950.92 Anthem - Medicare Advantage — Medicare Advantage: $567.34 Anthem - PPO PAR HMO — Commercial: $2,167.63
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HB LEVEL 5 W/ADDITIONAL SERVICE	$3,315	$1,160.25	$125.82 – $3,149.25
Emergency room visit (high): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $131.81 ABH of WVA (formerly Coventry) — Managed Medicaid: $131.81 Aetna — Choice POS II: $1,717.17 Aetna - BoB — Commercial: $2,201.16 Aetna - Medicare — Medicare Advantage: $572.91 Aetna - Medicare Prime — Medicare Advantage: $522.85 Aetna - Preferred — Commercial: $1,687.34 Anthem - Exchange — Exchange: $1,950.92 Anthem - Medicare Advantage — Medicare Advantage: $567.34 Anthem - PPO PAR HMO — Commercial: $2,167.63

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HB BASIC METABOLIC PANEL	$363	$127.05	$8.88 – $344.85
Basic metabolic panel (blood test): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $9.31 ABH of WVA (formerly Coventry) — Managed Medicaid: $9.31 Aetna — Choice POS II: $188.03 Aetna - BoB — Commercial: $241.03 Aetna - Preferred — Commercial: $184.77 Anthem Healthkeeper Plus — Managed Medicaid: $8.88 Cigna - HMO — Commercial: $244.66 Cigna - PPO — Commercial: $261.36 Connecticare — Commercial: $254.10 Gateway - Tier 1 — Commercial: $344.85
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HB COMPREHENSIVE METABOLIC PAN	$487	$170.45	$11.09 – $462.65
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $11.62 ABH of WVA (formerly Coventry) — Managed Medicaid: $11.62 Aetna — Choice POS II: $252.27 Aetna - BoB — Commercial: $323.37 Aetna - Preferred — Commercial: $247.88 Anthem Healthkeeper Plus — Managed Medicaid: $11.09 Cigna - HMO — Commercial: $328.24 Cigna - PPO — Commercial: $350.64 Connecticare — Commercial: $340.90 Gateway - Tier 1 — Commercial: $462.65
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HB LIPID PROFILE 1	$183	$64.05	$14.06 – $173.85
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $14.73 ABH of WVA (formerly Coventry) — Managed Medicaid: $14.73 Aetna — Choice POS II: $94.79 Aetna - BoB — Commercial: $121.51 Aetna - Preferred — Commercial: $93.15 Anthem Healthkeeper Plus — Managed Medicaid: $14.06 Cigna - HMO — Commercial: $123.34 Cigna - PPO — Commercial: $131.76 Connecticare — Commercial: $128.10 Gateway - Tier 1 — Commercial: $173.85
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HB RENAL FUNCTION PANEL	$258	$90.30	$9.11 – $245.10
Kidney function panel: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $9.55 ABH of WVA (formerly Coventry) — Managed Medicaid: $9.55 Aetna — Choice POS II: $133.64 Aetna - BoB — Commercial: $171.31 Aetna - Preferred — Commercial: $131.32 Anthem Healthkeeper Plus — Managed Medicaid: $9.11 Cigna - HMO — Commercial: $173.89 Cigna - PPO — Commercial: $185.76 Connecticare — Commercial: $180.60 Gateway - Tier 1 — Commercial: $245.10
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HB HEPATIC FUNCTION PANEL	$238	$83.30	$8.58 – $226.10
Liver function panel: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $8.99 ABH of WVA (formerly Coventry) — Managed Medicaid: $8.99 Aetna — Choice POS II: $123.28 Aetna - BoB — Commercial: $158.03 Aetna - Preferred — Commercial: $121.14 Anthem Healthkeeper Plus — Managed Medicaid: $8.58 Cigna - HMO — Commercial: $160.41 Cigna - PPO — Commercial: $171.36 Connecticare — Commercial: $166.60 Gateway - Tier 1 — Commercial: $226.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HB UA AUTO W/MICRO	$116	$40.60	$3.33 – $110.20
Urine test (automated, with microscope): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $3.49 ABH of WVA (formerly Coventry) — Managed Medicaid: $3.49 Aetna — Choice POS II: $60.09 Aetna - BoB — Commercial: $77.02 Aetna - Preferred — Commercial: $59.04 Anthem Healthkeeper Plus — Managed Medicaid: $3.33 Cigna - HMO — Commercial: $78.18 Cigna - PPO — Commercial: $83.52 Connecticare — Commercial: $81.20 Gateway - Tier 1 — Commercial: $110.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HB UA NONAUTO W/O MICRO	$35	$12.25	$3.11 – $33.25
Urine test (manual, without microscope): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $3.26 ABH of WVA (formerly Coventry) — Managed Medicaid: $3.26 Aetna — Choice POS II: $18.13 Aetna - BoB — Commercial: $23.24 Aetna - Preferred — Commercial: $17.82 Anthem Healthkeeper Plus — Managed Medicaid: $3.11 Cigna - HMO — Commercial: $23.59 Cigna - PPO — Commercial: $25.20 Connecticare — Commercial: $24.50 Gateway - Tier 1 — Commercial: $33.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HB URINALYSIS WITHOUT MICROSCO	$70	$24.50	$2.36 – $66.50
Urine test (automated, without microscope): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $2.48 ABH of WVA (formerly Coventry) — Managed Medicaid: $2.48 Aetna — Choice POS II: $36.26 Aetna - BoB — Commercial: $46.48 Aetna - Preferred — Commercial: $35.63 Anthem Healthkeeper Plus — Managed Medicaid: $2.36 Cigna - HMO — Commercial: $47.18 Cigna - PPO — Commercial: $50.40 Connecticare — Commercial: $49 Gateway - Tier 1 — Commercial: $66.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB PROSTATE SPECIFIC AG TOTAL	$207	$72.45	$19.31 – $196.65
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $20.23 ABH of WVA (formerly Coventry) — Managed Medicaid: $20.23 Aetna — Choice POS II: $107.23 Aetna - BoB — Commercial: $137.45 Aetna - Preferred — Commercial: $105.36 Anthem Healthkeeper Plus — Managed Medicaid: $19.31 Cigna - HMO — Commercial: $139.52 Cigna - PPO — Commercial: $149.04 Connecticare — Commercial: $144.90 Gateway - Tier 1 — Commercial: $196.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HB THYROID STIMULATING HORMONE	$279	$97.65	$17.64 – $265.05
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $18.48 ABH of WVA (formerly Coventry) — Managed Medicaid: $18.48 Aetna — Choice POS II: $144.52 Aetna - BoB — Commercial: $185.26 Aetna - Preferred — Commercial: $142.01 Anthem Healthkeeper Plus — Managed Medicaid: $17.64 Cigna - HMO — Commercial: $188.05 Cigna - PPO — Commercial: $200.88 Connecticare — Commercial: $195.30 Gateway - Tier 1 — Commercial: $265.05
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HB CBC W/AUTO DIFF OTHER	$146	$51.10	$8.16 – $138.70
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $8.55 ABH of WVA (formerly Coventry) — Managed Medicaid: $8.55 Aetna — Choice POS II: $75.63 Aetna - BoB — Commercial: $96.94 Aetna - Preferred — Commercial: $74.31 Anthem Healthkeeper Plus — Managed Medicaid: $8.16 Cigna - HMO — Commercial: $98.40 Cigna - PPO — Commercial: $105.12 Connecticare — Commercial: $102.20 Gateway - Tier 1 — Commercial: $138.70
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HB CBC WITHOUT DIFFERENTIAL	$146	$51.10	$6.79 – $138.70
Complete blood count (CBC), automated: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $7.12 ABH of WVA (formerly Coventry) — Managed Medicaid: $7.12 Aetna — Choice POS II: $75.63 Aetna - BoB — Commercial: $96.94 Aetna - Preferred — Commercial: $74.31 Anthem Healthkeeper Plus — Managed Medicaid: $6.79 Cigna - HMO — Commercial: $98.40 Cigna - PPO — Commercial: $105.12 Connecticare — Commercial: $102.20 Gateway - Tier 1 — Commercial: $138.70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HB PT	$74	$25.90	$4.50 – $70.30
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $4.72 ABH of WVA (formerly Coventry) — Managed Medicaid: $4.72 Aetna — Choice POS II: $38.33 Aetna - BoB — Commercial: $49.14 Aetna - Preferred — Commercial: $37.67 Anthem Healthkeeper Plus — Managed Medicaid: $4.50 Cigna - HMO — Commercial: $49.88 Cigna - PPO — Commercial: $53.28 Connecticare — Commercial: $51.80 Gateway - Tier 1 — Commercial: $70.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HB PTT	$121	$42.35	$6.31 – $114.95
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $6.61 ABH of WVA (formerly Coventry) — Managed Medicaid: $6.61 Aetna — Choice POS II: $62.68 Aetna - BoB — Commercial: $80.34 Aetna - Preferred — Commercial: $61.59 Anthem Healthkeeper Plus — Managed Medicaid: $6.31 Cigna - HMO — Commercial: $81.55 Cigna - PPO — Commercial: $87.12 Connecticare — Commercial: $84.70 Gateway - Tier 1 — Commercial: $114.95

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HB CT HEAD/BRAIN W/O CONTRAST	$2,282	$798.70	$91.78 – $2,167.90
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $101.90 ABH of WVA (formerly Coventry) — Managed Medicaid: $101.90 Aetna — Choice POS II: $1,182.08 Aetna - BoB — Commercial: $1,515.25 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $1,161.54 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HB CT HEAD NEURAVIVE WO	$2,282	$798.70	$91.78 – $2,167.90
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $101.90 ABH of WVA (formerly Coventry) — Managed Medicaid: $101.90 Aetna — Choice POS II: $1,182.08 Aetna - BoB — Commercial: $1,515.25 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $1,161.54 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HB CT HEAD W/O STROKE ALERT	$2,282	$798.70	$91.78 – $2,167.90
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $101.90 ABH of WVA (formerly Coventry) — Managed Medicaid: $101.90 Aetna — Choice POS II: $1,182.08 Aetna - BoB — Commercial: $1,515.25 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $1,161.54 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HB MRI BRAIN W AND W/O CONTRAST	$6,565	$2,297.75	$293.01 – $6,236.75
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $306.97 ABH of WVA (formerly Coventry) — Managed Medicaid: $306.97 Aetna — Choice POS II: $3,400.67 Aetna - BoB — Commercial: $4,359.16 Aetna - Medicare — Medicare Advantage: $335.62 Aetna - Medicare Prime — Medicare Advantage: $306.29 Aetna - Preferred — Commercial: $3,341.59 Anthem - Exchange — Exchange: $1,142.87 Anthem - Medicare Advantage — Medicare Advantage: $332.36 Anthem - PPO PAR HMO — Commercial: $1,269.83
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HB MRI BRAIN PRE OP HIFU W AND WO CON	$6,565	$2,297.75	$293.01 – $6,236.75
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $306.97 ABH of WVA (formerly Coventry) — Managed Medicaid: $306.97 Aetna — Choice POS II: $3,400.67 Aetna - BoB — Commercial: $4,359.16 Aetna - Medicare — Medicare Advantage: $335.62 Aetna - Medicare Prime — Medicare Advantage: $306.29 Aetna - Preferred — Commercial: $3,341.59 Anthem - Exchange — Exchange: $1,142.87 Anthem - Medicare Advantage — Medicare Advantage: $332.36 Anthem - PPO PAR HMO — Commercial: $1,269.83
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HB XR CHEST 2 VIEWS	$415	$145.25	$30.14 – $394.25
Chest X-ray, 2 views: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $31.57 ABH of WVA (formerly Coventry) — Managed Medicaid: $31.57 Aetna — Choice POS II: $214.97 Aetna - BoB — Commercial: $275.56 Aetna - Medicare — Medicare Advantage: $83.72 Aetna - Medicare Prime — Medicare Advantage: $76.40 Aetna - Preferred — Commercial: $211.24 Anthem - Exchange — Exchange: $285.09 Anthem - Medicare Advantage — Medicare Advantage: $82.91 Anthem - PPO PAR HMO — Commercial: $316.76
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HB XR CHEST 1V W/1 OBLIQUE	$415	$145.25	$30.14 – $394.25
Chest X-ray, 2 views: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $31.57 ABH of WVA (formerly Coventry) — Managed Medicaid: $31.57 Aetna — Choice POS II: $214.97 Aetna - BoB — Commercial: $275.56 Aetna - Medicare — Medicare Advantage: $83.72 Aetna - Medicare Prime — Medicare Advantage: $76.40 Aetna - Preferred — Commercial: $211.24 Anthem - Exchange — Exchange: $285.09 Anthem - Medicare Advantage — Medicare Advantage: $82.91 Anthem - PPO PAR HMO — Commercial: $316.76
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HB XR CHEST 2 VIEWS HEALTH DEPT @	$191	$66.85	$30.14 – $394.25
Chest X-ray, 2 views: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $31.57 ABH of WVA (formerly Coventry) — Managed Medicaid: $31.57 Aetna — Choice POS II: $98.94 Aetna - BoB — Commercial: $126.82 Aetna - Medicare — Medicare Advantage: $83.72 Aetna - Medicare Prime — Medicare Advantage: $76.40 Aetna - Preferred — Commercial: $97.22 Anthem - Exchange — Exchange: $285.09 Anthem - Medicare Advantage — Medicare Advantage: $82.91 Anthem - PPO PAR HMO — Commercial: $316.76
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HB XR L-SPINE 4 OR 5 VIEWS	$987	$345.45	$46.55 – $937.65
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $48.76 ABH of WVA (formerly Coventry) — Managed Medicaid: $48.76 Aetna — Choice POS II: $511.27 Aetna - BoB — Commercial: $655.37 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $502.38 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HB XR L-SPINE AP/LAT/ FLEX/EXT	$987	$345.45	$46.55 – $937.65
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $48.76 ABH of WVA (formerly Coventry) — Managed Medicaid: $48.76 Aetna — Choice POS II: $511.27 Aetna - BoB — Commercial: $655.37 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $502.38 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HB MRI L-SPINE W/O CONTRAST	$3,578	$1,252.30	$176.04 – $3,399.10
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $184.43 ABH of WVA (formerly Coventry) — Managed Medicaid: $184.43 Aetna — Choice POS II: $1,853.40 Aetna - BoB — Commercial: $2,375.79 Aetna - Medicare — Medicare Advantage: $229.54 Aetna - Medicare Prime — Medicare Advantage: $209.48 Aetna - Preferred — Commercial: $1,821.20 Anthem - Exchange — Exchange: $781.63 Anthem - Medicare Advantage — Medicare Advantage: $227.31 Anthem - PPO PAR HMO — Commercial: $868.46
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HB CT PELVIS W/CONTRAST	$4,247	$1,486.45	$153.99 – $4,034.65
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $220.37 ABH of WVA (formerly Coventry) — Managed Medicaid: $220.37 Aetna — Choice POS II: $2,199.95 Aetna - BoB — Commercial: $2,820.01 Aetna - Medicare — Medicare Advantage: $168.73 Aetna - Medicare Prime — Medicare Advantage: $153.99 Aetna - Preferred — Commercial: $2,161.72 Anthem - Exchange — Exchange: $574.60 Anthem - Medicare Advantage — Medicare Advantage: $167.10 Anthem - PPO PAR HMO — Commercial: $638.43
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HB MRI LOW EXT JNT W/O CONT RT	$3,865	$1,352.75	$186.49 – $3,671.75
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $195.37 ABH of WVA (formerly Coventry) — Managed Medicaid: $195.37 Aetna — Choice POS II: $2,002.07 Aetna - BoB — Commercial: $2,566.36 Aetna - Medicare — Medicare Advantage: $229.54 Aetna - Medicare Prime — Medicare Advantage: $209.48 Aetna - Preferred — Commercial: $1,967.29 Anthem - Exchange — Exchange: $781.63 Anthem - Medicare Advantage — Medicare Advantage: $227.31 Anthem - PPO PAR HMO — Commercial: $868.46
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HB MRI LOW EXT JNT W/O CONT LT	$3,865	$1,352.75	$186.49 – $3,671.75
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $195.37 ABH of WVA (formerly Coventry) — Managed Medicaid: $195.37 Aetna — Choice POS II: $2,002.07 Aetna - BoB — Commercial: $2,566.36 Aetna - Medicare — Medicare Advantage: $229.54 Aetna - Medicare Prime — Medicare Advantage: $209.48 Aetna - Preferred — Commercial: $1,967.29 Anthem - Exchange — Exchange: $781.63 Anthem - Medicare Advantage — Medicare Advantage: $227.31 Anthem - PPO PAR HMO — Commercial: $868.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HB CT ABD AND PELVIS W ENTEROGRAPHY	$4,406	$1,542.10	$278.69 – $4,185.70
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $291.96 ABH of WVA (formerly Coventry) — Managed Medicaid: $291.96 Aetna — Choice POS II: $2,282.31 Aetna - BoB — Commercial: $2,925.58 Aetna - Medicare — Medicare Advantage: $335.62 Aetna - Medicare Prime — Medicare Advantage: $306.29 Aetna - Preferred — Commercial: $2,242.65 Anthem - Exchange — Exchange: $1,142.87 Anthem - Medicare Advantage — Medicare Advantage: $332.36 Anthem - PPO PAR HMO — Commercial: $1,269.83
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HB CT PRESURG PANCREAS ABD/PEL W CONT	$4,406	$1,542.10	$278.69 – $4,185.70
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $291.96 ABH of WVA (formerly Coventry) — Managed Medicaid: $291.96 Aetna — Choice POS II: $2,282.31 Aetna - BoB — Commercial: $2,925.58 Aetna - Medicare — Medicare Advantage: $335.62 Aetna - Medicare Prime — Medicare Advantage: $306.29 Aetna - Preferred — Commercial: $2,242.65 Anthem - Exchange — Exchange: $1,142.87 Anthem - Medicare Advantage — Medicare Advantage: $332.36 Anthem - PPO PAR HMO — Commercial: $1,269.83
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HB CT ABDOMEN AND PELVIS W CONT	$4,406	$1,542.10	$278.69 – $4,185.70
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $291.96 ABH of WVA (formerly Coventry) — Managed Medicaid: $291.96 Aetna — Choice POS II: $2,282.31 Aetna - BoB — Commercial: $2,925.58 Aetna - Medicare — Medicare Advantage: $335.62 Aetna - Medicare Prime — Medicare Advantage: $306.29 Aetna - Preferred — Commercial: $2,242.65 Anthem - Exchange — Exchange: $1,142.87 Anthem - Medicare Advantage — Medicare Advantage: $332.36 Anthem - PPO PAR HMO — Commercial: $1,269.83
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HB US ABDOMEN	$1,507	$527.45	$91.78 – $1,431.65
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $109.10 ABH of WVA (formerly Coventry) — Managed Medicaid: $109.10 Aetna — Choice POS II: $780.63 Aetna - BoB — Commercial: $1,000.65 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $767.06 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HB US PREG COMP SIZE/DATE	$1,155	$404.25	$91.78 – $1,097.25
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $143.28 ABH of WVA (formerly Coventry) — Managed Medicaid: $143.28 Aetna — Choice POS II: $598.29 Aetna - BoB — Commercial: $766.92 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $587.90 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HB US TRANSVAGINAL	$1,106	$387.10	$91.78 – $1,050.70
Transvaginal ultrasound: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $126.03 ABH of WVA (formerly Coventry) — Managed Medicaid: $126.03 Aetna — Choice POS II: $572.91 Aetna - BoB — Commercial: $734.38 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $562.95 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HB US TRANSVAGINAL LIMITED	$1,106	$387.10	$91.78 – $1,050.70
Transvaginal ultrasound: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $126.03 ABH of WVA (formerly Coventry) — Managed Medicaid: $126.03 Aetna — Choice POS II: $572.91 Aetna - BoB — Commercial: $734.38 Aetna - Medicare — Medicare Advantage: $100.57 Aetna - Medicare Prime — Medicare Advantage: $91.78 Aetna - Preferred — Commercial: $562.95 Anthem - Exchange — Exchange: $342.48 Anthem - Medicare Advantage — Medicare Advantage: $99.59 Anthem - PPO PAR HMO — Commercial: $380.52
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HB MAM DIAGNOSTIC UNI LT	$653	$228.55	$126.35 – $620.35
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $132.36 ABH of WVA (formerly Coventry) — Managed Medicaid: $132.36 Aetna — Choice POS II: $338.25 Aetna - BoB — Commercial: $433.59 Aetna - Preferred — Commercial: $332.38 Anthem Healthkeeper Plus — Managed Medicaid: $126.35 Cigna - HMO — Commercial: $440.12 Cigna - PPO — Commercial: $470.16 Connecticare — Commercial: $457.10 Gateway - Tier 1 — Commercial: $620.35
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HB MAM DIAGNOSTIC UNI F/U RT	$653	$228.55	$126.35 – $620.35
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $132.36 ABH of WVA (formerly Coventry) — Managed Medicaid: $132.36 Aetna — Choice POS II: $338.25 Aetna - BoB — Commercial: $433.59 Aetna - Preferred — Commercial: $332.38 Anthem Healthkeeper Plus — Managed Medicaid: $126.35 Cigna - HMO — Commercial: $440.12 Cigna - PPO — Commercial: $470.16 Connecticare — Commercial: $457.10 Gateway - Tier 1 — Commercial: $620.35
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HB MAM DIAGNOSTIC UNI F/U LT	$653	$228.55	$126.35 – $620.35
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $132.36 ABH of WVA (formerly Coventry) — Managed Medicaid: $132.36 Aetna — Choice POS II: $338.25 Aetna - BoB — Commercial: $433.59 Aetna - Preferred — Commercial: $332.38 Anthem Healthkeeper Plus — Managed Medicaid: $126.35 Cigna - HMO — Commercial: $440.12 Cigna - PPO — Commercial: $470.16 Connecticare — Commercial: $457.10 Gateway - Tier 1 — Commercial: $620.35
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HB MAM SURG DIAGNOSTIC BILAT	$708	$247.80	$159.95 – $779
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $167.56 ABH of WVA (formerly Coventry) — Managed Medicaid: $167.56 Aetna — Choice POS II: $366.74 Aetna - BoB — Commercial: $470.11 Aetna - Preferred — Commercial: $360.37 Anthem Healthkeeper Plus — Managed Medicaid: $159.95 Cigna - HMO — Commercial: $477.19 Cigna - PPO — Commercial: $509.76 Connecticare — Commercial: $495.60 Gateway - Tier 1 — Commercial: $672.60
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HB MAM DIAGNOSTIC BILAT	$820	$287	$159.95 – $779
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $167.56 ABH of WVA (formerly Coventry) — Managed Medicaid: $167.56 Aetna — Choice POS II: $424.76 Aetna - BoB — Commercial: $544.48 Aetna - Preferred — Commercial: $417.38 Anthem Healthkeeper Plus — Managed Medicaid: $159.95 Cigna - HMO — Commercial: $552.68 Cigna - PPO — Commercial: $590.40 Connecticare — Commercial: $574 Gateway - Tier 1 — Commercial: $779
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HB MAM SCREEN BILAT	$634	$221.90	$129.03 – $602.30
Screening mammogram, both breasts: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $135.18 ABH of WVA (formerly Coventry) — Managed Medicaid: $135.18 Aetna — Choice POS II: $328.41 Aetna - BoB — Commercial: $420.98 Aetna - Preferred — Commercial: $322.71 Anthem Healthkeeper Plus — Managed Medicaid: $129.03 Cigna - HMO — Commercial: $427.32 Cigna - PPO — Commercial: $456.48 Connecticare — Commercial: $443.80 Gateway - Tier 1 — Commercial: $602.30

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: HB EKG ROUTINE W/PRO FEE	$277	$96.95	$12.84 – $263.15
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $13.45 ABH of WVA (formerly Coventry) — Managed Medicaid: $13.45 Aetna — Choice POS II: $143.49 Aetna - BoB — Commercial: $183.93 Aetna - Preferred — Commercial: $140.99 Anthem Healthkeeper Plus — Managed Medicaid: $12.84 Cigna - HMO — Commercial: $186.70 Cigna - PPO — Commercial: $199.44 Connecticare — Commercial: $193.90 Gateway - Tier 1 — Commercial: $263.15
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HB CATH LEFT HEART PERC	$17,056	$5,969.60	$778.73 – $16,203.20
Left heart catheterization (diagnostic): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $815.82 ABH of WVA (formerly Coventry) — Managed Medicaid: $815.82 Aetna — Choice POS II: $8,835.01 Aetna - BoB — Commercial: $11,325.18 Aetna - Medicare — Medicare Advantage: $3,118.75 Aetna - Medicare Prime — Medicare Advantage: $2,846.24 Aetna - Preferred — Commercial: $8,681.50 Anthem - Exchange — Exchange: $10,620.32 Anthem - Medicare Advantage — Medicare Advantage: $3,088.47 Anthem - PPO PAR HMO — Commercial: $11,800.04
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HB EP COMPREHENSIVE W/AT FIB ABLATION	$63,279	$22,147.65	$826.94 – $95,137.06
Heart rhythm study with ablation for atrial fibrillation: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $866.32 ABH of WVA (formerly Coventry) — Managed Medicaid: $866.32 Aetna — Choice POS II: $32,778.52 Aetna - BoB — Commercial: $42,017.26 Aetna - Medicare — Medicare Advantage: $25,144.69 Aetna - Medicare Prime — Medicare Advantage: $22,947.58 Aetna - Preferred — Commercial: $32,209.01 Anthem - Exchange — Exchange: $85,625.69 Anthem - Medicare Advantage — Medicare Advantage: $24,900.57 Anthem - PPO PAR HMO — Commercial: $95,137.06
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HB PSG 4+ PARAMET INCOMPLETE	$4,376	$1,531.60	$560.10 – $4,157.20
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $586.77 ABH of WVA (formerly Coventry) — Managed Medicaid: $586.77 Aetna — Choice POS II: $2,266.77 Aetna - BoB — Commercial: $2,905.66 Aetna - Medicare — Medicare Advantage: $826.11 Aetna - Medicare Prime — Medicare Advantage: $753.93 Aetna - Preferred — Commercial: $2,227.38 Anthem - Exchange — Exchange: $2,813.16 Anthem - Medicare Advantage — Medicare Advantage: $818.09 Anthem - PPO PAR HMO — Commercial: $3,125.65
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HB PSG (SLEEP STAGING) 4+ PARAMET	$4,376	$1,531.60	$560.10 – $4,157.20
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $586.77 ABH of WVA (formerly Coventry) — Managed Medicaid: $586.77 Aetna — Choice POS II: $2,266.77 Aetna - BoB — Commercial: $2,905.66 Aetna - Medicare — Medicare Advantage: $826.11 Aetna - Medicare Prime — Medicare Advantage: $753.93 Aetna - Preferred — Commercial: $2,227.38 Anthem - Exchange — Exchange: $2,813.16 Anthem - Medicare Advantage — Medicare Advantage: $818.09 Anthem - PPO PAR HMO — Commercial: $3,125.65

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HB OT EI EXERCISE THERAPEUTIC 15 MIN	$143	$50.05	$43.92 – $135.85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $46.01 ABH of WVA (formerly Coventry) — Managed Medicaid: $46.01 Aetna — Choice POS II: $74.07 Aetna - BoB — Commercial: $94.95 Aetna - Preferred — Commercial: $72.79 Anthem Healthkeeper Plus — Managed Medicaid: $43.92 Cigna - HMO — Commercial: $96.38 Cigna - PPO — Commercial: $102.96 Connecticare — Commercial: $100.10 Gateway - Tier 1 — Commercial: $135.85
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HB PT EI EXERCISE THERAPEUTIC 15 MIN	$143	$50.05	$43.92 – $135.85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $46.01 ABH of WVA (formerly Coventry) — Managed Medicaid: $46.01 Aetna — Choice POS II: $74.07 Aetna - BoB — Commercial: $94.95 Aetna - Preferred — Commercial: $72.79 Anthem Healthkeeper Plus — Managed Medicaid: $43.92 Cigna - HMO — Commercial: $96.38 Cigna - PPO — Commercial: $102.96 Connecticare — Commercial: $100.10 Gateway - Tier 1 — Commercial: $135.85
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HB OT EXERCISE THERAPEUTIC 15 MIN	$143	$50.05	$43.92 – $135.85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $46.01 ABH of WVA (formerly Coventry) — Managed Medicaid: $46.01 Aetna — Choice POS II: $74.07 Aetna - BoB — Commercial: $94.95 Aetna - Preferred — Commercial: $72.79 Anthem Healthkeeper Plus — Managed Medicaid: $43.92 Cigna - HMO — Commercial: $96.38 Cigna - PPO — Commercial: $102.96 Connecticare — Commercial: $100.10 Gateway - Tier 1 — Commercial: $135.85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HB PT EVAL LOW	$393	$137.55	$101.43 – $373.35
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $106.26 ABH of WVA (formerly Coventry) — Managed Medicaid: $106.26 Aetna — Choice POS II: $203.57 Aetna - BoB — Commercial: $260.95 Aetna - Preferred — Commercial: $200.04 Anthem Healthkeeper Plus — Managed Medicaid: $101.43 Cigna - HMO — Commercial: $264.88 Cigna - PPO — Commercial: $282.96 Connecticare — Commercial: $275.10 Gateway - Tier 1 — Commercial: $373.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HB PT EVAL MODERATE	$432	$151.20	$101.43 – $410.40
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $106.26 ABH of WVA (formerly Coventry) — Managed Medicaid: $106.26 Aetna — Choice POS II: $223.78 Aetna - BoB — Commercial: $286.85 Aetna - Preferred — Commercial: $219.89 Anthem Healthkeeper Plus — Managed Medicaid: $101.43 Cigna - HMO — Commercial: $291.17 Cigna - PPO — Commercial: $311.04 Connecticare — Commercial: $302.40 Gateway - Tier 1 — Commercial: $410.40
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HB PT EVAL COMPLEX	$475	$166.25	$105.36 – $451.25
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $110.37 ABH of WVA (formerly Coventry) — Managed Medicaid: $110.37 Aetna — Choice POS II: $246.05 Aetna - BoB — Commercial: $315.40 Aetna - Preferred — Commercial: $241.78 Anthem Healthkeeper Plus — Managed Medicaid: $105.36 Cigna - HMO — Commercial: $320.15 Cigna - PPO — Commercial: $342 Connecticare — Commercial: $332.50 Gateway - Tier 1 — Commercial: $451.25

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HB EGD DIAGNOSTIC	$3,323	$1,163.05	$119.31 – $3,301.26
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $269.76 ABH of WVA (formerly Coventry) — Managed Medicaid: $269.76 Aetna — Choice POS II: $1,721.31 Aetna - BoB — Commercial: $2,206.47 Aetna - Medicare — Medicare Advantage: $872.52 Aetna - Medicare Prime — Medicare Advantage: $796.28 Aetna - Preferred — Commercial: $1,691.41 Anthem - Exchange — Exchange: $2,971.21 Anthem - Medicare Advantage — Medicare Advantage: $864.05 Anthem - PPO PAR HMO — Commercial: $3,301.26
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HB EGD W/BIOPSY	$3,323	$1,163.05	$119.31 – $3,301.26
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $352.61 ABH of WVA (formerly Coventry) — Managed Medicaid: $352.61 Aetna — Choice POS II: $1,721.31 Aetna - BoB — Commercial: $2,206.47 Aetna - Medicare — Medicare Advantage: $872.52 Aetna - Medicare Prime — Medicare Advantage: $796.28 Aetna - Preferred — Commercial: $1,691.41 Anthem - Exchange — Exchange: $2,971.21 Anthem - Medicare Advantage — Medicare Advantage: $864.05 Anthem - PPO PAR HMO — Commercial: $3,301.26
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HB COLONOSCOPY FLEX DX	$3,231	$1,130.85	$96.47 – $3,384.89
Colonoscopy (diagnostic): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $318.53 ABH of WVA (formerly Coventry) — Managed Medicaid: $318.53 Aetna — Choice POS II: $1,673.66 Aetna - BoB — Commercial: $2,145.38 Aetna - Medicare — Medicare Advantage: $894.63 Aetna - Medicare Prime — Medicare Advantage: $816.46 Aetna - Preferred — Commercial: $1,644.58 Anthem - Exchange — Exchange: $3,046.48 Anthem - Medicare Advantage — Medicare Advantage: $885.94 Anthem - PPO PAR HMO — Commercial: $3,384.89
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HB COLONOSCOPY W/BIOPSY	$4,179	$1,462.65	$387.60 – $4,355.55
Colonoscopy with biopsy: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $406.05 ABH of WVA (formerly Coventry) — Managed Medicaid: $406.05 Aetna — Choice POS II: $2,164.72 Aetna - BoB — Commercial: $2,774.86 Aetna - Medicare — Medicare Advantage: $1,151.17 Aetna - Medicare Prime — Medicare Advantage: $1,050.58 Aetna - Preferred — Commercial: $2,127.11 Anthem - Exchange — Exchange: $3,920.10 Anthem - Medicare Advantage — Medicare Advantage: $1,139.99 Anthem - PPO PAR HMO — Commercial: $4,355.55
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HB COLONOSCOPY W/REMOVE BY SNARE	$4,179	$1,462.65	$405.80 – $4,355.55
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $425.13 ABH of WVA (formerly Coventry) — Managed Medicaid: $425.13 Aetna — Choice POS II: $2,164.72 Aetna - BoB — Commercial: $2,774.86 Aetna - Medicare — Medicare Advantage: $1,151.17 Aetna - Medicare Prime — Medicare Advantage: $1,050.58 Aetna - Preferred — Commercial: $2,127.11 Anthem - Exchange — Exchange: $3,920.10 Anthem - Medicare Advantage — Medicare Advantage: $1,139.99 Anthem - PPO PAR HMO — Commercial: $4,355.55
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: HB COLONOSCOPY FLEX W/ENDO US	$4,179	$1,462.65	$226.47 – $4,355.55
Ultrasound of the lower bowel by endoscope: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $237.26 ABH of WVA (formerly Coventry) — Managed Medicaid: $237.26 Aetna — Choice POS II: $2,164.72 Aetna - BoB — Commercial: $2,774.86 Aetna - Medicare — Medicare Advantage: $1,151.17 Aetna - Medicare Prime — Medicare Advantage: $1,050.58 Aetna - Preferred — Commercial: $2,127.11 Anthem - Exchange — Exchange: $3,920.10 Anthem - Medicare Advantage — Medicare Advantage: $1,139.99 Anthem - PPO PAR HMO — Commercial: $4,355.55
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HB COLONOSCOPY SCRN PT NOT HI RISK	$3,231	$1,130.85	$96.47 – $3,384.89
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates Aetna — Choice POS II: $1,673.66 Aetna - BoB — Commercial: $2,145.38 Aetna - Medicare — Medicare Advantage: $894.63 Aetna - Medicare Prime — Medicare Advantage: $816.46 Aetna - Preferred — Commercial: $1,644.58 Anthem - Exchange — Exchange: $3,046.48 Anthem - Medicare Advantage — Medicare Advantage: $885.94 Anthem - PPO PAR HMO — Commercial: $3,384.89 Cigna - HMO — Commercial: $2,177.69 Cigna - PPO — Commercial: $2,326.32
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HB BIOPSY PROSTATE	$7,260	$2,541	$215.73 – $6,897
Prostate biopsy: 10 of 26 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $226.01 ABH of WVA (formerly Coventry) — Managed Medicaid: $226.01 Aetna — Choice POS II: $3,760.68 Aetna - BoB — Commercial: $4,820.64 Aetna - Preferred — Commercial: $3,695.34 Anthem Healthkeeper Plus — Managed Medicaid: $215.73 Cigna - HMO — Commercial: $4,893.24 Cigna - PPO — Commercial: $5,227.20 Connecticare — Commercial: $5,082 Gateway - Tier 1 — Commercial: $6,897
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HB INJ INTERLAMINAR LUMB/SACRL W IMG	$3,081	$1,078.35	$231.55 – $2,926.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $242.57 ABH of WVA (formerly Coventry) — Managed Medicaid: $242.57 Aetna — Choice POS II: $1,595.96 Aetna - BoB — Commercial: $2,045.78 Aetna - Medicare — Medicare Advantage: $679.06 Aetna - Medicare Prime — Medicare Advantage: $619.72 Aetna - Preferred — Commercial: $1,568.23 Anthem - Exchange — Exchange: $2,312.42 Anthem - Medicare Advantage — Medicare Advantage: $672.47 Anthem - PPO PAR HMO — Commercial: $2,569.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HB SP INJ INTERLAMINAR LUMB/SACRL W IMG	$2,800	$980	$231.55 – $2,926.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $242.57 ABH of WVA (formerly Coventry) — Managed Medicaid: $242.57 Aetna — Choice POS II: $1,450.40 Aetna - BoB — Commercial: $1,859.20 Aetna - Medicare — Medicare Advantage: $679.06 Aetna - Medicare Prime — Medicare Advantage: $619.72 Aetna - Preferred — Commercial: $1,425.20 Anthem - Exchange — Exchange: $2,312.42 Anthem - Medicare Advantage — Medicare Advantage: $672.47 Anthem - PPO PAR HMO — Commercial: $2,569.29
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HB INJ TRANSFORAM LUM/SAC SNGL LT	$3,420	$1,197	$220.80 – $6,498
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $231.32 ABH of WVA (formerly Coventry) — Managed Medicaid: $231.32 Aetna — Choice POS II: $1,771.56 Aetna - BoB — Commercial: $2,270.88 Aetna - Medicare — Medicare Advantage: $850.86 Aetna - Medicare Prime — Medicare Advantage: $776.52 Aetna - Preferred — Commercial: $1,740.78 Anthem - Exchange — Exchange: $2,897.46 Anthem - Medicare Advantage — Medicare Advantage: $842.60 Anthem - PPO PAR HMO — Commercial: $3,219.31
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HB INJ TRANSFORAM LUM/SAC SNGL RT	$3,420	$1,197	$220.80 – $6,498
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $231.32 ABH of WVA (formerly Coventry) — Managed Medicaid: $231.32 Aetna — Choice POS II: $1,771.56 Aetna - BoB — Commercial: $2,270.88 Aetna - Medicare — Medicare Advantage: $850.86 Aetna - Medicare Prime — Medicare Advantage: $776.52 Aetna - Preferred — Commercial: $1,740.78 Anthem - Exchange — Exchange: $2,897.46 Anthem - Medicare Advantage — Medicare Advantage: $842.60 Anthem - PPO PAR HMO — Commercial: $3,219.31
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HB INJ TRANSFORAM LUM/SAC SNGL BILATERAL	$6,840	$2,394	$220.80 – $6,498
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates ABH of VA (formerly Coventry) — Managed Medicaid: $231.32 ABH of WVA (formerly Coventry) — Managed Medicaid: $231.32 Aetna — Choice POS II: $3,543.12 Aetna - BoB — Commercial: $4,541.76 Aetna - Medicare — Medicare Advantage: $850.86 Aetna - Medicare Prime — Medicare Advantage: $776.52 Aetna - Preferred — Commercial: $3,481.56 Anthem - Exchange — Exchange: $2,897.46 Anthem - Medicare Advantage — Medicare Advantage: $842.60 Anthem - PPO PAR HMO — Commercial: $3,219.31

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$379,912.56	$132,969.40	$78,529.09 – $360,916.93
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 29 insurance plan rates Aetna — Choice POS II: $196,794.71 Aetna - BoB — Commercial: $252,261.94 Aetna - Medicare — Medicare Advantage: $86,047.84 Aetna - Medicare Prime — Medicare Advantage: $78,529.09 Aetna - Preferred — Commercial: $193,375.49 Anthem - Exchange — Exchange: $279,005.46 Anthem - Medicare Advantage — Medicare Advantage: $85,212.42 Anthem - PPO PAR HMO — Commercial: $310,016.93 Cigna - HMO — Commercial: $256,061.07 Cigna - PPO — Commercial: $273,537.05
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$104,992.80	$36,747.48	$12,159.87 – $99,743.16
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates Aetna — Choice POS II: $54,386.27 Aetna - BoB — Commercial: $69,715.22 Aetna - Medicare — Medicare Advantage: $16,966.27 Aetna - Medicare Prime — Medicare Advantage: $15,483.78 Aetna - Preferred — Commercial: $53,441.34 Anthem - Exchange — Exchange: $55,012.23 Anthem - Medicare Advantage — Medicare Advantage: $16,801.55 Anthem - PPO PAR HMO — Commercial: $61,126.84 Cigna - HMO — Commercial: $70,765.15 Cigna - PPO — Commercial: $75,594.82
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC-MCC	$109,634.61	$38,372.11	$12,159.87 – $104,152.88
Neck (cervical) spinal fusion, without complications: 10 of 29 insurance plan rates Aetna — Choice POS II: $56,790.73 Aetna - BoB — Commercial: $72,797.38 Aetna - Medicare — Medicare Advantage: $21,473.26 Aetna - Medicare Prime — Medicare Advantage: $19,596.95 Aetna - Preferred — Commercial: $55,804.01 Anthem - Exchange — Exchange: $69,625.88 Anthem - Medicare Advantage — Medicare Advantage: $21,264.78 Anthem - PPO PAR HMO — Commercial: $77,364.80 Cigna - HMO — Commercial: $73,893.72 Cigna - PPO — Commercial: $78,936.92
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC-MCC	$78,791.36	$27,576.98	$9,959.42 – $74,851.79
Uterus and ovary surgery (not for cancer), without complications: 10 of 29 insurance plan rates Aetna — Choice POS II: $40,813.93 Aetna - BoB — Commercial: $52,317.46 Aetna - Medicare — Medicare Advantage: $10,912.99 Aetna - Medicare Prime — Medicare Advantage: $9,959.42 Aetna - Preferred — Commercial: $40,104.80 Anthem - Exchange — Exchange: $32,490.21 Anthem - Medicare Advantage — Medicare Advantage: $10,807.03 Anthem - PPO PAR HMO — Commercial: $36,095.69 Cigna - HMO — Commercial: $53,105.38 Cigna - PPO — Commercial: $56,729.78

Source: Carilion Medical Center’s standard charges file (carilionclinic.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 17, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1906 Belleview Avenue, SE, Roanoke, VA 24014
County	Roanoke City
State	Virginia
Phone	(540) 981‑7000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	490024
Name in Medicare records	CARILION MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Carilion Roanoke Memorial Hospital
Official website	carilionclinic.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Carilion Roanoke Memorial Hospital | Carilion Clinic — carilionclinic.org

Carilion Medical Center

Summary

Profile from official sources

At a glance