Carilion Medical Center
CARILION MEDICAL CENTER in Roanoke, VA charges 5.8x the Medicare reimbursement rate on average across 182 analyzed procedures at this nonprofit-private hospital.
Roanoke, VA 24014 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
5.78x
Charge / Medicare rate
Max markup
12.09x
Worst procedure
Procedures analyzed
182
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $157,937 | $78,968 | — | 12.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $136,696 | $68,348 | — | 11.9x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $104,268 | $52,134 | — | 9.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $99,778 | $49,889 | — | 9.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $39,923 | $19,962 | — | 9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $143,912 | $71,956 | — | 8.9x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $147,686 | $73,843 | — | 8.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $62,128 | $31,064 | — | 8.8x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $50,125 | $25,063 | — | 8.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $104,691 | $52,346 | — | 8.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $278,076 | $139,038 | — | 8.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $38,651 | $19,326 | — | 8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $115,068 | $57,534 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $167,613 | $83,807 | — | 8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $56,288 | $28,144 | — | 7.9x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $39,001 | $19,501 | — | 7.8x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $77,057 | $38,528 | — | 7.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $197,107 | $98,553 | — | 7.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $84,204 | $42,102 | — | 7.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $128,931 | $64,465 | — | 7.4x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | 356 | $231,153 | $115,576 | — | 7.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $136,704 | $68,352 | — | 7.3x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $273,035 | $136,518 | — | 7.3x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $88,576 | $44,288 | — | 7.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $144,838 | $72,419 | — | 7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $49,804 | $24,902 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $41,381 | $20,690 | — | 6.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $47,167 | $23,584 | — | 6.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $82,373 | $41,186 | — | 6.8x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | 856 | $174,836 | $87,418 | — | 6.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $92,972 | $46,486 | — | 6.7x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $78,702 | $39,351 | — | 6.7x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $107,175 | $53,588 | — | 6.7x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $193,378 | $96,689 | — | 6.7x |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 478 | $93,204 | $46,602 | — | 6.7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $107,573 | $53,787 | — | 6.7x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $60,588 | $30,294 | — | 6.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $41,524 | $20,762 | — | 6.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $41,439 | $20,719 | — | 6.6x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $120,076 | $60,038 | — | 6.6x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | 272 | $107,812 | $53,906 | — | 6.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $63,088 | $31,544 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $26,390 | $13,195 | — | 6.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $75,677 | $37,838 | — | 6.6x |
| SEIZURES WITHOUT MCC | 101 | $36,408 | $18,204 | — | 6.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $158,375 | $79,188 | — | 6.5x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $243,420 | $121,710 | — | 6.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $38,032 | $19,016 | — | 6.5x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $30,565 | $15,283 | — | 6.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $76,198 | $38,099 | — | 6.4x |
Showing 50 of 182 procedures
Got a bill from CARILION MEDICAL CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Carilion Medical Center?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use