Compare: Carilion Medical Center vs Lewisgale Hospital Pulaski

Comparing cash prices at two hospitals on the 267 procedures both publish. Start over ·

Carilion Medical Center is cheaper overall — its cash prices run about 85% lower than Lewisgale Hospital Pulaski (median across 267 shared procedures), winning on 265 of them.
Carilion Medical Center
Roanoke, VA
CMS rating ★★★☆☆
70% recommend · ER wait 260 min · readmit 14.1%
🍼 Birthing-Friendly
cheaper on 265
Lewisgale Hospital Pulaski
Pulaski, VA
CMS rating ★★★★☆
84% recommend · ER wait 130 min · readmit 15.1%
cheaper on 2
ProcedureCarilion Medical CenterLewisgale Hospital PulaskiMedicare
3D mammogram (tomosynthesis)$30$73$51
Abdominal ultrasound$470$3,558$100
Abdominal ultrasound (complete)$527$3,822$114
Abdominal ultrasound (limited)$412$3,294$86
Albumin blood test$39$228$5
Aldosterone test$167$978$41
Alkaline phosphatase test$37$296$5
Alpha-fetoprotein (AFP) test$103$693$17
ALT liver enzyme test$50$279$5
Ammonia blood test$84$436$15
Amylase test$56$324$6
Antinuclear antibody (ANA) test$64$522$12
Arterial blood gas (ABG)$145$480$26
AST liver enzyme test$50$279$5
Barium swallow study$301$2,625$107
Basic metabolic panel$127$778$8
Bilirubin blood test$89$281$5
Blood clotting test (PT/INR)$26$220$4
Blood crossmatch$213$345—
Blood glucose test$36$269$5
Blood transfusion$565$3,394$47
Blood type and screen$125$240$10
Blood type test$111$150$3
Blood type test (ABO group)$160$141$3
Blood type test (Rh/D antigen)$62$158$3
BNP (heart failure) test$161$403$39
Bone density scan (DEXA)$351$2,000$39
Bone scan (nuclear)$975$8,796$259
Breast ultrasound$250$1,087$92
Breast ultrasound (limited)$250$894$84
C-reactive protein (CRP)$54$279$5
CA 19-9 tumor marker test$82$645$21
CA-125 ovarian marker test$123$773$21
Calcium blood test$21$149$5
Cardiac stress test$476$2,615$39
Cardioversion$812$2,381$155
Carotid artery ultrasound$365$6,571$156
CEA tumor marker test$81$669$19
Chemotherapy infusion$397$2,924$81
Chemotherapy infusion (each additional)$140$1,431$28
Chemotherapy infusion (first hour)$653$4,416$133
Chest X-ray$145$1,535$37
Chest X-ray (1 view)$127$1,203$25
Chest X-ray (2 views)$145$1,710$33
CK-MB heart enzyme test$48$475$12
Clotting time test (PTT)$42$279$6
Complete blood count (CBC)$51$220$7
Comprehensive metabolic panel$170$1,135$11
COVID-19 PCR test$61$77$51
CPAP titration study$252$396$69
Creatine kinase (CK) test$36$349$7
CT angiography of the chest$1,095$6,538$281
CT angiography of the head$1,121$6,517$274
CT scan of the abdomen$1,150$11,060$230
CT scan of the abdomen and pelvis$1,542$16,588$300
CT scan of the abdomen and pelvis with and without contrast$2,154$19,520$338
CT scan of the abdomen and pelvis with contrast$1,542$16,588$300
CT scan of the abdomen and pelvis without contrast$1,191$15,070$183
CT scan of the abdomen with and without contrast$1,233$13,012$259
CT scan of the abdomen with contrast$1,150$11,060$230
CT scan of the abdomen without contrast$661$10,047$136
CT scan of the arm$1,055$5,243$199
CT scan of the arm with contrast$1,301$5,243$199
CT scan of the arm without contrast$874$4,675$161
CT scan of the chest$1,029$10,914$167
CT scan of the chest with and without contrast$1,373$12,107$196
CT scan of the chest with contrast$1,029$10,914$167
CT scan of the chest without contrast$869$9,926$133
CT scan of the head$1,029$9,304$148
CT scan of the head with and without contrast$1,261$11,678$173
CT scan of the head with contrast$1,029$9,304$148
CT scan of the head without contrast$799$7,951$107
CT scan of the leg$1,010$7,327$166
CT scan of the leg with contrast$1,010$7,327$166
CT scan of the leg without contrast$761$5,981$130
CT scan of the lower back (lumbar spine)$1,093$10,036$169
CT scan of the lower back (lumbar spine) with and without contrast$1,093$13,746$197
CT scan of the lower back (lumbar spine) with contrast$1,205$10,036$169
CT scan of the lower back (lumbar spine) without contrast$1,027$9,606$130
CT scan of the neck$1,016$9,976$183
CT scan of the neck (cervical spine)$1,555$8,540$168
CT scan of the neck (cervical spine) with contrast$2,106$9,954$168
CT scan of the neck (cervical spine) without contrast$1,004$7,125$131
CT scan of the neck with and without contrast$1,406$10,602$220
CT scan of the neck with contrast$1,016$9,976$183
CT scan of the neck without contrast$469$9,890$150
CT scan of the pelvis$921$10,704$226
CT scan of the pelvis with and without contrast$921$12,876$251
CT scan of the pelvis with contrast$1,486$10,704$226
CT scan of the pelvis without contrast$700$8,864$133
CT scan of the sinuses$776$10,824$152
CT scan of the sinuses with and without contrast$960$11,082$184
CT scan of the sinuses with contrast$662$10,824$152
CT scan of the sinuses without contrast$776$9,019$128
D-dimer test$78$916$10
DHEA-sulfate test$120$521$22
Diagnostic mammogram$229$1,442$140
Drug screen (urine)$138$428$17
Echocardiogram$869$2,901$138
EKG / ECG (tracing only)$104$544$7
Electrocardiogram (EKG)$104$544$8
Electrolyte panel$96$470$7
Emergency department visit$462$2,783$69
Emergency department visit (level 1)$175$1,128$11
Emergency department visit (level 2)$280$1,680$40
Emergency department visit (level 3)$462$2,783$69
Emergency department visit (level 4)$762$4,436$118
Emergency department visit (level 5)$1,160$7,195$171
Estradiol (estrogen) test$122$740$28
Fecal occult blood (stool) test$51$139$10
Fecal occult blood (stool) test (immunochemical, FIT)$51$144$16
Ferritin (iron) test$64$443$14
Fibrinogen test$78$359$10
Folate (folic acid) test$76$376$15
Free T4 thyroid test$56$272$9
FSH hormone test$106$643$19
Gallbladder scan (HIDA)$1,242$6,156$334
GGT liver test$40$283$7
H. pylori test$184$917$67
HDL cholesterol test$43$353$8
Hematocrit test$25$141$2
Hemoglobin A1c (diabetes test)$49$359$10
Hepatitis B test$63$166$10
Hepatitis C test$78$573$14
HIV test$96$370$19
HIV test (antigen/antibody combo)$96$74$24
IV infusion therapy$171$626$44
IV infusion therapy (each additional)$81$434$21
IV infusion therapy (initial)$261$801$67
Kidney ultrasound$311$3,437$84
Kidney ultrasound (limited)$228$3,437$61
Lactate test$83$349$12
LDH test$31$269$6
Leg vein ultrasound (Doppler)$525$3,276$150
Leg vein ultrasound (Doppler) (limited)$385$2,625$116
LH hormone test$106$584$19
Lipase test$52$370$7
Lipid (cholesterol) panel$64$492$13
Liver function panel$83$573$8
Lung function test (PFT)$303$341$37
Lung scan (V/Q)$991$9,240$291
Magnesium blood test$62$269$7
MRA of the brain$1,156$10,874$226
MRA of the brain without contrast$1,370$14,491$328
MRA of the neck$983$10,874$245
MRA of the neck with contrast$983$7,257$245
MRA of the neck without contrast$1,828$14,491$343
MRI of the abdomen$1,266$8,600$300
MRI of the abdomen with contrast$1,266$8,600$300
MRI of the abdomen without contrast$1,138$5,553$194
MRI of the ankle$1,874$9,189$261
MRI of the ankle with contrast$1,874$9,189$261
MRI of the ankle without contrast$1,611$5,808$222
MRI of the brain$1,372$11,138$269
MRI of the brain with contrast$1,372$11,138$269
MRI of the brain without contrast$1,192$10,204$195
MRI of the chest$1,722$8,800$371
MRI of the chest without contrast$1,988$9,857$466
MRI of the knee$1,888$9,675$315
MRI of the knee without contrast$1,353$8,508$204
MRI of the lower back (lumbar spine)$1,252$10,276$270
MRI of the lower back (lumbar spine) with contrast$1,162$10,276$270
MRI of the lower back (lumbar spine) without contrast$1,252$10,204$192
MRI of the mid-back (thoracic spine)$1,616$12,149$271
MRI of the mid-back (thoracic spine) with and without contrast$2,004$13,226$319
MRI of the mid-back (thoracic spine) without contrast$1,229$11,071$190
MRI of the neck (cervical spine)$1,982$11,715$274
MRI of the neck (cervical spine) with and without contrast$2,430$13,226$318
MRI of the neck (cervical spine) without contrast$1,445$10,204$191
MRI of the pelvis$1,923$7,743$268
MRI of the pelvis with contrast$1,923$7,743$268
MRI of the pelvis without contrast$1,744$5,551$227
MRI of the shoulder$1,813$8,597$313
MRI of the shoulder without contrast$1,311$8,508$205
MRI of the wrist$1,885$9,790$330
MRI of the wrist without contrast$1,744$8,508$303
Nebulizer breathing treatment$252$359$9
Nuclear cardiac stress test$2,355$12,202$428
Occupational therapy evaluation$126$734$101
Occupational therapy evaluation (high complexity)$193$734$101
Occupational therapy evaluation (low complexity)$117$734$101
Occupational therapy evaluation (moderate complexity)$126$734$101
Office visit (established patient)$92$647$115
Office visit (new patient)$158$647$177
Office visit, established patient (level 3)$79$603$95
Office visit, established patient (level 4)$105$697$136
Office visit, new patient (level 3)$123$603$118
Office visit, new patient (level 4)$158$697$177
Pap smear (cervical screening)$82$648$20
Parathyroid hormone (PTH) test$179$969$41
Pelvic ultrasound$363$2,488$78
Pelvic ultrasound (complete)$427$3,777$105
Pelvic ultrasound (limited)$298$1,198$51
Phosphorus blood test$36$252$5
Physical therapy evaluation$151$753$98
Physical therapy evaluation (high complexity)$166$753$98
Physical therapy evaluation (moderate complexity)$151$753$98
Platelet count$36$181$4
Pregnancy blood test (hCG)$86$349$8
Pregnancy ultrasound$358$3,880$126
Pregnancy ultrasound (second or third trimester)$404$3,880$136
Procalcitonin test$137$861$27
Prolactin test$107$769$19
Prostate test (PSA)$72$458$18
Scoliosis spine X-ray$148$563$58
Scoliosis spine X-ray (1 view)$110$424$44
Scoliosis spine X-ray (3 views)$187$702$72
Screening mammogram$222$1,058$126
Scrotal ultrasound$537$2,956$99
Sedimentation rate (ESR) test$29$204$3
Sex hormone binding globulin test$82$363$22
Soft tissue ultrasound$291$1,352$64
Speech therapy$79$550$76
Spirometry (lung function test)$221$268$30
Spirometry with bronchodilator$386$413$43
Swallow study$145$753$85
T3 thyroid test$77$181$14
Tdap (tetanus) vaccine$40$244—
Testosterone test$150$701$26
Thyroid test (TSH)$98$458$17
Thyroid ultrasound$517$3,089$109
Total IgE allergy test$79$557$16
Total protein test$27$252$4
Transvaginal ultrasound$387$3,669$118
Triglycerides test$30$355$6
Troponin (heart) test$58$666$12
Upper GI series (barium)$490$3,859$128
Uric acid (gout) test$60$279$5
Urinalysis$33$87$3
Urine microalbumin test$33$225$5
Urine pregnancy test$57$349$9
Vaccine administration$54$377$19
Vaccine administration (each additional)$20$346$16
Vitamin B12 test$73$468$15
Vitamin D test$111$1,070$30
X-ray of the abdomen$202$1,497$36
X-ray of the ankle$207$1,710$37
X-ray of the collarbone$194$1,501$33
X-ray of the elbow$213$1,889$33
X-ray of the facial bones$148$2,160$39
X-ray of the foot$195$1,710$34
X-ray of the forearm$205$1,754$29
X-ray of the hand$184$1,710$38
X-ray of the hip$142$2,230$49
X-ray of the hip (3 views)$142$2,230$49
X-ray of the hip (4 views)$299$2,230$63
X-ray of the knee$216$2,240$42
X-ray of the knee (2 views)$151$1,710$34
X-ray of the knee (4+ views)$237$2,240$49
X-ray of the lower back (lumbar spine)$283$2,708$47
X-ray of the lower back (lumbar spine) (2 views)$221$2,660$40
X-ray of the lower back (lumbar spine) (4+ views)$345$2,755$53
X-ray of the lower leg$186$2,035$31
X-ray of the mid-back (thoracic spine)$238$2,216$36
X-ray of the mid-back (thoracic spine) (3 views)$280$2,216$39
X-ray of the neck (cervical spine)$245$2,420$47
X-ray of the neck (cervical spine) (3 views)$199$2,085$40
X-ray of the pelvis$209$1,869$36
X-ray of the pelvis (1 view)$187$1,869$28
X-ray of the ribs$203$2,267$42
X-ray of the ribs (2 views)$161$2,230$36
X-ray of the ribs (3 views)$203$2,337$42
X-ray of the shoulder$188$1,785$36
X-ray of the skull$219$1,920$40
X-ray of the upper arm$188$1,419$32
X-ray of the wrist$196$1,905$43
Zinc blood test$51$542$11

Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.