Compare: Carilion Medical Center vs Lewisgale Medical Center

Comparing cash prices at two hospitals on the 271 procedures both publish. Start over ·

Carilion Medical Center is cheaper overall — its cash prices run about 83% lower than Lewisgale Medical Center (median across 271 shared procedures), winning on 270 of them.
Carilion Medical Center
Roanoke, VA
CMS rating ★★★☆☆
70% recommend · ER wait 260 min · readmit 14.1%
🍼 Birthing-Friendly
cheaper on 270
Lewisgale Medical Center
Salem, VA
CMS rating ★★☆☆☆
58% recommend · ER wait 121 min · readmit 15.5%
cheaper on 1
ProcedureCarilion Medical CenterLewisgale Medical CenterMedicare
3D mammogram (tomosynthesis)$30$82$51
Abdominal ultrasound$470$2,303$100
Abdominal ultrasound (complete)$527$3,061$114
Abdominal ultrasound (limited)$412$1,545$86
Albumin blood test$39$245$5
Aldosterone test$167$649$41
Alpha-fetoprotein (AFP) test$103$435$17
ALT liver enzyme test$50$380$5
Ammonia blood test$84$435$15
Amylase test$56$375$6
Antinuclear antibody (ANA) test$64$356$12
Arterial blood gas (ABG)$145$562$26
AST liver enzyme test$50$300$5
Barium swallow study$301$1,063$107
Basic metabolic panel$127$681$8
Bilirubin blood test$89$369$5
Blood clotting test (PT/INR)$26$221$4
Blood crossmatch$213$592—
Blood glucose test$36$301$5
Blood transfusion$565$4,406$47
Blood type and screen$125$747$10
Blood type test$111$292$3
Blood type test (ABO group)$160$354$3
Blood type test (Rh/D antigen)$62$230$3
BNP (heart failure) test$161$954$39
Bone density scan (DEXA)$351$1,918$39
Bone scan (nuclear)$975$4,866$259
Breast ultrasound$250$1,037$92
Breast ultrasound (limited)$250$692$84
C-reactive protein (CRP)$54$181$5
CA 19-9 tumor marker test$82$396$21
CA-125 ovarian marker test$123$396$21
Calcium blood test$21$306$5
Cardiac rehabilitation$156$391$26
Cardiac stress test$476$3,212$39
Carotid artery ultrasound$365$2,681$156
CEA tumor marker test$81$356$19
Chest X-ray$145$1,294$37
Chest X-ray (1 view)$127$1,063$25
Chest X-ray (2 views)$145$1,294$33
CK-MB heart enzyme test$48$341$12
Clotting time test (PTT)$42$221$6
Complete blood count (CBC)$51$380$7
Comprehensive metabolic panel$170$1,250$11
Copper blood test$75$580$12
Cortisol test$87$477$16
COVID-19 PCR test$61$76$51
CPAP titration study$252$849$69
Creatine kinase (CK) test$36$229$7
CT angiography of the chest$1,095$6,049$281
CT angiography of the head$1,121$4,981$274
CT scan of the abdomen$1,150$5,970$230
CT scan of the abdomen and pelvis$1,542$11,341$300
CT scan of the abdomen and pelvis with and without contrast$2,154$12,372$338
CT scan of the abdomen and pelvis with contrast$1,542$11,341$300
CT scan of the abdomen and pelvis without contrast$1,191$10,162$183
CT scan of the abdomen with and without contrast$1,233$6,723$259
CT scan of the abdomen with contrast$1,150$5,970$230
CT scan of the abdomen without contrast$661$5,311$136
CT scan of the arm$1,055$5,670$199
CT scan of the arm with contrast$1,301$5,670$199
CT scan of the arm without contrast$874$5,537$161
CT scan of the chest$1,029$6,995$167
CT scan of the chest with and without contrast$1,373$7,325$196
CT scan of the chest with contrast$1,029$6,995$167
CT scan of the chest without contrast$869$6,248$133
CT scan of the head$1,029$6,789$148
CT scan of the head with and without contrast$1,261$7,793$173
CT scan of the head with contrast$1,029$6,789$148
CT scan of the head without contrast$799$5,902$107
CT scan of the leg$1,010$6,049$166
CT scan of the leg with contrast$1,010$6,049$166
CT scan of the leg without contrast$761$5,921$130
CT scan of the lower back (lumbar spine)$1,093$7,559$169
CT scan of the lower back (lumbar spine) with and without contrast$1,093$8,737$197
CT scan of the lower back (lumbar spine) with contrast$1,205$4,999$169
CT scan of the lower back (lumbar spine) without contrast$1,027$7,559$130
CT scan of the neck$1,016$5,979$183
CT scan of the neck (cervical spine)$1,555$5,253$168
CT scan of the neck (cervical spine) with contrast$2,106$4,225$168
CT scan of the neck (cervical spine) without contrast$1,004$6,281$131
CT scan of the neck with and without contrast$1,406$6,129$220
CT scan of the neck with contrast$1,016$5,979$183
CT scan of the neck without contrast$469$5,075$150
CT scan of the pelvis$921$5,375$226
CT scan of the pelvis with and without contrast$921$5,654$251
CT scan of the pelvis with contrast$1,486$5,375$226
CT scan of the pelvis without contrast$700$4,849$133
CT scan of the sinuses$776$5,793$152
CT scan of the sinuses with and without contrast$960$4,040$184
CT scan of the sinuses with contrast$662$9,256$152
CT scan of the sinuses without contrast$776$5,793$128
DHEA-sulfate test$120$483$22
Diagnostic mammogram$229$1,043$140
Drug screen (urine)$138$931$17
Echocardiogram$869$4,100$138
Echocardiogram with and without contrast$397$3,046$101
EEG (awake and asleep)$452$2,231$482
EKG / ECG (tracing only)$104$497$7
Electrocardiogram (EKG)$104$497$8
Electroencephalogram (EEG)$439$2,106$448
Electrolyte panel$96$545$7
Emergency department visit$462$1,272$69
Emergency department visit (level 1)$175$591$11
Emergency department visit (level 2)$280$746$40
Emergency department visit (level 3)$462$1,272$69
Emergency department visit (level 4)$762$1,945$118
Emergency department visit (level 5)$1,160$3,064$171
Estradiol (estrogen) test$122$592$28
Fecal occult blood (stool) test$51$110$10
Fecal occult blood (stool) test (immunochemical, FIT)$51$110$16
Ferritin (iron) test$64$404$14
Fibrinogen test$78$352$10
Flu test$84$301$17
Folate (folic acid) test$76$435$15
Free T4 thyroid test$56$445$9
FSH hormone test$106$396$19
Gallbladder scan (HIDA)$1,242$6,940$334
GGT liver test$40$435$7
Hematocrit test$25$165$2
Hemodialysis$868$4,369$75
Hemoglobin A1c (diabetes test)$49$290$10
Hepatitis B test$63$208$10
Hepatitis C test$78$275$14
HIV test$96$317$19
HIV test (antigen/antibody combo)$96$375$24
Holter heart monitor$217$1,126$26
Iron blood test$36$326$6
IV infusion therapy$171$591$44
IV infusion therapy (each additional)$81$401$21
IV infusion therapy (initial)$261$836$67
Kidney ultrasound$311$2,253$84
Kidney ultrasound (limited)$228$1,944$61
Lactate test$83$317$12
LDH test$31$332$6
Leg vein ultrasound (Doppler)$525$2,205$150
Leg vein ultrasound (Doppler) (limited)$385$2,205$116
LH hormone test$106$343$19
Lipase test$52$424$7
Lipid (cholesterol) panel$64$778$13
Liver function panel$83$814$8
Lung function test (PFT)$303$647$37
Lung scan (V/Q)$991$4,113$291
Magnesium blood test$62$338$7
MRA of the brain$1,156$11,519$226
MRA of the brain without contrast$1,370$15,247$328
MRA of the neck$983$11,519$245
MRA of the neck without contrast$1,828$15,247$343
MRI of the abdomen$1,266$12,825$300
MRI of the abdomen with contrast$1,266$12,825$300
MRI of the abdomen without contrast$1,138$11,289$194
MRI of the ankle$1,874$10,927$261
MRI of the ankle without contrast$1,611$10,363$222
MRI of the brain$1,372$13,740$269
MRI of the brain with contrast$1,372$13,740$269
MRI of the brain without contrast$1,192$11,774$195
MRI of the chest$1,722$12,465$371
MRI of the chest without contrast$1,988$16,929$466
MRI of the knee$1,888$10,363$315
MRI of the knee without contrast$1,353$10,363$204
MRI of the lower back (lumbar spine)$1,252$12,309$270
MRI of the lower back (lumbar spine) with contrast$1,162$12,309$270
MRI of the lower back (lumbar spine) without contrast$1,252$10,641$192
MRI of the mid-back (thoracic spine)$1,616$14,802$271
MRI of the mid-back (thoracic spine) with and without contrast$2,004$17,753$319
MRI of the mid-back (thoracic spine) without contrast$1,229$11,850$190
MRI of the neck (cervical spine)$1,982$12,034$274
MRI of the neck (cervical spine) with and without contrast$2,430$17,753$318
MRI of the neck (cervical spine) with contrast$1,982$12,034$274
MRI of the neck (cervical spine) without contrast$1,445$11,241$191
MRI of the pelvis$1,923$12,392$268
MRI of the pelvis without contrast$1,744$7,710$227
MRI of the shoulder$1,813$10,848$313
MRI of the shoulder without contrast$1,311$10,363$205
MRI of the wrist$1,885$10,927$330
MRI of the wrist without contrast$1,744$10,363$303
Nebulizer breathing treatment$252$384$9
Nuclear cardiac stress test$2,355$12,867$428
Occupational therapy evaluation$126$1,306$101
Occupational therapy evaluation (high complexity)$193$1,405$101
Occupational therapy evaluation (low complexity)$117$1,164$101
Occupational therapy evaluation (moderate complexity)$126$1,306$101
Office visit (established patient)$92$599$115
Office visit (new patient)$158$528$177
Office visit, established patient (level 3)$79$528$95
Office visit, established patient (level 4)$105$669$136
Office visit, new patient (level 3)$123$352$118
Office visit, new patient (level 4)$158$703$177
Parathyroid hormone (PTH) test$179$756$41
Pelvic ultrasound$363$2,023$78
Pelvic ultrasound (complete)$427$2,501$105
Pelvic ultrasound (limited)$298$1,545$51
Phosphorus blood test$36$250$5
Physical therapy evaluation$151$1,306$98
Physical therapy evaluation (high complexity)$166$1,405$98
Physical therapy evaluation (moderate complexity)$151$1,306$98
Platelet count$36$261$4
Pregnancy blood test (hCG)$86$515$8
Pregnancy ultrasound$358$1,792$126
Pregnancy ultrasound (first trimester)$311$1,483$117
Pregnancy ultrasound (second or third trimester)$404$2,101$136
Procalcitonin test$137$1,017$27
Prolactin test$107$357$19
Prostate test (PSA)$72$343$18
Pulmonary rehabilitation$124$226$87
Scoliosis spine X-ray$148$1,803$58
Scoliosis spine X-ray (1 view)$110$1,493$44
Scoliosis spine X-ray (3 views)$187$2,112$72
Screening mammogram$222$642$126
Scrotal ultrasound$537$1,997$99
Sedimentation rate (ESR) test$29$197$3
Sex hormone binding globulin test$82$337$22
Soft tissue ultrasound$291$256$64
Speech therapy$79$212$76
Spirometry (lung function test)$221$346$30
Spirometry with bronchodilator$386$947$43
Strep throat test$63$418$17
Swallow study$145$380$85
T3 thyroid test$77$266$14
Tdap (tetanus) vaccine$40$520—
Testosterone test$150$483$26
Thyroid test (TSH)$98$552$17
Thyroid ultrasound$517$1,812$109
Total IgE allergy test$79$310$16
Transvaginal ultrasound$387$2,070$118
Triglycerides test$30$281$6
Troponin (heart) test$58$418$12
Upper GI series (barium)$490$3,693$128
Uric acid (gout) test$60$356$5
Urinalysis$33$229$3
Urine microalbumin test$33$221$5
Urine pregnancy test$57$515$9
Vaccine administration$54$128$19
Vaccine administration (each additional)$20$120$16
Vitamin B12 test$73$290$15
Vitamin D test$111$491$30
X-ray of the abdomen$202$1,587$36
X-ray of the ankle$207$1,304$37
X-ray of the collarbone$194$951$33
X-ray of the elbow$213$865$33
X-ray of the facial bones$148$988$39
X-ray of the foot$195$1,419$34
X-ray of the forearm$205$1,509$29
X-ray of the hand$184$680$38
X-ray of the hip$142$728$49
X-ray of the hip (1 view)$110$475$34
X-ray of the hip (3 views)$142$943$49
X-ray of the hip (4 views)$299$728$63
X-ray of the knee$216$1,911$42
X-ray of the knee (2 views)$151$1,421$34
X-ray of the knee (3 views)$216$1,746$42
X-ray of the knee (4+ views)$237$1,911$49
X-ray of the lower back (lumbar spine)$283$1,377$47
X-ray of the lower back (lumbar spine) (2 views)$221$1,041$40
X-ray of the lower back (lumbar spine) (4+ views)$345$1,712$53
X-ray of the lower leg$186$1,419$31
X-ray of the mid-back (thoracic spine)$238$1,163$36
X-ray of the mid-back (thoracic spine) (2 views)$196$1,069$33
X-ray of the mid-back (thoracic spine) (3 views)$280$1,257$39
X-ray of the neck (cervical spine)$245$1,209$47
X-ray of the neck (cervical spine) (3 views)$199$1,078$40
X-ray of the pelvis$209$984$36
X-ray of the pelvis (1 view)$187$984$28
X-ray of the ribs$203$1,112$42
X-ray of the ribs (2 views)$161$951$36
X-ray of the ribs (3 views)$203$1,319$42
X-ray of the shoulder$188$829$36
X-ray of the skull$219$1,089$40
X-ray of the upper arm$188$940$32
X-ray of the wrist$196$1,419$43
Zinc blood test$51$221$11

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