Supplies, drugs & other prices at Carilion Roanoke Memorial Hospital

Roanoke, VA · every code in this section with a posted price and a Medicare benchmark.

52 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $574.70 $1,642 1.7×
Adm tocilizu covid-19 1st (M0249) $236.25 $675 0.5×
Admin influenza virus vac (G0008) $15.75 $45 0.3×
Ca screen;flexi sigmoidscope (G0104) $1,130.85 $3,231 1.2×
Catheterize for urine spec (P9612) $21 $60 2.2×
Colon ca scrn not hi rsk ind (G0121) $1,130.85 $3,231 1.2×
Colorectal scrn; hi risk ind (G0105) $1,130.85 $3,231 1.2×
Diab manage trn per indiv (G0108) $46.90 $134 0.8×
Diab manage trn ind/group (G0109) $17.85 $51 1.1×
Direct refer hospital observ (G0379) $760.55 $2,173 1.3×
Drug test def 1-7 classes (G0480) $67.20 $192 0.6×
Drug test def 22+ classes (G0483) $554.05 $1,583 2.2×
Drug test def 8-14 classes (G0481) $239.40 $684 1.5×
Egd flexible transnasal w/insj intral tube/cath (0654T) $4,719.05 $13,483 1.3×
Elec stim other than wound (G0283) $44.45 $127 3.5×
Endo outlet restrict w/tube (C9785) $12,913.25 $36,895 1.2×
Esd endoscopy or colonoscopy (C9779) $4,719.05 $13,483 1.3×
Hbot, full body chamber, 30m (G0277) $289.80 $828 2.2×
Home sleep test/type 2 porta (G0398) $455.70 $1,302 2.2×
Iliac Atherectomy (0238T) $22,271.90 $63,634 1.2×
Insertion of substernal implantable defibrillator electrode (0572T) $5,793.20 $16,552 0.7×
Insj bioprostc vlv fem vn (0744T) $6,704.95 $19,157 1.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $16,833.25 $48,095 0.5×
Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data… (0949T) $115.50 $330 3.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $106.75 $305 0.9×
Neuro csf prion prtn qual (0035U) $579.25 $1,655 1.1×
Oth resp proc, group (G0239) $49 $140 1.3×
Oth resp proc, indiv (G0238) $75.25 $215 2.7×
Pemivibart infusion (M0224) $236.25 $675 0.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $7,071.75 $20,205 0.6×
Prostate biopsy, any mthd (G0416) $782.95 $2,237 2.2×
Removal of substernal implantable defibrillator electrode (0573T) $3,183.95 $9,097 0.9×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $3,183.95 $9,097 0.9×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$6,285.30 $17,958 0.4×
Revasc intra lithotrip-stent (C9765) $22,271.90 $63,634 1.2×
Revasc intravasc lithotripsy (C9764) $14,065.80 $40,188 1.2×
Revasc lithotrip-stent-ather (C9767) $22,271.90 $63,634 1.2×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $3,183.95 $9,097 0.9×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $11,784.15 $33,669 0.5×
Sim ang w/prs cath rad emb (C8004) $9,923.20 $28,352 0.9×
Software meas of cardiac vol (G0183) $92.40 $264 1.1×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $23,654.05 $67,583 1.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $23,654.05 $67,583 1.3×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $7,071.75 $20,205 1.3×
Therapeutic procd strg endur (G0237) $52.85 $151 1.9×
Transcatheter Renal Sympath Denervation Bilat (0339T) $7,071.75 $20,205 1.3×
Transcatheter renal sympath denervation unilat (0338T) $7,071.75 $20,205 1.3×
Trauma respons w/hosp criti (G0390) $3,507 $10,020 2.7×
Tte w or w/o contr, cont ecg (C8930) $1,887.90 $5,394 2.5×
Tte w or wo fol wcon,doppler (C8929) $1,121.75 $3,205 1.5×
Unsched dialysis esrd pt hos (G0257) $657.65 $1,879 1.0×
Vasc emb/occ w/prs cath (C9797) $22,271.90 $63,634 1.2×