Visits & medical services prices at Carilion Roanoke Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$3,619 $10,340 0.5×
Actinotherapy Ultraviolet Light (96900) $49 $140 1.3×
Admn Sarscov2 Vacc 1 Dose (90480) $53.55 $153 1.4×
Aep threshold estimation mlt frequencies i&r (92652) $1,066.10 $3,046 5.1×
Airway Inhalation Treatment (94640) $252.35 $721 1.2×
Airway resistance by oscillometry (94728) $302.75 $865 2.4×
Anrct mano rct sensation&rct balo expulsion test (91125) $890.05 $2,543 2.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $47.95 $137 3.3×
Application on-body injector (96377) $73.15 $209 1.6×
Arrhythmia Induction (93618) $2,043.30 $5,838 1.7×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$182–$187.25 $520–$535 varies
Breathing response to hypoxia (94450) $194.25 $555 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $386.40 $1,104 1.1×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$2,758.70 $7,882 0.4×
Canalith repositioning proc (95992) $77.35 $221 1.9×
Car seat/bed test 60 min (94780) $135.45 $387 3.7×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$476.35–$483.35 $1,361–$1,381 varies
Cardiopulmonary exercise testing (94621) $671.30 $1,918 1.8×
Cardiopulmonary resuscitation (92950) $467.95 $1,337 2.2×
Cardioversion (92960) $811.65 $2,319 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $74.20 $212 2.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $8,372 $23,920 2.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,221.50 $23,490 2.6×
Cbt 1st hour (94644) $159.95 $457 1.2×
Chemo Admin Peritoneal Cavity (96446) $411.60 $1,176 1.3×
Chemo Anti-Neopl Sq/Im (96401) $158.55 $453 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $125.30 $358 1.8×
Chemo IV infusion addl hr (96415) $139.65 $399 2.0×
Chemo IV push addl drug (96411) $390.60 $1,116 5.6×
Chemother Prolong Infuse W/Pump (96416) $564.20 $1,612 1.8×
Chemotherapy Into Cns (96450) $505.40 $1,444 1.6×
Chemotherapy Unspecified (96549) $249.90 $714 5.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $321.65 $919 4.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $653.45 $1,867 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $642.25 $1,835 2.0×
Chest Wall Manipulation (94668) $159.95 $457 1.2×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $658.35 $1,881 1.8×
Color/duplex Doppler, complete (93975) $586.95 $1,677 2.5×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$505.05–$555.10 $1,443–$1,586 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $42.35 $121 1.3×
Continuous Pulse Ox (94762) $194.25 $555 1.5×
Coronary Art/Grft Angio S&I (93455) $6,417.25 $18,335 2.0×
Coronary Artery Angio S&I (93454) $5,784.80 $16,528 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $252.35 $721 1.2×
Cpt initial (94667) $159.95 $457 1.2×
Critical care first hour (99291) $1,454.60 $4,156 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $246.75 $705 1.3×
Dialysis One Evaluation (90945) $528.15 $1,509 1.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $389.20 $1,112 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $274.75 $785 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $415.80 $1,188 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $277.20 $792 2.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$572.25–$665 $1,635–$1,900 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$381.50–$404.95 $1,090–$1,157 varies
Duplex Scan Hemodialysis Access (93990) $290.50 $830 2.8×
Duplex up extrem art bilat (93930) $716.80 $2,048 3.1×
Duplex up extrem art unilat/ltd (93931) $326.55 $933 3.2×
Echo Congenital Complete (93303) $1,413.65 $4,039 2.7×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$361.90–$396.90 $1,034–$1,134 varies
Echo transesophageal (93312) $1,715 $4,900 3.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,716.40 $4,904 3.2×
Eeg 41-60 Minutes (95812) $386.40 $1,104 1.8×
EEG awake and asleep (95819) $451.50 $1,290 2.1×
EEG awake drowsy (95816) $427 $1,220 2.0×
EEG cerebral death evaluation (95824) $658.35 $1,881 1.8×
EEG cont rec w/video by tech min 8 channels (95700) $348.60 $996 1.7×
EEG extended monitoring 61-119 minutes (95813) $439.95 $1,257 2.1×
Eeg Sleep Only (95822) $386.40 $1,104 1.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705)
range across 2 matching MRF lines
$451.50–$465.15 $1,290–$1,329 varies
EEG w/o vid 2-12hr cont mntr (95707) $512.75 $1,465 2.4×
EEG w/o vid ea 12-26hr intmt (95709) $692.30 $1,978 1.9×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $726.95 $2,077 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $488.25 $1,395 2.3×
EEG wo vid ea 12-26hr unmntr (95708)
range across 2 matching MRF lines
$658.35–$710.15 $1,881–$2,029 varies
Electrical Stimulation Ea 15 Min (97032) $57.05 $163 3.9×
Electrocardiogram Tracing (93005) $104.30 $298 1.8×
Electroconvulsive Therapy (90870) $658.35 $1,881 0.8×
Emergency Dept Visit Level 2 (99282) $280 $800 1.9×
Emergency Dept Visit Level 3 (99283) $462 $1,320 1.7×
Emergency Dept Visit Level 4 (99284) $762.30 $2,178 1.9×
Endomyocardial Biopsy (93505) $1,610.35 $4,601 0.5×
Ep & ablate supravent arrhyt (93653) $19,039.30 $54,398 0.7×
Ep & ablate ventric tachy (93654) $22,974 $65,640 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,411.85 $26,891 1.2×
Er level 1 (99281) $175 $500 2.1×
Er level v (99285) $1,160.25 $3,315 2.0×
Esophgl Balo Distension Dx Std W/Provocation (91040) $797.30 $2,278 2.2×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $877.45 $2,507 2.4×
Evaluate pt use of inhaler (94664) $252.35 $721 1.2×
Evaluate Speech Production (92522) $194.95 $557 1.7×
Evaluate Swallowing Function (92610) $145.25 $415 1.7×
Evaluation of speech fluency (92521) $178.15 $509 1.3×
Exercise test for bronchospasm (94617) $193.55 $553 1.5×
External ECG rec>48hr<7d recording (93242) $155.75 $445 4.3×
External ECG rec>7d<15d recording (93246) $77.70 $222 2.1×
External Ecg Scanning Analysis Report (93226) $274.05 $783 4.8×
Extracranial Bilat Study (93880) $469.70 $1,342 2.0×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$261.10–$354.20 $746–$1,012 varies
F-up/limited tthrc echo congenital car anomaly (93304) $912.45 $2,607 1.7×
Flexible endoscopic eval swallow c/v rec (92612) $255.15 $729 1.3×
Gastric motility studies (91020) $1,125.60 $3,216 3.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,088.50 $3,110 3.0×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $628.60 $1,796 3.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,594.25 $4,555 1.9×
Gi tract capsule endoscopy (91110) $1,356.60 $3,876 1.5×
Group Therapeutic Procedures (97150) $44.80 $128 2.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $8,529.85 $24,371 2.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $868 $2,480 1.3×
High altitude simulation test (94452) $159.95 $457 1.2×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $159.95 $457 1.2×
Holter monitor recording (93225) $159.95 $457 1.2×
Icd Device Interrogate (93289) $100.80 $288 2.8×
Icm Device Eval (93290) $57.75 $165 1.6×
Immunization administration (90471)
range across 4 matching MRF lines
$15.75–$88.55 $45–$253 varies
Insert/Place Heart Catheter (93503) $1,926.75 $5,505 1.3×
Interrogate Subq Defib (93261) $109.20 $312 3.0×
Interrogation eval in person wr defibrillator (93292) $57.75 $165 1.6×
Interrogation vad in person (93750) $139.30 $398 1.5×
Intra-atrial pacing (93610) $9,411.85 $26,891 1.2×
Intra-atrial recording (93602) $9,411.85 $26,891 1.2×
Intracranial Complete Study (93886) $462 $1,320 2.0×
Intraventricular pacing (93612) $9,411.85 $26,891 1.2×
Iontophoresis 15 min (97033) $74.20 $212 3.9×
Irrig Drug Delivery Device (96523) $73.85 $211 1.3×
IV infusion hydration each additional hour (96361) $80.50 $230 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $261.45 $747 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $133 $380 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $80.50 $230 1.8×
IV push initial (96374) $152.60 $436 0.7×
L Hrt Art/Grft Angio (93459) $10,493 $29,980 3.3×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $3,989.65 $11,399 1.3×
Mechanical chest wall oscillation per session (94669) $252.35 $721 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $10.50 $30 0.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$7.70–$10.50 $22–$30 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $10.50 $30 0.6×
Methacholine challenge (94070) $624.75 $1,785 1.7×
Motility study esophagus (91010) $757.40 $2,164 2.1×
Motion Fluoroscopy/Swallow (92611) $134.40 $384 1.5×
Multiple Sleep Latency Test (95805) $1,296.75 $3,705 1.5×
Nasopharyngoscopy (92511) $240.80 $688 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $246.75 $705 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $495.60 $1,416 1.2×
Neuromuscular Reeducation (97112) $57.40 $164 1.8×
Newborn resuscitation (99465) $811.65 $2,319 1.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $386.40 $1,104 1.1×
Oral Function Therapy (92526) $120.75 $345 1.4×
Oral Speech Device Eval (92597) $221.90 $634 3.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $68.60 $196 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $64.40 $184 1.4×
Ot Contrast Bath Ea 15 Min (97034) $51.45 $147 3.7×
Ot eval high complexity (97167) $192.50 $550 1.9×
Ot Eval Low Complex (97165) $116.55 $333 1.2×
Ot Eval Moderate Complexity (97166) $126 $360 1.3×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$57.40–$61.25 $164–$175 varies
Ot paraffin bath (97018) $22.05 $63 3.7×
Ot Prosthetic Training, Each 15 Min (97761) $95.55 $273 2.4×
Ot Re-Eval Est Plan Care (97168) $73.15 $209 1.1×
Ot rom hand (95852) $40.25 $115 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $156.45 $447 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $156.45 $447 1.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $252.35 $721 1.2×
Peripheral arterial disease rehab per session (93668) $73.85 $211 1.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $31,537.45 $90,107 1.8×
Perq transcath closure pda (93582)
unusually low: confirm this is the full procedure
$6,713 $19,180 0.4×
Perq Transcath Cls Aortic (93591) $22,271.90 $63,634 1.2×
Perq Transcath Cls Mitral (93590) $22,271.90 $63,634 1.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,071.75 $20,205 1.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,065.80 $40,188 1.2×
Phlebotomy therapeutic (99195) $128.80 $368 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $141.40 $404 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $123.55 $353 2.1×
Physical Performance Test (97750) $53.55 $153 1.6×
Plethysmography (94726) $386.40 $1,104 1.1×
Pm device eval in person (93288) $57.75 $165 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,981 $5,660 2.4×
Polysom <6 yrs 4/> paramtrs (95782) $2,181.55 $6,233 2.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,709.40 $4,884 2.0×
Prq Card Angio/Athrect 1 Art (92924) $14,065.80 $40,188 1.2×
Prq Card Stent W/Angio 1 Vsl (92928) $25,624.20 $73,212 2.3×
Prq Card Stent/Ath/Angio (92933) $31,080 $88,800 1.7×
Prq Revasc Byp Graft 1 Vsl (92937) $14,065.80 $40,188 1.2×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $22,271.90 $63,634 1.2×
Prq trl rvs ch occ ant&rtrgr (92945) $15,804.25 $45,155 1.4×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
unusually low: confirm this is the full procedure
$3,675 $10,500 0.3×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $63.35 $181 1.7×
Pt Eval High Complex (97163) $166.25 $475 1.7×
Pt eval low complex 20 min (97161) $137.55 $393 1.4×
Pt Eval Mod Complex (97162) $151.20 $432 1.5×
Pt gait training 15 min (97116) $53.55 $153 1.8×
Pt group caregiver training (97552) $31.85 $91 1.4×
Pt mechanical traction (97012) $47.60 $136 3.3×
Pt Re-Eval Est Plan Care (97164) $80.50 $230 1.2×
Pulm function test by gas (94727) $209.65 $599 1.0×
Pulmonary service/procedure (94799) $194.25 $555 1.5×
Pulmonary Stress Testing (94618) $166.60 $476 1.3×
R Hrt Art/Grft Angio (93457) $8,417.50 $24,050 2.7×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,989.65 $11,399 1.3×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $3,989.65 $11,399 1.3×
R hrt coronary artery angio (93456) $7,158.55 $20,453 2.3×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $3,989.65 $11,399 1.3×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $4,677.40 $13,364 1.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,639.80 $21,828 2.4×
Rectal sensation tone&compliance study (91124) $798 $2,280 3.8×
Rem interrog icpms <30 d phys/qhp (93297) $69.65 $199 1.9×
Remote 30 Day Ecg Rev/Report (93270) $110.25 $315 3.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $73.85 $211 1.3×
Right Heart Cath (93451) $6,259.05 $17,883 2.0×
Right ventricular recording (93603) $2,043.30 $5,838 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $246.75 $705 1.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $23.45 $67 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $222.60 $636 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $71.40 $204 1.5×
Self Care Mngment Training (97535) $59.85 $171 1.8×
Sensory Integration Ea 15 Min (97533) $48.65 $139 0.8×
Sleep study unattended (95806) $435.40 $1,244 2.1×
Slp caregiver training 1st 30 min (97550) $148.05 $423 2.8×
Slp Stdy Unatnd W/Anal (95801) $201.60 $576 3.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $435.40 $1,244 2.1×
Somatosensory Testing (95938) $658.35 $1,881 0.8×
Speech sound lang comprehen (92523) $216.65 $619 1.0×
Spirometry (94010) $220.50 $630 1.0×
Ssep lower limbs (95926) $386.40 $1,104 1.8×
Stress Tte Only (93350) $1,542.10 $4,406 2.9×
Temp transcutaneous pacing (92953) $811.65 $2,319 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $32.55 $93 1.5×
Ther Ivntj Ea Addl 15 Min (97130) $31.85 $91 1.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $61.25 $175 1.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $41.65 $119 1.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $155.40 $444 1.5×
Ther/Proph/Diag Inj Ia (96373) $261.45 $747 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $88.55 $253 1.3×
Ther/Proph/Diag Iv Inf Init (96365) $261.45 $747 1.3×
Therapeutic Activities (97530) $59.50 $170 1.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $658.35 $1,881 1.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $56 $160 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $64.75 $185 1.8×
Transcath Closure of Asd (93580) $22,271.90 $63,634 1.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $225.05 $643 2.2×
Tte w/doppler, complete (93306) $982.10 $2,806 1.8×
Tte W/O Doppler Complete (93307) $869.05 $2,483 3.7×
Tx atrial fib pulm vein isol (93656) $22,147.65 $63,279 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 5 matching MRF lines
$79.10–$85.40 $226–$244 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $40.25 $115 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $97.65 $279 2.1×
Unlis neurological/neuromuscular dx px (95999) $672 $1,920 5.4×
Unlisted Diagnostic Gastroenterology Procedure (91299) $194.25 $555 1.5×
Upr/L Xtremity Art 2 Levels (93922) $202.65 $579 1.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $275.80 $788 1.3×
Valvuloplasty aortic valve (92986) $7,071.75 $20,205 1.3×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$4,037.25 $11,535 0.4×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$3,225.25 $9,215 0.3×
Vasopneumatic device (97016) $50.05 $143 4.2×
Veeg 2-12 Hr Cont Mntr (95713) $946.40 $2,704 2.6×
Veeg 2-12 hr intmt mntr (95712) $901.25 $2,575 2.5×
Veeg 2-12 hr unmonitored (95711) $858.55 $2,453 4.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,484 $4,240 4.1×
Veeg Ea 12-26 Hr Unmntr (95714) $1,244.60 $3,556 3.4×
Veeg ea 12-26hr cont mntr (95716) $1,892.45 $5,407 2.3×
Vent Mgmt Inpat Init Day (94002) $900.55 $2,573 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $820.05 $2,343 1.4×
Visual Evoked Potential Test (95930) $416.15 $1,189 2.0×
Vital capacity, total (94150) $194.25 $555 1.5×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,262.10 $3,606 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $46.20 $132 1.5×
Whirlpool Therapy (97022) $50.75 $145 3.2×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.