Home › Hospitals › Carilion Rockbridge Community Hospital Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-30.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,163.05
$3,323
1.3×
Upper GI endoscopy (EGD) with biopsy (43239) $1,163.05
$3,323
1.3×
Diagnostic colonoscopy (45378) $1,130.85
$3,231
1.2×
Colonoscopy with biopsy (45380) $1,462.65
$4,179
1.3×
Colonoscopy with lesion removal (45385) $1,462.65
$4,179
1.3×
Colonoscopy with endoscopic ultrasound (45391) $1,484.35
$4,241
1.3×
CT head/brain without contrast (70450) $798.70
$2,282
7.8×
MRI brain without contrast (70551) $915.95
$2,617
3.9×
MRI brain with contrast (70552) $1,165.50
$3,330
3.4×
MRI brain without and with contrast (70553) $2,297.75
$6,565
6.8×
X-ray lower spine, 4+ views (72110) $393.75
$1,125
3.9×
MRI lumbar spine without contrast (72148) $1,258.25
$3,595
5.4×
CT pelvis with contrast (72193) $1,486.45
$4,247
8.7×
MRI lower-extremity joint without contrast (73721) $1,349.25
$3,855
5.8×
CT abdomen and pelvis with contrast (74177) $1,542.10
$4,406
4.5×
Ultrasound, abdomen complete (76700) $850.85
$2,431
8.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $404.25
$1,155
4.0×
Ultrasound, transvaginal (76830) $588.70
$1,682
5.8×
Mammography, one breast (diagnostic) (77065) $228.55
$653
2.7×
Mammography, both breasts (diagnostic) (77066) $287
$820
2.6×
Mammography, screening (bilateral) (77067) $221.90
$634
2.4×
Basic metabolic panel (80048) $127.05
$363
15.0×
Comprehensive metabolic panel (80053) $170.45
$487
16.1×
Lipid panel (80061) $75.25
$215
5.6×
Renal function panel (80069) $90.30
$258
10.4×
Hepatic function panel (80076) $39.90
$114
4.9×
Urinalysis, non-automated, without microscopy (81002) $12.25
$35
3.5×
PSA, total (84153) $72.45
$207
3.9×
Thyroid stimulating hormone (TSH) (84443) $97.65
$279
5.8×
CBC with automated differential (85025) $51.10
$146
6.6×
CBC, automated (85027) $51.10
$146
7.9×
Prothrombin time (PT) (85610) $25.90
$74
6.0×
Partial thromboplastin time (PTT) (85730) $42.35
$121
7.0×
Sleep study (attended polysomnography) (95810) $1,531.60
$4,376
1.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $50.05
$143
1.7×
Office visit, new patient (low complexity, ~30 min) (99203) $122.50
$350
0.9×
Office visit, new patient (moderate complexity, ~45 min) (99204) $157.50
$450
1.2×
Office visit, new patient (high complexity, ~60 min) (99205) $204.75
$585
1.6×
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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