Carilion Roanoke Community Hospital — price list

← Hospital overviewVerified from Carilion Roanoke Community Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Abilify maintena 400 mg suspensionextended rel. intramuscular syringe Outpatient	J0401 HCPCS	$9.02	$3.16	$4.52 – $20.02	$4.67
Acetaminophen 1000 mg-100 ml 10 mg-ml intravenous solution Outpatient	J0134 HCPCS	$0.66	$0.23	$0.04 – $0.62	$0.36
Actemra 200 mg-10 ml 20 mg-ml intravenous solution Outpatient	J3262 HCPCS	$20.44	$7.16	$5.06 – $25.97	$18.40
Acthib pf 10 mcg-0.5 ml intramuscular solution Outpatient	90648 CPT	$56.31	$19.71	$12.62 – $53.49	$45.05
Activase 100 mg intravenous solution Outpatient	J2997 HCPCS	$369	$129	$84.68 – $643	$229
Activase 50 mg intravenous solution Outpatient	J2997 HCPCS	$406	$142	$84.68 – $643	—
Acyclovir sodium 50 mg-ml intravenous solution Outpatient	J0133 HCPCS	$0.23	$0.08	$0.03 – $0.21	$0.13
Adacel tdap adolesn-adultpf2 lf-2.5-5-3-5-5 lf-0.5 ml IM syringe Outpatient	90715 CPT	$114	$39.84	$35.82 – $108	$57.94
Adrenalin 1 mg-ml 1 ml injection solution Outpatient	J0171 HCPCS	$10.84	$3.79	$0.84 – $154	$8.86
Adrenalin 1 mg-ml injection solution Outpatient	J0171 HCPCS	$163	$56.88	$0.84 – $154	$89.38
Adstiladrin 3x10exp11 vp-ml intravesical suspension Outpatient	J9029 HCPCS	$300,000	$105,000	$58,008 – $285,000	$186,000
Aggrastat 5 mg-100 ml 50 mcg-ml in 0.9 sodium chloride IV Outpatient	J3246 HCPCS	$48.68	$17.04	$3.11 – $46.24	$35.08
Aggrastat concentrate 250 mcg-ml intravenous Outpatient	J3246 HCPCS	$28.63	$10.02	$3.11 – $46.24	$20.04
Albuked-25 intravenous solution Outpatient	P9047 HCPCS	$463	$162	$47.90 – $459	$287
Albuked-5 intravenous solution Outpatient	P9045 HCPCS	$462	$162	$47.90 – $439	$235
Albuminex 5 intravenous solution Outpatient	P9045 HCPCS	$356	$125	$47.90 – $439	$274
Albuterol sulfate concentrate 5 mg-ml0.5 solution for nebulization Outpatient	J7611 HCPCS	$5.20	$1.82	$0.16 – $4.94	$3.74
Aloprim 500 mg intravenous solution Outpatient	J0206 HCPCS	$33.39	$11.69	$3.97 – $31.72	$27.29
Aminoprotect 25 mg-25 mg-ml intravenous solution Outpatient	J7999 HCPCS	$945	$331	$0.38 – $1,862	$850
Amiodarone 50 mg-ml intravenous solution Outpatient	J0282 HCPCS	$180	$62.83	$0.37 – $171	$92.98
Amphotericin b 50 mg solution for injection Outpatient	J0285 HCPCS	$37.50	$13.13	$18.79 – $51.58	$19.43
Ampicillin-sulbactam 1.5 gram solution for injection Outpatient	J0295 HCPCS	$31.16	$10.91	$1.20 – $50.02	$29.60
Ampicillin-sulbactam 3 gram solution for injection Outpatient	J0295 HCPCS	$52.66	$18.43	$1.20 – $50.02	$37.94
Avastin 25 mg-ml intravenous solution Outpatient	J9035 HCPCS	$419	$147	$66.45 – $398	$377
Avsola 100 mg intravenous solution Outpatient	Q5121 HCPCS	$334	$117	$19.18 – $318	$207
Aztreonam 2 gram solution for injection Outpatient	J0457 HCPCS	$25.18	$8.81	$2.01 – $23.92	$18.13
Berinert 500 unit 10 ml intravenous kit Outpatient	J0597 HCPCS	$292	$102	$68.46 – $277	$225
Bexsero 50 mcg-50 mcg-50 mcg-25 mcg-0.5 ml intramuscular syringe Outpatient	90620 CPT	$1,441	$504	$211 – $1,369	$1,153
Bicillin l-a 1200000 unit-2 ml intramuscular syringe Outpatient	J0561 HCPCS	$166	$58.14	$25.17 – $158	$110
Bicillin l-a 2400000 unit-4 ml intramuscular syringe Outpatient	J0561 HCPCS	$119	$41.74	$25.17 – $158	$107