47/100
#1,345 nationally
Carilion Medical Center
1906 Belleview Avenue, Se, Roanoke, VA 24014 · (540) 981-7000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Carilion Medical Center billed $4.81 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 240
- inpatient and outpatient combined
- Rank in VA
- #41
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 42% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 52% of U.S. hospitals.
Better than 61% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,164 | $14,957 | $2,341 | -23% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
711 | $68,644 | $17,258 | +5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
662 | $73,197 | $11,171 | +17% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
602 | $7,727 | $1,376 | -23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
334 | $40,585 | $11,612 | -7% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
332 | $6,576 | $1,662 | -42% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
264 | $28,274 | $2,764 | +12% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
264 | $3,543 | $1,373 | -68% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
237 | $7,812 | $1,754 | -40% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
227 | $51,376 | $6,072 | +29% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$22,286 | $1,900 | +90% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$33,135 | $2,683 | +75% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$89,159 | $8,737 | +49% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$58,831 | $5,563 | +49% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$148,628 | $17,928 | +46% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
$430,396 | $99,082 | +40% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$33,325 | $3,206 | +40% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$48,994 | $4,909 | +40% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$3,543 | $1,373 | -68% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,129 | $587 | -64% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$2,352 | $670 | -63% |
|
Biopsies of Musculoskeletal System and Connective Tissue with Major Complications
MS-DRG 477 · Inpatient stay |
$93,887 | $31,564 | -52% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$39,096 | $13,548 | -44% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$6,576 | $1,662 | -42% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,812 | $1,754 | -40% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
$86,720 | $25,166 | -39% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.