Carilion Clinic · Pearisburg, VA
30
In-network payers
235
Disclosed rate categories
25
Beds
5
Care quality
Carilion Giles Community Hospital is a 25-bed voluntary non-profit - private hospital in Pearisburg, VA, affiliated with Carilion Clinic. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 235 disclosed rate categories.
CCN (Medicare provider number)
491302
NPI
1194718304
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Carilion Giles Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$339 - $3,071
from 4 insurers · median $2,323
Typical for a hospital with this service line
CT imaging
CPT 70450
$274 - $1,591
from 4 insurers · median $1,007
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$233 - $2,817
from 4 insurers · median $1,884
Typical for a hospital with this service line
CT imaging
CPT 74176
$250 - $2,255
from 4 insurers · median $1,540
Typical for a hospital with this service line
Mammography
CPT 77067
$151 - $442
from 3 insurers · median $410
Typical for a hospital with this service line
MRI imaging
CPT 70553
$872 - $4,576
from 4 insurers · median $3,020
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$534 - $6,674
from 4 insurers · median $5,172
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45385
$438 - $6,169
from 4 insurers · median $2,758
Typical for a hospital with this service line
Gynecology
CPT 58571
$51,162
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$285 - $4,675
from 4 insurers · median $2,108
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$359 - $6,169
from 4 insurers · median $2,651
Typical for a hospital with this service line
CT imaging
CPT 71275
$533 - $2,109
from 4 insurers · median $1,347
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$4,022 - $56,485
from 4 insurers · median $45,024
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 47562
$30,180
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,064 - $11,798
from 2 insurers · median $6,431
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$35 - $449
from 4 insurers · median $263
Typical for a hospital with this service line
Ultrasound
CPT 76705
$111 - $1,302
from 4 insurers · median $803
Typical for a hospital with this service line
MRI imaging
CPT 72148
$701 - $2,506
from 4 insurers · median $1,776
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$30,180
negotiated rate
Typical for a hospital with this service line
Urology
CPT 50590
$16,235 - $18,171
from 3 insurers · median $17,512
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$27,540
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 74183
$980 - $3,831
from 4 insurers · median $2,524
Typical for a hospital with this service line
MRI imaging
CPT 72197
$870 - $5,729
from 4 insurers · median $3,249
Typical for a hospital with this service line
Ultrasound
CPT 76830
$173 - $1,134
from 4 insurers · median $813
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 893% | 8 | 0 |
| Insurer B* | 19 | 779% | 7 | 3 |
| Insurer C* | 23 | 505% | 13 | 4 |
| Insurer D* | 19 | 103% | 6 | 11 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Carilion Giles Community Hospital.
159 Hartley Way, Pearisburg, VA 24134
(540) 921-6000
The nearest hospitals of similar type and size. Their rates are compared with Carilion Giles Community Hospital for the same insurers and services above.
Summers County Arh Hospital
▼ Rates typically 29% lower than Carilion Giles Community Hospital (23 services)
Plateau Medical Center
▼ Rates typically 39% lower than Carilion Giles Community Hospital (22 services)
Alleghany Memorial Hospital
▼ Rates typically 31% lower than Carilion Giles Community Hospital (19 services)
Bath County Community Hospital
▼ Rates typically 11% lower than Carilion Giles Community Hospital (22 services)
Montgomery General Hospital
▼ Rates typically 9% lower than Carilion Giles Community Hospital (21 services)
Lifebrite Community Hospital Of Stokes
▲ Rates typically 80% higher than Carilion Giles Community Hospital (15 services)
Carilion Rockbridge Community Hospital
Page Memorial Hospital
Dickenson Community Hospital
Rappahannock General Hospital
About Carilion Giles Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Carilion Giles Community Hospital range from $872 to $4,576 across 4 insurers. Blue Cross Blue Shield's rate is $1,798. The median at nearby comparable hospitals is $1,821. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Carilion Giles Community Hospital range from $339 to $3,071 across 4 insurers. Aetna's rate is $339. The median at nearby comparable hospitals is $2,186. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Carilion Giles Community Hospital range from $438 to $6,169 across 4 insurers. Blue Cross Blue Shield's rate is $6,169. The median at nearby comparable hospitals is $2,471. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Carilion Giles Community Hospital range from $151 to $442 across 3 insurers. Aetna's rate is $151. The median at nearby comparable hospitals is $179. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Carilion Giles Community Hospital range from $4,022 to $56,485 across 4 insurers. Blue Cross Blue Shield's rate is $48,068. What a patient pays depends on their plan's deductible, coinsurance and network status.
Carilion Giles Community Hospital has 25 beds. Facility type: Critical Access Hospital.
Carilion Giles Community Hospital is located at 159 Hartley Way, Pearisburg, VA 24134. Its main phone number is (540) 921-6000.
Carilion Giles Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 491302.
The National Provider Identifier (NPI) on file for Carilion Giles Community Hospital is 1194718304.
Carilion Giles Community Hospital is affiliated with Carilion Clinic.
Carilion Giles Community Hospital lists 30 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
235 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers