Carilion Clinic · Lexington, VA
39
In-network payers
249
Disclosed rate categories
25
Beds
4
Care quality
Carilion Rockbridge Community Hospital is a 25-bed voluntary non-profit - private hospital in Lexington, VA, affiliated with Carilion Clinic. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 249 disclosed rate categories.
CCN (Medicare provider number)
491304
NPI
1518950484
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
4
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 Rockbridge 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
$397 - $3,529
from 4 insurers · median $2,074
Typical for a hospital with this service line
CT imaging
CPT 70450
$274 - $1,828
from 4 insurers · median $896
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$284 - $2,550
from 4 insurers · median $1,926
Typical for a hospital with this service line
CT imaging
CPT 74176
$250 - $2,591
from 4 insurers · median $1,602
Typical for a hospital with this service line
Mammography
CPT 77067
$151 - $508
from 3 insurers · median $410
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$285 - $4,233
from 4 insurers · median $2,404
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$534 - $6,277
from 4 insurers · median $5,261
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45385
$438 - $5,584
from 4 insurers · median $2,868
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$359 - $5,584
from 4 insurers · median $3,024
Typical for a hospital with this service line
MRI imaging
CPT 70553
$872 - $5,259
from 4 insurers · median $2,691
Typical for a hospital with this service line
CT imaging
CPT 71275
$533 - $2,506
from 4 insurers · median $1,420
Typical for a hospital with this service line
Gynecology
CPT 58571
$48,755
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$35 - $406
from 4 insurers · median $285
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$30,180
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$937 - $10,680
from 2 insurers · median $5,809
Typical for a hospital with this service line
Ultrasound
CPT 76705
$133 - $1,496
from 4 insurers · median $847
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$287 - $4,340
from 4 insurers · median $2,338
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$13,563 - $48,068
from 4 insurers · median $27,298
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72148
$701 - $2,880
from 4 insurers · median $1,584
Typical for a hospital with this service line
MRI imaging
CPT 72197
$870 - $6,584
from 4 insurers · median $3,470
Typical for a hospital with this service line
MRI imaging
CPT 73721
$697 - $3,088
from 4 insurers · median $1,802
Typical for a hospital with this service line
Ultrasound
CPT 76856
$154 - $1,637
from 4 insurers · median $980
Typical for a hospital with this service line
Urology
CPT 50590
$14,364 - $20,125
from 3 insurers · median $16,450
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$26,236
negotiated rate
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* | 20 | 990% | 15 | 0 |
| Insurer B* | 20 | 707% | 9 | 4 |
| Insurer C* | 23 | 457% | 13 | 5 |
| Insurer D* | 20 | 111% | 12 | 3 |
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 Rockbridge Community Hospital.
1 Health Circle, Lexington, VA 24450
(540) 458-3503
The nearest hospitals of similar type and size. Their rates are compared with Carilion Rockbridge Community Hospital for the same insurers and services above.
Bath County Community Hospital
Rates about the same as Carilion Rockbridge Community Hospital (23 services)
Pocahontas Memorial Hospital
▲ Rates typically 86% higher than Carilion Rockbridge Community Hospital (13 services)
Webster County Memorial Hospital
▼ Rates typically 36% lower than Carilion Rockbridge Community Hospital (16 services)
Summers County Arh Hospital
▼ Rates typically 28% lower than Carilion Rockbridge Community Hospital (23 services)
Page Memorial Hospital
Rates about the same as Carilion Rockbridge Community Hospital (24 services)
Grant Memorial Hospital
▼ Rates typically 49% lower than Carilion Rockbridge Community Hospital (20 services)
Carilion Giles Community Hospital
Shenandoah Memorial Hospital
Dickenson Community Hospital
About Carilion Rockbridge Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Carilion Rockbridge Community Hospital range from $872 to $5,259 across 4 insurers. Cigna's rate is $5,259. The median at nearby comparable hospitals is $1,287. 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 Rockbridge Community Hospital range from $397 to $3,529 across 4 insurers. Aetna's rate is $397. The median at nearby comparable hospitals is $1,693. 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 Rockbridge Community Hospital range from $438 to $5,584 across 4 insurers. Blue Cross Blue Shield's rate is $5,584. The median at nearby comparable hospitals is $2,955. 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 Rockbridge Community Hospital range from $151 to $508 across 3 insurers. Cigna's rate is $508. The median at nearby comparable hospitals is $247. 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 Rockbridge Community Hospital range from $13,563 to $48,068 across 4 insurers. Blue Cross Blue Shield's rate is $48,068. The median at nearby comparable hospitals is $28,407. What a patient pays depends on their plan's deductible, coinsurance and network status.
Carilion Rockbridge Community Hospital has 25 beds. Facility type: Critical Access Hospital.
Carilion Rockbridge Community Hospital is located at 1 Health Circle, Lexington, VA 24450. Its main phone number is (540) 458-3503.
Carilion Rockbridge Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 491304.
The National Provider Identifier (NPI) on file for Carilion Rockbridge Community Hospital is 1518950484.
Carilion Rockbridge Community Hospital is affiliated with Carilion Clinic.
Carilion Rockbridge Community Hospital lists 39 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
249 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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