Does Carilion Stonewall Jackson Hospital publish its standard charges and chargemaster?

Yes. Carilion Stonewall Jackson Hospital publishes a machine-readable file with 32,435 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Carilion Stonewall Jackson Hospital charge for procedures?

Carilion Stonewall Jackson Hospital (Lexington, VA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · VA · CCN 491304

Carilion Stonewall Jackson Hospital

Lexington, VA, 24450

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

32,435

last crawl 2026-05-24

Procedures tracked

128

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All VA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.carilionclinic.org/540480606_Carilion-Franklin-Memorial-Hospital_StandardCharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	15	$17,389	$6,085.98	$8,711.64	$12,859	1.0×	$53,851
emergency
ED visit level 1	CPT	99281	16	$500	$175	$8.21	$280.43	2.0×	$475
ED visit level 2	CPT	99282	16	$800	$280	$30.07	$448.68	1.9×	$760
ED visit level 3	CPT	99283	16	$1,320	$462	$50.96	$740.32	1.8×	$1,337.59
ED visit level 4	CPT	99284	16	$2,178	$762.3	$86.82	$1,221.53	1.8×	$2,069.1
ED visit level 5	CPT	99285	16	$3,315	$1,160.25	$125.82	$1,859.22	1.8×	$3,149.25
Critical care, first hour	CPT	99291	16	$4,156	$1,454.6	$209.58	$2,330.9	2.2×	$4,047.59
imaging
CT head without contrast	CPT	70450	16	$2,282	$798.7	$91.78	$1,171.81	5.7×	$2,167.9
CT head with contrast	CPT	70460	16	$2,940	$1,029	$136.06	$1,509.69	6.5×	$2,793
CT head with and without contrast	CPT	70470	16	$3,604	$1,261.4	$153.99	$1,850.66	6.9×	$3,423.8
CT neck with contrast	CPT	70491	16	$2,904	$1,016.4	$153.99	$1,491.21	5.5×	$2,758.8
MRI brain without contrast	CPT	70551	16	$3,407	$1,192.45	$180.53	$1,749.5	4.3×	$3,236.65
MRI brain with contrast	CPT	70552	16	$3,920	$1,372	$248.85	$2,012.92	4.2×	$3,724
MRI brain with and without contrast	CPT	70553	16	$6,565	$2,297.75	$293.01	$3,371.13	5.7×	$6,236.75
Chest X-ray single view	CPT	71045	16	$364	$127.4	$22.97	$175.55	1.9×	$426.43
Chest X-ray 2 views	CPT	71046	16	$415	$145.25	$30.14	$152.8	1.6×	$426.43
Chest X-ray 3 views	CPT	71047	16	$415	$145.25	$37.89	$232.76	2.4×	$426.43
CT chest without contrast	CPT	71250	16	$2,482	$868.7	$91.78	$1,274.51	5.9×	$2,357.9
CT chest with contrast	CPT	71260	16	$2,939	$1,028.65	$153.37	$1,509.18	5.4×	$2,792.05
CT chest with and without contrast	CPT	71270	16	$3,924	$1,373.4	$153.99	$2,014.98	6.9×	$3,727.8
MRI chest without contrast	CPT	71550	16	$4,159	$1,455.65	$209.48	$2,135.65	5.0×	$3,951.05
MRI chest with and without contrast	CPT	71552	16	$5,679	$1,987.65	$306.29	$2,916.17	4.9×	$5,395.05
Lumbosacral spine X-ray	CPT	72100	16	$631	$220.85	$35.81	$353.9	3.4×	$599.45
CT cervical spine without contrast	CPT	72125	16	$2,869	$1,004.15	$91.78	$1,473.23	7.3×	$2,725.55
CT thoracic spine without contrast	CPT	72128	16	$2,071	$724.85	$91.78	$1,063.46	5.3×	$1,967.45
CT lumbar spine without contrast	CPT	72131	16	$2,933	$1,026.55	$91.78	$1,506.1	7.4×	$2,786.35
MRI cervical spine without contrast	CPT	72141	16	$4,128	$1,444.8	$175.46	$2,119.73	5.3×	$3,921.6
MRI thoracic spine without contrast	CPT	72146	16	$3,510	$1,228.5	$175.15	$1,802.39	4.8×	$3,334.5
MRI lumbar spine without contrast	CPT	72148	16	$3,578	$1,252.3	$176.04	$1,837.3	4.9×	$3,399.1
MRI lumbar spine with and without contrast	CPT	72149	16	$3,320	$1,162	$249.15	$1,714.62	3.8×	$3,154
MRI cervical spine with and without contrast	CPT	72156	16	$6,943	$2,430.05	$294.5	$3,565.23	6.6×	$6,595.85
MRI lumbar spine with contrast	CPT	72158	16	$6,010	$2,103.5	$293.91	$3,086.14	5.6×	$5,709.5
CT pelvis without contrast	CPT	72192	16	$2,001	$700.35	$91.78	$1,027.52	5.1×	$1,900.95
CT pelvis with contrast	CPT	72193	16	$4,247	$1,486.45	$153.99	$2,180.84	7.8×	$4,034.65
Shoulder X-ray	CPT	73030	16	$538	$188.3	$31.33	$301.74	3.2×	$511.1
Humerus X-ray	CPT	73060	16	$538	$188.3	$28.64	$301.74	3.4×	$511.1
Hand X-ray 3 views	CPT	73130	16	$526	$184.1	$33.42	$295.01	3.2×	$499.7
MRI upper extremity joint without contrast	CPT	73221	16	$3,747	$1,311.45	$186.78	$1,924.09	4.6×	$3,559.65
MRI upper extremity joint with and without contrast	CPT	73223	16	$6,615	$2,315.25	$306.29	$3,396.81	5.6×	$6,284.25
Knee X-ray 1-2 views	CPT	73560	16	$432	$151.2	$30.73	$242.29	2.6×	$426.43
Ankle X-ray 3 views	CPT	73610	16	$590	$206.5	$32.82	$330.9	3.6×	$560.5
MRI lower extremity joint without contrast	CPT	73721	16	$3,865	$1,352.75	$186.49	$1,984.68	4.2×	$3,671.75
MRI lower extremity joint with and without contrast	CPT	73723	16	$6,926	$2,424.1	$306.29	$3,556.5	5.6×	$6,579.7
CT abdomen without contrast	CPT	74150	16	$1,888	$660.8	$91.78	$969.49	5.2×	$1,793.6
CT abdomen with contrast	CPT	74160	16	$3,285	$1,149.75	$153.99	$1,686.85	5.9×	$3,120.75
CT abdomen with and without contrast	CPT	74170	16	$3,523	$1,233.05	$153.99	$1,809.06	5.4×	$3,346.85
CT abdomen and pelvis without contrast	CPT	74176	16	$3,402	$1,190.7	$167.99	$1,746.93	4.8×	$3,231.9
CT abdomen and pelvis with contrast	CPT	74177	16	$4,406	$1,542.1	$278.69	$2,262.48	4.1×	$4,185.7
CT abdomen and pelvis with and without contrast	CPT	74178	16	$6,154	$2,153.9	$306.29	$3,160.08	5.5×	$5,846.3
MRI abdomen without contrast	CPT	74181	16	$3,251	$1,137.85	$180.22	$1,669.39	4.3×	$3,088.45
MRI abdomen with and without contrast	CPT	74183	16	$5,684	$1,989.4	$306.29	$2,918.74	5.1×	$5,399.8
Abdominal ultrasound complete	CPT	76700	16	$1,507	$527.45	$91.78	$773.85	5.2×	$1,431.65
Abdominal ultrasound limited	CPT	76705	16	$1,176	$411.6	$77.88	$603.88	4.1×	$1,117.2
Retroperitoneal ultrasound complete	CPT	76770	16	$1,128	$394.8	$91.78	$579.23	4.0×	$1,071.6
Obstetric ultrasound first trimester	CPT	76801	16	$889	$311.15	$91.78	$475	3.4×	$844.55
Obstetric ultrasound after first trimester	CPT	76805	16	$1,155	$404.25	$91.78	$593.1	3.9×	$1,097.25
Obstetric ultrasound with fetal anatomy	CPT	76811	16	$1,232	$431.2	$178.76	$690.97	2.9×	$1,170.4
Transvaginal ultrasound	CPT	76830	16	$1,106	$387.1	$91.78	$567.93	3.8×	$1,050.7
Pelvic ultrasound complete	CPT	76856	16	$1,220	$427	$91.78	$626.47	4.4×	$1,159
Scrotal ultrasound	CPT	76870	16	$1,535	$537.25	$89.51	$788.23	6.0×	$1,458.25
Diagnostic mammography unilateral	CPT	77065	16	$653	$228.55	$126.35	$419.23	2.8×	$620.35
Screening mammography bilateral	CPT	77067	16	$634	$221.9	$129.03	$407.03	2.6×	$602.3
EKG tracing only	CPT	93005	16	$298	$104.3	$5.67	$167.14	1.4×	$289.06
Transthoracic echocardiogram complete	CPT	93306	16	$2,806	$982.1	$174.62	$1,573.75	2.6×	$2,677.47
Transthoracic echocardiogram	CPT	93307	16	$2,483	$869.05	$121.49	$1,275.02	5.2×	$2,358.85
Stress echocardiogram	CPT	93350	16	$4,406	$1,542.1	$164.61	$2,416.52	4.8×	$4,185.7
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	15	$41,164	$14,407	$13,258	$27,744	1.8×	$44,297
COPD w MCC	MS-DRG	190	15	$28,433	$9,951.46	$9,397.67	$19,164	1.7×	$33,005
COPD w CC	MS-DRG	191	15	$23,585	$8,254.74	$7,151.97	$15,896	1.8×	$26,057
COPD w/o CC/MCC	MS-DRG	192	15	$23,634	$8,271.98	$5,446.7	$15,693	2.2×	$22,453
Simple pneumonia & pleurisy w CC	MS-DRG	194	15	$23,944	$8,380.28	$6,837.22	$16,138	1.9×	$26,925
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	15	$20,105	$7,036.84	$5,332.16	$13,551	2.0×	$19,977
AMI discharged alive w MCC	MS-DRG	280	15	$36,650	$12,827	$13,609	$24,702	1.6×	$43,375
AMI discharged alive w CC	MS-DRG	281	15	$28,346	$9,921	$7,797.6	$18,822	1.9×	$26,928
AMI discharged alive w/o CC/MCC	MS-DRG	282	15	$35,281	$12,348	$6,134.75	$21,874	2.8×	$33,517
Heart failure & shock w MCC	MS-DRG	291	15	$31,172	$10,910	$10,892	$21,010	1.6×	$40,822
Heart failure & shock w CC	MS-DRG	292	15	$36,472	$12,765	$7,202.87	$22,957	2.6×	$34,648
Heart failure & shock w/o CC/MCC	MS-DRG	293	15	$11,785	$4,124.58	$4,801.92	$7,942.75	1.3×	$16,503
Cardiac arrhythmia w MCC	MS-DRG	308	15	$37,905	$13,267	$10,215	$25,548	2.1×	$36,010
Cardiac arrhythmia w CC	MS-DRG	309	15	$25,530	$8,935.61	$6,241.64	$17,207	2.2×	$24,254
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	15	$23,473	$8,215.62	$4,802.76	$14,766	2.4×	$22,300
GI hemorrhage w CC	MS-DRG	378	15	$32,507	$11,378	$8,320.21	$21,910	2.2×	$30,882
GI hemorrhage w/o CC/MCC	MS-DRG	379	15	$23,473	$8,215.41	$5,348.28	$15,586	2.3×	$22,299
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	15	$23,228	$8,129.89	$6,614.09	$15,656	1.9×	$23,451
Kidney/UTI w MCC	MS-DRG	689	15	$31,805	$11,132	$9,843.93	$21,437	1.8×	$37,348
Kidney/UTI w/o MCC	MS-DRG	690	15	$24,967	$8,738.47	$6,867.76	$16,828	2.0×	$23,719
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	15	$45,535	$15,937	$16,480	$30,691	1.6×	$52,525
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	15	$34,114	$11,940	$8,681.63	$22,993	2.2×	$32,408
lab
Basic metabolic panel (BMP)	CPT	80048	16	$363	$127.05	$8.88	$233.05	7.2×	$344.85
General health panel	CPT	80050	16	$940	$329	$8.78	$603.48	5.6×	$893
Electrolyte panel	CPT	80051	16	$274	$95.9	$7.36	$175.91	7.4×	$260.3
Comprehensive metabolic panel	CPT	80053	16	$487	$170.45	$11.09	$312.66	7.0×	$462.65
Lipid panel	CPT	80061	16	$183	$64.05	$14.06	$117.49	3.1×	$173.85
Renal function panel	CPT	80069	16	$258	$90.3	$9.11	$165.64	6.1×	$245.1
Hepatic function panel	CPT	80076	16	$238	$83.3	$8.58	$152.8	5.7×	$226.1
Urinalysis non-automated	CPT	81002	16	$35	$12.25	$3.11	$22.47	3.2×	$33.25
Urinalysis automated	CPT	81003	16	$70	$24.5	$2.36	$44.94	3.2×	$66.5
Glucose quantitative	CPT	82947	16	$89	$31.15	$4.13	$57.14	3.2×	$84.55
Hemoglobin A1c	CPT	83036	16	$140	$49	$10.2	$89.88	3.3×	$133
Thyroid stimulating hormone (TSH)	CPT	84443	16	$279	$97.65	$17.64	$179.12	3.8×	$265.05
Complete blood count with automated differential	CPT	85025	16	$146	$51.1	$8.16	$93.73	3.5×	$138.7
Complete blood count without differential	CPT	85027	16	$146	$51.1	$6.79	$93.73	4.3×	$138.7
Urine culture bacterial	CPT	87086	16	$161	$56.35	$8.47	$103.36	4.4×	$152.95
Urine culture identification	CPT	87088	16	$113	$39.55	$8.49	$72.55	3.3×	$107.35
Tissue exam by pathologist level IV	CPT	88305	16	$564	$197.4	$45.75	$289.62	2.8×	$535.8
maternity
Fetal non-stress test	CPT	59025	16	$964	$337.4	$49.73	$540.66	2.9×	$990.66
Vaginal delivery only	CPT	59409	16	$11,268	$3,943.8	$806.8	$6,319.66	2.9×	$15,862
office
Office visit, new patient, 15-29 min	CPT	99202	16	$260	$91	$55.37	$166.92	1.9×	$247
Office visit, new patient, 30-44 minutes	CPT	99203	16	$350	$122.5	$85.93	$224.7	1.8×	$332.5
Office visit, new patient, 45-59 min	CPT	99204	16	$450	$157.5	$128.77	$288.9	1.7×	$427.5
Office visit, new patient, 60-74 min	CPT	99205	16	$585	$204.75	$169.94	$375.57	1.7×	$555.75
Office visit, established patient, 5 min	CPT	99211	16	$131	$45.85	$17.9	$84.1	1.3×	$124.45
Office visit, established patient, 10-19 min	CPT	99212	16	$175	$61.25	$43.48	$112.35	1.4×	$166.25
Office visit, established patient, 20-29 minutes	CPT	99213	16	$225	$78.75	$70.08	$144.45	1.3×	$213.75
Office visit, established patient, 30-39 minutes	CPT	99214	16	$390	$136.5	$98.72	$222.96	1.5×	$370.5
Office visit, established patient, 40-54 min	CPT	99215	16	$390	$136.5	$138.75	$250.38	1.3×	$370.5
preventive
Upper GI endoscopy diagnostic	CPT	43235	16	$3,323	$1,163.05	$119.31	$1,863.71	2.0×	$4,444.25
Upper GI endoscopy with biopsy	CPT	43239	16	$3,323	$1,163.05	$119.31	$1,863.71	1.9×	$4,444.25
Sigmoidoscopy diagnostic	CPT	45330	16	$3,231	$1,130.85	$96.47	$1,812.11	2.1×	$4,556.84
Sigmoidoscopy with biopsy	CPT	45331	16	$3,231	$1,130.85	$96.47	$1,812.11	2.0×	$4,556.84
Colonoscopy diagnostic	CPT	45378	16	$3,231	$1,130.85	$96.47	$1,812.11	2.1×	$4,556.84
Colonoscopy with biopsy	CPT	45380	16	$4,179	$1,462.65	$387.6	$2,343.79	1.9×	$5,863.57
Colonoscopy with polyp removal	CPT	45385	16	$4,179	$1,462.65	$405.8	$2,343.79	1.9×	$5,863.57
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	15	$130,203	$45,571	$38,996	$86,856	2.0×	$124,289
Major small/large bowel procedures w CC	MS-DRG	330	15	$111,859	$39,151	$20,338	$69,353	3.0×	$106,266
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	15	$79,692	$27,892	$14,278	$49,409	3.0×	$75,708
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	15	$70,050	$24,518	$14,351	$43,431	2.6×	$66,548
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	15	$57,288	$20,051	$11,587	$35,518	2.6×	$54,423

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 16)

Payer	Codes covered	Median rate
vhn - ultra	128	$1,820.32
Anthem BCBS	128	$512.27
Cigna	128	$2,078.28
connecticare	128	$2,055.2
Aetna	128	$874.5
gateway - tier 1	128	$2,789.2
gateway - tier 2	128	$2,348.8
gateway - tier 3	128	$1,614.8
Humana	128	$214.13
sentara health plan	128	$298.59
UnitedHealthcare	128	$796.98
vhn	128	$2,348.8
vhn - link	128	$2,642.4
vhn - plus	128	$2,260.72
vhn - secondary payors	128	$2,789.2
First Health	100	$127.56

Related data on other Healthparse brands

Explore this hospital across cost reports, quality ratings, and non-profit filings.

HCRIS.io

Medicare cost reports, margins, utilization

Stetho.io

SNF, HHA, hospice, dialysis cost reports + ownership

990Health

IRS Form 990 financials, executive compensation

CareLens

CMS quality ratings, inspections, staffing