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What the Virginia data says right now

Selected by rule from this quarter’s files, not written by an editor. Each one links straight into the explorer with the filters already set. Open the explorer →

Virginia · 4,696 price cells · median 295% of Medicare

Widest spread in the state

The same mri brain with and without contrast runs $351 to $5,252 in Virginia

$351 Centra Bedford Memorial Hospitalmedian $1,893$5,252 Carilion Stonewall Jackson Hospital

15× between the cheapest and the dearest of the 42 hospitals with at least 5 published plan rates for it; the explorer also shows thinner cells, so its range can run wider.

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Biggest gap between two insurers, same hospital

At University Of Virginia Medical Center, UnitedHealthcare pays 10.6× what Cigna pays for the same ct head without contrast

Cigna$339

UnitedHealthcare$3,579

Same building, same procedure, same code. The difference is which card is in your wallet.

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Furthest above the Medicare benchmark

Bon Secours St Marys Hospital is paid 4.3× the Medicare rate across everything it prices

100%Medicare

295%state median

429%this hospital

Medicare’s payment is hospital-specific and roughly pegged to the cost of care. The median across this hospital’s 24 procedures is 429% of it, against a Virginia median of 295%.

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Highest price over estimated cost

HCA Virginia hospitals are paid 4.8× what it is estimated to cost them to deliver care

HCA Virginia4.8×

Carilion Clinic3.0×

Ballad Health2.1×

UVA Health2.0×

Cost estimated from each hospital’s own federal cost report (HCRIS) — the same filings state regulators use. Estimates, not accounting truth.

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Findings are chosen by rule, not by hand. To be eligible a cell needs at least 5 published plan rates and a commercial rate between 80% and 1500% of Medicare, so partial or component-level pricing in a hospital’s file cannot produce a headline. Every figure is on the page it links to.

Set your insurance and plan once in My plan above and every price on the site adds an estimate of your share beside it. It stays in your browser: never sent to us, never in a link, never on a share card.

All 79 hospitals and 105 procedures

Hospitals

Procedures

Acute myocardial infarction, discharged alive, with MCC Bariatric (obesity) surgery, no CC/MCC Basic metabolic panel COPD with MCC CT abdomen and pelvis with contrast CT head without contrast CT pelvis with contrast Cardiac arrhythmia, no CC/MCC Cardiac stress test Cardiac valve surgery with cardiac cath, with MCC Cataract surgery with IOL insertion Cellulitis, no MCC Cervical spinal fusion, no CC/MCC Cesarean section, no CC/MCC Cesarean section, with CC Chest pain Colonoscopy with biopsy Colonoscopy with endoscopic ultrasound Colonoscopy with polyp removal Colonoscopy, diagnostic Complete blood count with differential Complete blood count, automated Comprehensive metabolic panel Coronary bypass without cardiac cath, no MCC Diagnostic mammography, both breasts Diagnostic mammography, one breast ED visit, level 3 ED visit, level 4 ED visit, level 5 Echocardiogram, complete Electrocardiogram with interpretation Epidural injection, lumbar/sacral, no imaging Esophagitis/GI disorders, no MCC Excision of breast lesion Family psychotherapy, with patient Family psychotherapy, without patient Group psychotherapy Heart failure and shock, with CC Heart failure with MCC Hip and femur procedures except major joint, with CC Hysterectomy, no CC/MCC Inguinal hernia repair, age 5+Kidney and urinary tract infections, no MCC Kidney function panel Knee arthroscopy with meniscectomy Laparoscopic cholecystectomy Laparoscopic cholecystectomy, no CC/MCC Laparoscopic radical prostatectomy Left heart catheterization, diagnostic Lipid panel Liver function panel Lumbar epidural steroid injection MRI brain with and without contrast MRI lower extremity joint (knee)MRI lumbar spine without contrast Major joint replacement (hip/knee), no MCC Major joint replacement (hip/knee), with MCC Major small and large bowel procedures, with CC Medical back problems, no MCC OB global care, VBAC delivery OB global care, cesarean delivery OB global care, vaginal delivery OB ultrasound, 14+ weeks Obstetric blood test panel Office consultation, comprehensive Office consultation, moderate Office visit, established patient, level 3 Office visit, established patient, level 4 Office visit, new patient, level 3 Office visit, new patient, level 4 Office visit, new patient, level 5 PSA (prostate specific antigen), total Partial thromboplastin time Percutaneous cardiac stent, no MCC Physical therapy, therapeutic exercise Preventive visit, new patient, 18-39 Preventive visit, new patient, 40-64 Prostate biopsy Prothrombin time Psychotherapy, 30 minutes Psychotherapy, 45 minutes Psychotherapy, 60 minutes Renal failure, with CC Screening mammography, bilateral Sepsis with MCC Shoulder arthroscopy, subacromial decompression Simple pneumonia and pleurisy, with CC Sleep study (polysomnography)Stroke (hemorrhage/infarction), no CC/MCC Stroke (hemorrhage/infarction), with CC or tPA Thyroid stimulating hormone (TSH)Tonsillectomy and adenoidectomy, under age 12 Transforaminal epidural, lumbar/sacral Ultrasound, abdomen, complete Ultrasound, transvaginal Upper GI endoscopy with biopsy Upper GI endoscopy, diagnostic Urinalysis, automated, with microscopy Urinalysis, automated, without microscopy Urinalysis, manual, with microscopy Urinalysis, manual, without microscopy Vaginal delivery, no sterilization, no CC/MCC Vaginal delivery, no sterilization, with CC X-ray, lower back, 4+ views YAG laser capsulotomy (secondary cataract)

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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 18, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →