Upper GI endoscopy, diagnosticCPT 43235GI

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 7.1× price range across 53 Colorado hospitals. Open in the explorer → — filter by insurer or region, map it, or compare hospitals side by side.

How to read “% of Medicare” Medicare’s payment is a hospital-specific benchmark built from CMS files — adjusted for local wages and case complexity, and roughly pegged to the cost of care. A commercial rate at 300% means a private plan pays about triple that benchmark for the same care at the same hospital. The gap is negotiation, not quality. Full methodology →
Median commercial negotiated rate Medicare benchmark
$1,480
$2,471
$3,477
$4,540

The part you don’t feel

Fauquier Hospital $4,540vsDickenson Community Hospital $637 what you pay what your plan pays
Deductible not metearly in the plan year
Fauquier Hospital
Dickenson Community Hospital
$3,903you feel all of it
Deductible met20% coinsurance
Fauquier Hospital
Dickenson Community Hospital
$781$3,122 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Fauquier Hospital
Dickenson Community Hospital
$0the market goes blind

The gap is $3,903 in every row. The only thing that changes is how much of it reaches the person choosing. Nobody hid the price — the deductible structure hides the difference, and a difference nobody feels is a difference nobody shops. Illustration uses a 20% coinsurance plan with no separate facility or professional bill; your own plan governs.

Detail (click headers to sort, or “why” for cost vs price)

HospitalCommercial medianMedicare% of MedicareEst. cost*Plan rows
Dickenson Community Hospital$637$92769%—17
Johnston Memorial Hospital$995$885112%$51221
Russell County Hospital$1,176$885133%$68520
Smyth County Community Hospital$1,316$885149%$53221
Lonesome Pine Hospital$1,316$885149%$64623
Centra Health - Lynchburg Gen Hospital ● actual$1,335$887151%$9004
Centra Bedford Memorial Hospital ● actual$1,335$885151%$1,0823
Southside Community Hospital ● actual$1,335$885151%$9864
Stafford Hospital$1,480$938158%$1,01822
Virginia Hospital Center$1,649$938176%—10
Mary Washington Hospital$1,683$938179%$90322
Lee County Community Hospital$1,821$927197%—26
University Of Virginia Medical Center ● actual$1,989$910219%$71630
Sentara Northern Virginia Medical Center$2,036$885230%—6
Bath Community Hospital$2,170$927234%—3
Carilion Tazewell Community Hospital$2,250$885254%$82423
Winchester Medical Center⚠ data flag$2,265$910249%$90416
Uva Health Prince William Medical Center$2,373$938253%$1,07619
Spotsylvania Regional Medical Center$2,385$938254%—12
Uva Health Haymarket Medical Center ● actual$2,392$938255%$1,15818
Carilion Medical Center ● actual$2,393$885270%$74819
Carilion New River Valley Medical Center$2,393$885270%$78419
Carilion Franklin Memorial Hospital$2,393$885270%$80119
Carilion Giles Community Hospital$2,393$927258%—19
Inova Alexandria Hospital$2,431$983247%$1,05717
Inova Loudoun Hospital$2,431$938259%$1,00617
Inova Fairfax Hospital$2,431$972250%$1,14017
Inova Fair Oaks Hospital ● actual$2,431$938259%$1,10717
Inova Mount Vernon Hospital$2,431$983247%$1,21417
Uva Health Culpeper Medical Center$2,434$938259%$99914
Augusta Health$2,471$887279%—5
Buchanan General Hospital$2,524$885285%$1,0651
Reston Hospital Center$2,589$960270%—13
Stonesprings Hospital Center$2,595$938277%—13
Carilion Stonewall Jackson Hospital$2,658$927287%—21
Sentara Rmh Medical Center$2,912$885329%—2
Sentara Martha Jefferson Hospital$3,009$885340%—5
Sentara Halifax Regional Hospital$3,121$892350%—2
Chesapeake General Hospital$3,147$885356%—5
Sentara Norfolk General Hospital$3,408$885385%—5
Sentara Leigh Hospital$3,408$885385%—5
Sentara Virginia Beach General Hospital$3,408$885385%—5
Sentara Princess Anne Hospital$3,408$885385%—5
John Randolph Medical Center$3,477$885393%—15
Cjw Medical Center$3,477$910382%—16
Henrico Doctors' Hospital$3,477$910382%—16
Lewisgale Medical Center$3,551$885401%—7
Lewisgale Hospital Montgomery$3,551$885401%—7
Lewisgale Hospital Pulaski$3,551$885401%—7
Lewisgale Hospital Alleghany$3,551$885401%—7
Sentara Obici Hospital$3,584$885405%—5
Sentara Careplex Hospital$4,132$885467%—4
Sentara Williamsburg Regional Medical Center$4,278$885483%—4
Fauquier Hospital$4,540$938484%—1

*Cost estimates use hospital-level cost-to-charge ratios from federal cost reports and are approximate; ~ marks categories (imaging, labs) where they are least precise. "Plan rows" is how many distinct plan rates the hospital published; medians over more rows are sturdier.
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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 →