Transforaminal epidural, lumbar/sacralCPT 64483Pain

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.6× price range across 46 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
$1,484
$2,410
$2,772

The part you don’t feel

Lewisgale Hospital Montgomery $3,551vsSouthside Community Hospital $774 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Hospital Montgomery
Southside Community Hospital
$2,777you feel all of it
Deductible met20% coinsurance
Lewisgale Hospital Montgomery
Southside Community Hospital
$555$2,222 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lewisgale Hospital Montgomery
Southside Community Hospital
$0the market goes blind

The gap is $2,777 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
Southside Community Hospital ● actual$774$86390%$9844
Centra Health - Lynchburg Gen Hospital ● actual$775$86590%$8994
Centra Bedford Memorial Hospital ● actual$889$863103%$1,0803
Russell County Hospital$1,079$863125%$42823
Johnston Memorial Hospital$1,079$863125%$31925
Virginia Hospital Center$1,090$915119%—4
Smyth County Community Hospital$1,106$863128%$33224
Lonesome Pine Hospital$1,106$863128%$40326
University Of Virginia Medical Center$1,211$887137%$37229
Shenandoah Memorial Hospital$1,216$904135%—16
Page Memorial Hospital$1,216$904135%—16
Uva Health Culpeper Medical Center ● actual$1,282$915140%$51914
Winchester Medical Center⚠ data flag$1,315$887148%$52516
Uva Health Prince William Medical Center$1,456$915159%$55919
Stafford Hospital$1,484$915162%$31222
Mary Washington Hospital$1,692$915185%$27722
Uva Health Haymarket Medical Center$1,876$915205%$60118
Sentara Northern Virginia Medical Center$1,945$863225%—6
Sentara Martha Jefferson Hospital$2,004$863232%—5
Chesapeake General Hospital$2,056$863238%—5
Spotsylvania Regional Medical Center$2,362$915258%—12
Augusta Health$2,410$865279%—5
Carilion Medical Center ● actual$2,462$863285%$77019
Carilion New River Valley Medical Center$2,462$863285%$80719
Carilion Giles Community Hospital$2,462$904273%—19
Reston Hospital Center$2,589$936277%—13
Stonesprings Hospital Center$2,595$915284%—13
Cjw Medical Center$2,772$887312%—16
Henrico Doctors' Hospital$2,772$887312%—16
Sentara Rmh Medical Center$2,840$863329%—2
Inova Alexandria Hospital$2,942$959307%$1,61117
Inova Loudoun Hospital$2,942$915321%$1,53417
Inova Fairfax Hospital$2,942$948310%$1,73817
Inova Fair Oaks Hospital$2,942$915321%$1,68817
Inova Mount Vernon Hospital$2,942$959307%$1,85117
John Randolph Medical Center$2,954$863342%—15
Sentara Careplex Hospital$3,239$863375%—4
Sentara Williamsburg Regional Medical Center$3,373$863391%—4
Lewisgale Hospital Pulaski$3,382$863392%—7
Lewisgale Hospital Alleghany$3,394$863393%—7
Sentara Norfolk General Hospital$3,408$863395%—5
Sentara Leigh Hospital$3,408$863395%—5
Sentara Virginia Beach General Hospital$3,408$863395%—5
Sentara Princess Anne Hospital$3,408$863395%—5
Sentara Obici Hospital$3,461$863401%—5
Lewisgale Medical Center$3,551$863411%—7
Lewisgale Hospital Montgomery$3,551$863411%—7

*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 →