CT head without contrastCPT 70450Imaging

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 50.2× price range across 60 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
$301
$443
$1,193
$1,524

The part you don’t feel

Lewisgale Hospital Pulaski $5,645vsSouthside Community Hospital $113 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Hospital Pulaski
Southside Community Hospital
$5,533you feel all of it
Deductible met20% coinsurance
Lewisgale Hospital Pulaski
Southside Community Hospital
$1,107$4,426 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lewisgale Hospital Pulaski
Southside Community Hospital
$0the market goes blind

The gap is $5,533 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$113$102110%~$6867
Virginia Hospital Center$223$108206%~$47310
Buchanan General Hospital ● actual$291$102285%~$1141
Centra Bedford Memorial Hospital ● actual$291$102285%~$7537
Augusta Health$301$102294%—2
Winchester Medical Center$311$105297%~$53516
Sentara Rmh Medical Center$336$102329%—2
Sentara Halifax Regional Hospital$354$103345%—3
Sentara Martha Jefferson Hospital$360$102353%—2
Warren Memorial Hospital$407$108377%~$59216
Twin County Regional Hospital$409$102401%—1
Centra Health - Lynchburg Gen Hospital ● actual$412$102403%~$62711
Johnston Memorial Hospital$418$102409%~$63827
Russell County Hospital$428$102420%~$85423
Wythe County Community Hospital$437$102429%—2
Lonesome Pine Hospital$441$102433%~$80526
Mary Washington Hospital$443$108410%~$62019
Stafford Hospital$443$108410%~$69919
Clinch Valley Medical Center$468$102459%—2
Shenandoah Memorial Hospital$483$107452%—16
Smyth County Community Hospital$515$102505%~$66324
Sentara Northern Virginia Medical Center$528$102518%—4
Lee County Community Hospital$596$107558%—26
Sentara Careplex Hospital$625$102613%—4
Sentara Williamsburg Regional Medical Center$640$102627%—4
Sentara Obici Hospital$657$102644%—6
Bath Community Hospital ● actual$676$107633%—3
Dickenson Community Hospital$681$107637%—20
Page Memorial Hospital$721$107675%—16
Sentara Norfolk General Hospital$880$102863%—5
Sentara Virginia Beach General Hospital$886$102869%—5
Sentara Leigh Hospital$891$102874%—5
Sentara Princess Anne Hospital$903$102885%—5
John Randolph Medical Center$979$102959%~$38722
Henrico Doctors' Hospital$979$105933%~$31722
Inova Alexandria Hospital$1,016$113896%~$44717
Inova Loudoun Hospital$1,016$108939%~$42517
Inova Fairfax Hospital$1,016$112906%~$48217
Inova Fair Oaks Hospital$1,016$108939%~$46817
Inova Mount Vernon Hospital$1,016$113896%~$51317
Stonesprings Hospital Center$1,052$108973%~$50020
Reston Hospital Center$1,082$111978%~$46619
Cjw Medical Center$1,193$1051138%~$28924
University Of Virginia Medical Center ● actual$1,219$1051162%~$60629
Chesapeake General Hospital$1,438$1021410%—3
Uva Health Haymarket Medical Center ● actual$1,443$1081334%~$85820
Carilion Tazewell Community Hospital$1,515$1021486%~$56623
Fauquier Hospital$1,524$1081409%—1
Carilion Medical Center ● actual$1,538$1021508%~$51319
Carilion New River Valley Medical Center$1,538$1021508%~$53919
Carilion Franklin Memorial Hospital$1,538$1021508%~$55019
Carilion Giles Community Hospital$1,538$1071440%—19
Uva Health Prince William Medical Center ● actual$1,545$1081429%~$79721
Uva Health Culpeper Medical Center ● actual$1,665$1081540%~$75014
Spotsylvania Regional Medical Center$1,735$1081604%~$53622
Carilion Stonewall Jackson Hospital$1,826$1071709%—21
Lewisgale Hospital Montgomery ● actual$2,437$1022389%~$42828
Lewisgale Medical Center ● actual$3,004$1022945%~$40231
Lewisgale Hospital Alleghany ● actual$4,190$1024108%~$1,00925
Lewisgale Hospital Pulaski ● actual$5,645$1025535%~$1,55827

*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 →