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Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 8.3× price range across 44 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
$48

The part you don’t feel

Inova Mount Vernon Hospital $399vsAugusta Health $48 what you pay what your plan pays
Deductible not metearly in the plan year
Inova Mount Vernon Hospital
Augusta Health
$351you feel all of it
Deductible met20% coinsurance
Inova Mount Vernon Hospital
Augusta Health
$70$281 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Inova Mount Vernon Hospital
Augusta Health
$0the market goes blind

The gap is $351 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
Augusta Health$48$48100%—3
Johnston Memorial Hospital$48$48100%~$8627
Buchanan General Hospital$48$48100%~$1881
Mary Washington Hospital$48$48100%—15
Stafford Hospital$48$48100%—15
Medical College Of Virginia Hospitals$48$48101%—4
Russell County Hospital$50$48105%~$11523
Lonesome Pine Hospital$50$48105%~$10927
Warren Memorial Hospital$53$48110%~$12316
Winchester Medical Center$53$48111%~$11116
Sentara Williamsburg Regional Medical Center$60$48125%—4
Sentara Careplex Hospital$60$48125%—4
Lewisgale Hospital Pulaski$66$48138%—8
Lee County Community Hospital$68$48141%—26
Lewisgale Hospital Alleghany$69$48145%—9
Lewisgale Hospital Montgomery$70$48147%—8
Sentara Norfolk General Hospital$72$48150%—5
Sentara Obici Hospital$72$48150%—6
Sentara Leigh Hospital$72$48150%—5
Sentara Virginia Beach General Hospital$72$48150%—5
Sentara Princess Anne Hospital$72$48150%—5
John Randolph Medical Center$73$48153%—17
Cjw Medical Center$88$48183%—18
Henrico Doctors' Hospital$88$48183%—18
Dickenson Community Hospital$92$48193%—20
Sentara Rmh Medical Center$96$48201%—3
Smyth County Community Hospital$98$48206%~$9024
Sentara Martha Jefferson Hospital$101$48210%—4
Sentara Halifax Regional Hospital$101$48211%—3
Sentara Northern Virginia Medical Center$102$48213%—6
Page Memorial Hospital$103$48215%—16
Shenandoah Memorial Hospital$107$48223%—16
Chesapeake General Hospital$116$48243%—4
Virginia Hospital Center$180$48377%~$3509
Reston Hospital Center$191$48400%—13
Stonesprings Hospital Center$191$48400%—13
Spotsylvania Regional Medical Center$193$48404%—11
Community Memorial Hospital$224$48468%—2
Lewisgale Medical Center$352$48736%~$4833
Inova Alexandria Hospital$399$48834%~$36217
Inova Loudoun Hospital$399$48834%~$34417
Inova Fairfax Hospital$399$48834%~$39017
Inova Fair Oaks Hospital$399$48834%~$37917
Inova Mount Vernon Hospital$399$48834%~$41617

*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 →