Urinalysis, automated, with microscopyCPT 81001Lab

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 52.6× price range across 56 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

The part you don’t feel

Lewisgale Medical Center $167vsAugusta Health $3 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Medical Center
Augusta Health
$163you feel all of it
Deductible met20% coinsurance
Lewisgale Medical Center
Augusta Health
$33$131 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lewisgale Medical Center
Augusta Health
$0the market goes blind

The gap is $163 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$3$3100%—3
Buchanan General Hospital$3$3100%~$181
Johnston Memorial Hospital$3$3100%~$727
Russell County Hospital$3$3105%~$923
Lonesome Pine Hospital$3$3105%~$927
Warren Memorial Hospital$3$3110%~$2916
Winchester Medical Center$4$3111%~$2616
Fauquier Hospital$4$3126%—1
Sentara Williamsburg Regional Medical Center$4$3136%—4
Sentara Careplex Hospital$4$3136%—4
Lee County Community Hospital$5$3167%—26
Sentara Halifax Regional Hospital$5$3168%—5
Sentara Norfolk General Hospital$5$3172%—5
Sentara Obici Hospital$5$3172%—6
Sentara Leigh Hospital$5$3172%—5
Sentara Virginia Beach General Hospital$5$3172%—5
Sentara Princess Anne Hospital$5$3172%—5
Sentara Rmh Medical Center$6$3201%—3
Sentara Martha Jefferson Hospital$7$3211%—4
Dickenson Community Hospital$7$3233%—20
Smyth County Community Hospital$9$3276%~$724
Mary Washington Hospital$9$3284%~$1321
Stafford Hospital$9$3284%~$1521
Sentara Northern Virginia Medical Center$10$3322%—6
Virginia Hospital Center$12$3377%~$219
John Randolph Medical Center ● actual$13$3400%~$2327
Uva Health Prince William Medical Center$13$3418%~$1619
Uva Health Haymarket Medical Center ● actual$13$3418%~$1719
Henrico Doctors' Hospital$14$3429%~$1927
Cjw Medical Center$14$3450%~$1729
Reston Hospital Center ● actual$17$3545%~$4922
Stonesprings Hospital Center$17$3547%~$5322
Chesapeake General Hospital$19$3606%—4
Inova Alexandria Hospital$20$3633%~$3217
Inova Loudoun Hospital$20$3633%~$3017
Inova Fairfax Hospital$20$3633%~$3417
Inova Fair Oaks Hospital$20$3633%~$3317
Inova Mount Vernon Hospital$20$3633%~$3617
Shenandoah Memorial Hospital$21$3663%—16
Page Memorial Hospital$24$3768%—16
Southside Community Hospital ● actual$37$31170%~$205
Centra Health - Lynchburg Gen Hospital ● actual$43$31345%~$189
Centra Bedford Memorial Hospital ● actual$43$31345%~$225
University Of Virginia Medical Center ● actual$46$31451%~$3232
Uva Health Culpeper Medical Center ● actual$55$31730%~$2614
Carilion Tazewell Community Hospital$79$32477%~$2921
Carilion Medical Center$81$32550%~$2618
Carilion New River Valley Medical Center$81$32550%~$2718
Carilion Franklin Memorial Hospital$81$32550%~$2818
Carilion Giles Community Hospital$81$32550%—18
Carilion Stonewall Jackson Hospital$93$32927%—20
Spotsylvania Regional Medical Center ● actual$94$32981%~$3925
Lewisgale Hospital Pulaski$126$33964%~$3528
Lewisgale Hospital Alleghany$137$34334%~$3927
Lewisgale Hospital Montgomery ● actual$146$34614%~$2729
Lewisgale Medical Center ● actual$167$35256%~$2334

*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 →