Office visit, new patient, level 5CPT 99205Clinic

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 15.8× price range across 32 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
$660

The part you don’t feel

Lewisgale Medical Center $1,087vsUva Health Haymarket Medical Center $69 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Medical Center
Uva Health Haymarket Medical Center
$1,018you feel all of it
Deductible met20% coinsurance
Lewisgale Medical Center
Uva Health Haymarket Medical Center
$204$814 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lewisgale Medical Center
Uva Health Haymarket Medical Center
$0the market goes blind

The gap is $1,018 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
Uva Health Haymarket Medical Center$69——$4212
Uva Health Prince William Medical Center$76——$3913
University Of Virginia Medical Center$78——$2622
Dickenson Community Hospital$120———18
Johnston Memorial Hospital$171——$7919
Southside Community Hospital ● actual$183——$2045
Lonesome Pine Hospital$184——$9918
Smyth County Community Hospital$189——$8218
Centra Health - Lynchburg Gen Hospital ● actual$195——$1869
Centra Bedford Memorial Hospital ● actual$195——$2245
Lee County Community Hospital$195———24
Virginia Hospital Center$197——$9910
Russell County Hospital$208——$10517
Winchester Medical Center$231——$28813
Buchanan General Hospital$231——$1191
Bath Community Hospital$231———3
Shenandoah Memorial Hospital$245———15
Chesapeake General Hospital$253———1
Uva Health Culpeper Medical Center$256——$1077
Carilion Tazewell Community Hospital$396——$14521
Carilion Medical Center$408——$13218
Carilion New River Valley Medical Center$408——$13818
Carilion Franklin Memorial Hospital$408——$14118
Henrico Doctors' Hospital$430——$4911
Carilion Stonewall Jackson Hospital$468———20
Inova Alexandria Hospital$519——$28615
Inova Loudoun Hospital$519——$27215
Inova Fairfax Hospital$519——$30815
Inova Fair Oaks Hospital$519——$30015
Inova Mount Vernon Hospital$519——$32815
Cjw Medical Center$660——$6614
Lewisgale Medical Center$1,087——$13825

*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 →