Skip to main content
States Procedures Methodology Search
State Price Transparency Index 82 Mapped Hospitals 142 Shoppable Procedures +10% vs. U.S. Median (near the U.S. average)

Virginia Hospital Rates

Compare cash discount rates, commercial insurance prices, and fair price benchmarks across all 82 Virginia hospitals.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.10×vs. U.S. Fair Price Average
Position vs. 1.00× Fair Price+10% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Across 82 Virginia hospitals, typical commercial prices average +10% above the U.S. fair price (1.10×) after accounting for local wages.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Virginia Market & Best ValueSummarizes statewide hospital price coverage across Virginia, the average commercial markup over federal Medicare rates, and the #1 best-value hospital in the state.82 Hospitals · 142 Procedures
Hospitals Priced82 in VATotal hospitals in Virginia with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.7× MedicareAverage commercial insurance negotiated rate across Virginia hospitals compared to what federal Medicare pays for the same procedure.
Best Value in VA0.48× FairLowest confounder-adjusted hospital in Virginia: Southern Virginia Mental Health Institute (Danville) at 0.48× fair market price.

Most affordable Virginia hospital: Southern Virginia Mental Health Institute (Danville) at 0.48× the fair price (52% below benchmark).

Statewide Hospital Pricing Fingerprint82 Virginia Hospitals Analyzed

Virginia Statewide Hospital Pricing Summary

Across 82 reporting hospitals and 142 shoppable procedures in Virginia, typical commercial insurance rates sit at 1.10× the U.S. fair price average (1.7× federal Medicare rates). However, prices vary by 4.8× across the state — from 0.48× fair price at the most affordable hospitals up to 2.32× at high-markup facilities.

State Price Index: 1.10× U.S. Fair AverageAvg Commercial Rate: 1.7× Medicare
Advantage

Best Value in Virginia (Lowest-Priced Hospitals & Patient Edge)

  • Best-value hospital in Virginia: Southern Virginia Mental Health Institute (Danville) prices care at 0.48× the fair price benchmark.
  • Additional low-cost leaders include Buchanan General Hospital (Grundy, 0.91× fair) and Carilion New River Valley Medical Center (0.91× fair).
  • Bottom-quartile Virginia hospitals (Q25) charge 1.00× the fair price or less — comparing quotes before scheduling elective care saves 25%–45%.
  • Nonprofit 501(c)(3) hospitals across Virginia must provide free or discounted charity care under federal 26 U.S.C. § 501(r) income rules.
Watchout

Where Virginia Patients Get Burned (High-Markup Traps)

  • Highest-markup Virginia facilities reach 5.1× Medicare (Lewisgale Hospital Montgomery in Blacksburg, Fauquier Hospital).
  • Prices for the exact same procedure swing 4.8× between the lowest-priced (0.48×) and highest-priced (2.32×) hospitals in Virginia.
  • Emergency room, lab, and outpatient surgery facility fees carry significantly higher markups than pre-scheduled imaging or freestanding centers.
Most Affordable VA Hospitals (Bottom 25%)Best Value Tier
0.48× – 1.00× Fair

Led by Southern Virginia Mental Health Institute (Danville) at 0.48× fair price.

Typical Virginia Hospital (State Median)1.7× Medicare
1.26× Fair Price

Middle-of-the-pack commercial rate across all 82 Virginia hospitals.

Highest-Markup VA Hospitals (Top 25%)4.8× State Spread
1.41× – 2.32× Fair

Highest-priced quarter of Virginia hospitals where shopping around saves the most.

Virginia County Price & Affordability Heatmap 55 of 133 Counties with MRF Hospital Data

Virginia County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 133 counties in Virginia

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup
Fairfax County5hosps
1.44× Fair
Income $150k
James City County3hosps
1.22× Fair
Income $107k
Richmond city3hosps
1.32× Fair
Income $63k
Norfolk city3hosps
1.35× Fair
Income $64k
Smyth County2hosps
0.93× Fair
Income $47k
Danville city2hosps
0.99× Fair
Income $43k
Newport News city2hosps
1.11× Fair
Income $67k
Suffolk city2hosps
1.19× Fair
Income $90k
Prince William County2hosps
1.29× Fair
Income $129k
Montgomery County2hosps
1.30× Fair
Income $71k
Virginia Beach city2hosps
1.37× Fair
Income $91k
Henrico County2hosps
1.39× Fair
Income $86k
Tazewell County2hosps
1.43× Fair
Income $46k
Loudoun County2hosps
1.48× Fair
Income $179k
Roanoke city1hosp
0.91× Fair
Income $53k
Franklin County1hosp
0.91× Fair
Income $68k
Buchanan County1hosp
0.91× Fair
Income $42k
Giles County1hosp
0.91× Fair
Income $65k
Lexington city1hosp
0.91× Fair
Income $90k
Augusta County1hosp
0.94× Fair
Income $80k
Russell County1hosp
0.96× Fair
Income $49k
Washington County1hosp
0.97× Fair
Income $63k
Wise County1hosp
0.97× Fair
Income $51k
Stafford County1hosp
0.98× Fair
Income $134k
Showing top 24 counties with hospital price filings of 133 total in Virginia

All Hospitals in Virginia (82)

Ranked by how their commercial prices compare to the fair BaseRate — best value first. Select any hospital to inspect its full procedure price list.

Sort:

Compare Prices by Procedure in Virginia (142)

High-impact surgeries, scans, and hospital stays are listed first with the typical Virginia price. Search any procedure below.

Browse Virginia by Metro Area

Local hospital comparison pages for each Virginia regional market.

Which Insurers Negotiate Prices in Virginia

Across the 84 Virginia hospitals that publish negotiated rates, here is how many hospitals each major insurance carrier has an in-network contract with.

Blue Cross Blue Shield 76 of 84 hospitals
UnitedHealthcare 75 of 84 hospitals
Humana 74 of 84 hospitals
Cigna 68 of 84 hospitals
Aetna 67 of 84 hospitals
Kaiser Permanente 10 of 84 hospitals

Also negotiating in Virginia: Sentara (61) · Devoted Health (17) · Molina (16) · Health Net (13) · Ambetter (Centene) (6) · Amerigroup (6).

Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →