How many shoppable procedure prices are published for Uva Health Haymarket Medical Center?

Uva Health Haymarket Medical Center in Haymarket, VA currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Uva Health Haymarket Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Uva Health Haymarket Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Uva Health Haymarket Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Uva Health Haymarket Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 44 Beds · urban Updated: 2026-03-24

Uva Health Haymarket Medical Center

15225 Healthcote Boulevard, Haymarket, VA 20169 · 120 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.26×vs. Fair Market Price

Typical commercial prices here are +26% above the fair benchmark (1.26×) even after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 51% of the Time

File Completeness100

Price Logic82

Peer Alignment76

Clean Billing88

Real Cash Discount100

Premium Quality Tier

4-Star CMS clinical quality rating paired with 1.26× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +38% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Uva Health Haymarket Medical Center prices routine shoppable procedures at 1.8× Medicare (median 1.21× Fair BaseRate) while upper-quartile commercial rates jump +38% to 1.67× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#39 of 75 in VA · 50th State Percentile#2,178 of 3,385 in U.S. · 64th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.07× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 51% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 78% patient recommendation (69/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (24.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.26× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.21× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.67×) jump +38% above the median procedure ratio (Q50 1.21×)
Unnegotiated chargemaster list prices average 9.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.78× Divergence

1.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+38% Upper Tail

Q25 1.07× · Q50 1.21× · Q75 1.67×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

51% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 69/100Fair

Procedure Prices at Uva Health Haymarket Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$57,792	$56,092	$30,775	1.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$30,080	$28,752	$17,936	1.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$39,966	$28,252	$19,432	1.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$25,021	$27,170	$19,087	1.4×
Total hip replacement CPT Code: `27130`	$27,664	$13,283	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$22,485	$12,881	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$10,130	$10,159	$8,223	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,938	$7,098	$6,109	1.2×
Inguinal hernia repair CPT Code: `49505`	$13,459	$5,914	$3,629	unverified
Cataract surgery with lens implant CPT Code: `66984`	$2,607	$5,168	$2,540	2.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,747	$4,446	$3,372	1.3×
Bunion correction surgery CPT Code: `28296`	$5,272	$4,369	$3,446	1.3×
Breast lump removal CPT Code: `19120`	$10,613	$4,349	$3,875	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,680	$2,092	$981	2.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,188	$2,092	$1,256	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$2,782	$2,042	$987	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$1,719	$201	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,017	$1,456	$855	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,917	$1,400	$1,021	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,680	$1,116	$448	2.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,245	$1,116	$511	2.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,047	$763	$369	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,194	$734	$343	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,119	$704	$338	2.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,470	$590	$303	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,170	$599	$583	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,220	$549	$242	2.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,911	$561	$258	2.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,015	$558	$272	2.1×
Rabies immune globulin HCPCS Code: `90375`	$4,998	$533	$322	1.7×
Blood transfusion CPT Code: `36430`	$874	$456	$498	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,017	$334	$160	2.1×
CT scan, pelvis CPT Code: `72192`	$893	$334	$163	2.0×
CT scan, sinuses CPT Code: `70486`	$1,050	$334	$166	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$958	$334	$167	2.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$893	$334	$168	2.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,088	$334	$169	2.0×
Group therapy session CPT Code: `90853`	$253	$253	$100	2.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$886	$266	$134	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$648	$235	$126	1.9×
Ultrasound, pelvis CPT Code: `76856`	$1,075	$237	$130	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$662	$235	$132	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$219	$203	$151	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$117	$138	$87	1.6×
X-ray, lower back CPT Code: `72110`	$473	$159	$112	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$244	$138	$110	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$94	$138	$123	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$157	$157	$185	0.8×
X-ray, hip CPT Code: `73502`	$300	$130	$93	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$152	$152	$181	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$319	$114	$93	1.2×
Family therapy session CPT Code: `90847`	$135	$135	$173	0.8×
X-ray, hand CPT Code: `73130`	$373	$106	$93	1.1×
X-ray, ankle CPT Code: `73610`	$376	$106	$93	1.1×
X-ray, shoulder CPT Code: `73030`	$327	$102	$92	1.1×
X-ray, foot CPT Code: `73630`	$375	$102	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$250	$102	$93	1.1×
X-ray, chest (single view) CPT Code: `71045`	$187	$90	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$270	$105	$110	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$124	$124	$166	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$487	$110	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$422	$90	$123	0.7×
Neurobehavioral status check CPT Code: `96116`	$88	$88	$231	0.4×
Blood test, vitamin D CPT Code: `82306`	$990	$990	$31	unverified
Typhoid vaccine HCPCS Code: `90675`	$445	$328	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$206	$206	$203	unverified
Drug screening test HCPCS Code: `G0480`	$104	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$108	$108	$140	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$103	$103	$111	unverified
Flu vaccine injection HCPCS Code: `G0008`	—	$127	$48	unverified
Speech therapy (group session) CPT Code: `92508`	$118	$63	$27	2.3×
Speech therapy (language evaluation) CPT Code: `92507`	$207	$76	$86	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$28	$49	$37	1.3×
Blood antibody screen CPT Code: `86850`	$92	$50	$46	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$116	$61	$64	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$81	$21	$20	1.1×
Orthotic fitting and training CPT Code: `97760`	$79	$46	$51	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$68	$68	$86	unverified
Prosthetic fitting and training CPT Code: `97761`	$95	$40	$45	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$86	$35	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$31	$33	$38	0.9×
Psychological testing by technician CPT Code: `96138`	$57	$57	$395	0.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$297	$9	$6	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$42	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$82	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$51	$11	$9	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$168	$23	$19	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$48	$48	$56	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$20	$4	$3	1.3×
Blood test, lipase CPT Code: `83690`	$98	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$422	$5	$4	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$123	$17	$14	1.2×
Blood test, calcium CPT Code: `82310`	$36	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$55	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$42	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$34	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$122	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$161	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$139	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$66	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$153	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	$76	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$64	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$45	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$122	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$387	$11	$10	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$401	$15	$14	1.1×
Physical therapy (gait training) CPT Code: `97116`	$59	$29	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$71	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$92	$29	$35	0.8×
Blood test, hemoglobin CPT Code: `85018`	$12	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$5	$5	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$65	$27	$34	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$29	$29	$39	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$10	$10	$25	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$11	$11	$49	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$11	$11	$49	0.2×
Psychological testing evaluation CPT Code: `96136`	$10	$10	$128	0.1×

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 24.9%

Audit a Bill or Quote at Uva Health Haymarket Medical Center (Zero PHI Required)

CMS CCN: 490144

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $57,792

Insurer Median $56,092

1. Amount on Your Bill or Quote ($) Pre-filled with Uva Health Haymarket Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $30,601 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $30,601

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (24.9% of gross = $30,601).

Step 2 · Cash vs. Insurance Arbitrage Save $65,300 Paying Cash

Self-Pay Cash Rate ($57,792) Beats Your Bill

Uva Health Haymarket Medical Center's published 45 CFR § 180 self-pay cash rate is $57,792 (vs. $56,092 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$92,317 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($123,092) is $92,317 above the denoised Fair BaseRate ($30,775) and 5.2× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (24.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait215 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (470 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Uva Health Haymarket Medical Center.

Price Index: 1.01× regional baseline

Quality: 69/100 CMS composite

Median Household Income$128,873U.S. Census ACS

Local Uninsured Share10.1%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 89/100 · Verified CMS CCN 490144

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 490144) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filedownload

Publication / Vintage2026-03-24 · 807.31 MB

Validated Rate Rows5,921 (CMS v3.0.0)

File Integrity Digestd0a742180924b1c7782a…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy