How many shoppable procedure prices are published for Virginia Hospital Center?

Virginia Hospital Center in Arlington, VA currently has 134 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Virginia Hospital Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Virginia Hospital Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Virginia Hospital Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Virginia Hospital 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 385 Beds · urban Updated: 2025-12-16

Virginia Hospital Center

1701 North George Mason Drive, Arlington, VA 22205 · 134 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.04×vs. Fair Market Price

Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 16% of the Time

File Completeness61

Price Logic91

Peer Alignment76

Clean Billing93

Real Cash Discount91

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.04× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Virginia Hospital Center prices shoppable and inpatient services (1.5× to 1.3× Medicare, divergence 0.87×) in alignment with regional hospital peers (1.04× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#20 of 75 in VA · 25th State Percentile#1,482 of 3,385 in U.S. · 43rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 16% of shoppable procedures (91/100 Cash Honesty)
4-Star CMS clinical rating with 78% patient recommendation (71/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Commercial insurance median sits at 1.17× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.5× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 7.7× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.87× Divergence

1.3× Medicare

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

Quantile Tail Spread+8% Upper Tail

Q25 0.99× · Q50 1.17× · Q75 1.26×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.5× MedicareGood

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

16% Cash Edge · 91/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 71/100Fair

Procedure Prices at Virginia Hospital Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 134 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`	—	$24,117	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,375	$19,087	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,228	$17,936	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,422	$19,432	1.1×
Total hip replacement CPT Code: `27130`	—	$12,956	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,956	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,983	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,875	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$3,370	$3,856	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,601	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,300	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,267	$3,446	0.9×
Trauma team activation HCPCS Code: `G0390`	$9,911	$2,350	$1,453	1.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,350	$2,540	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,222	$1,606	$1,021	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,371	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,261	$987	1.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$802	$918	$981	0.9×
Behavioral health day treatment HCPCS Code: `H0010`	—	$723	$343	2.1×
Injection procedure for pain management HCPCS Code: `G0260`	—	$711	$855	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,298	$564	$448	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,842	$564	$511	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,538	$555	$583	1.0×
Blood transfusion CPT Code: `36430`	$825	$523	$498	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$460	$460	$123	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$396	$140	2.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$599	$401	$148	2.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,627	$382	$303	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,943	$382	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,823	$382	$343	1.1×
Psychological testing by technician CPT Code: `96138`	—	$402	$395	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,279	$371	$369	1.0×
Neurobehavioral status check CPT Code: `96116`	$352	$317	$231	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,494	$281	$242	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,897	$294	$258	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$465	$234	$123	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$950	$256	$272	0.9×
Rabies immune globulin HCPCS Code: `90375`	$1,280	$268	$322	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$420	$207	$132	1.6×
Ultrasound, pelvis CPT Code: `76856`	$194	$195	$130	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$824	$195	$134	1.5×
CT scan, pelvis CPT Code: `72192`	$1,149	$207	$163	1.3×
CT scan, sinuses CPT Code: `70486`	$1,193	$207	$166	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,283	$207	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,560	$207	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,671	$207	$169	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$416	$203	$181	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$234	$206	$201	1.0×
Residential mental health treatment HCPCS Code: `H2036`	—	$200	$406	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$232	$163	$86	1.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$520	$168	$126	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,150	$173	$160	1.1×
Family therapy session CPT Code: `90847`	$344	$183	$173	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$173	$163	$166	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$326	$162	$185	0.9×
X-ray, hip CPT Code: `73502`	$114	$121	$93	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$309	$109	$87	1.3×
X-ray, lower back CPT Code: `72110`	$463	$131	$112	1.2×
Care planning with family CPT Code: `90887`	$125	$125	$107	1.2×
Group therapy session CPT Code: `90853`	$148	$109	$100	1.1×
Psychological testing evaluation CPT Code: `96136`	$113	$130	$128	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$241	$132	$151	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$85	$40	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$262	$99	$93	1.1×
X-ray, hand CPT Code: `73130`	$240	$94	$93	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$157	$109	$110	1.0×
Orthotic fitting and training CPT Code: `97760`	$69	$82	$51	1.6×
X-ray, ankle CPT Code: `73610`	$290	$92	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	$110	$90	$92	1.0×
X-ray, foot CPT Code: `73630`	$324	$90	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$261	$107	$110	1.0×
X-ray, chest (two views) CPT Code: `71046`	$154	$90	$93	1.0×
X-ray, shoulder CPT Code: `73030`	$358	$89	$92	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$294	$203	1.4×
Typhoid vaccine HCPCS Code: `90675`	$1,296	$314	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$153	$111	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$399	$178	$140	1.3×
Drug screening test HCPCS Code: `G0480`	—	$137	$116	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$66	$25	2.6×
Speech therapy (group session) CPT Code: `92508`	$61	$67	$27	2.5×
Physical therapy (gait training) CPT Code: `97116`	$70	$70	$33	2.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$74	$35	2.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$69	$73	$35	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$72	$78	$38	2.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$75	$78	$38	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	$74	$77	$38	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$71	$67	$34	2.0×
Prosthetic fitting and training CPT Code: `97761`	$70	$76	$45	1.7×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$24	$14	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$48	$39	1.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$40	$33	1.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$32	$27	1.2×
Blood antibody screen CPT Code: `86850`	$144	$54	$46	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$77	$23	$20	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$98	$42	$37	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$146	$62	$56	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$142	$60	$64	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$48	$48	$86	0.6×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$44	$88	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$51	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$17	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$119	$11	$9	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$109	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$70	$23	$19	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$207	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$166	$13	$11	1.2×
Blood test, vitamin D CPT Code: `82306`	$101	$36	$31	1.2×
Blood test, calcium CPT Code: `82310`	$83	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$82	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$92	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$20	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$61	$6	$5	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$199	$21	$18	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$25	$7	$6	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$88	$16	$14	1.1×
Blood test, amylase CPT Code: `82150`	$106	$8	$7	1.1×
Blood test, lipase CPT Code: `83690`	$110	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$22	$8	$7	1.1×
Hepatitis C antibody test CPT Code: `86803`	$159	$17	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$48	$18	$16	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$99	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$188	$10	$9	1.1×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$17	$16	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$75	$26	$25	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$17	$34	0.5×
Behavioral health day program HCPCS Code: `H2012`	—	$23	$100	0.2×
Community mental health services HCPCS Code: `H0038`	—	$32	$16	unverified
Blood test, hemoglobin CPT Code: `85018`	$44	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$5	$5	1.0×

Showing top 25 high-impact procedures of 134 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Virginia Hospital Center (Zero PHI Required)

CMS CCN: 490050

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $24,117

1. Amount on Your Bill or Quote ($) Pre-filled with Virginia Hospital 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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Virginia Hospital Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$27,106 Above Fair BaseRate

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

Your bill ($57,881) is $27,106 above the denoised Fair BaseRate ($30,775) and 2.5× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Virginia Hospital Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Composite71/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait241 min

Left ER Before Seen3%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Virginia Hospital Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (2,111 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Virginia Hospital Center.

Price Index: 0.66× regional baseline

Quality: 81/100 CMS composite

Median Household Income$140,160U.S. Census ACS

Local Uninsured Share5.3%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 82/100 · Corroborated CMS CCN 490050

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 490050) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-16

Validated Rate Rows2,004 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490050

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