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Metro Price Directory

Richmond Area Hospital Prices

Cash and insurance-negotiated prices at hospitals in and around Richmond, VA. Part of all Virginia hospital prices.

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
1.06×vs. Fair Market Price
Position vs. 1.00× Fair Price+6% 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.

Typical commercial prices here are +6% above the fair benchmark (1.06×) even after accounting for local nurse/doctor wages and patient complexity.

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.9 Hospitals · 108 Procedures
Hospitals Priced9 in VATotal hospitals in Virginia with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.4× MedicareAverage commercial insurance negotiated rate across Virginia hospitals compared to what federal Medicare pays for the same procedure.
Best Value in VA1.06× FairLowest confounder-adjusted hospital in Virginia: Bon Secours Southside Medical Center (Petersburg) at 1.06× fair market price.

Most affordable Virginia hospital: Bon Secours Southside Medical Center (Petersburg) at 1.06× the fair price (1% below benchmark).

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Bon Secours Southside Medical Center prices routine shoppable procedures near 1.1× Medicare (p50 0.97×) while skewing captive emergency, lab, and upper-quartile codes to 2.2× Medicare (p75 1.36×, +40% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#23 of 75 in VA · 29th State Percentile#1,561 of 3,385 in U.S. · 46th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
  • 2-Star CMS clinical rating with 58% patient recommendation (66/100 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 1.7× markup over Medicare rates
  • Captive ER (1.6×) & laboratory (4.0×) services average 2.00× higher multiples than routine shoppable care (1.1×)
  • Upper-quartile procedures (Q75 1.36×) jump +40% above the median procedure ratio (Q50 0.97×)
  • Unnegotiated chargemaster list prices average 11.3× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.1× Medicare

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

Back-Door Captive & ER2.00× Divergence
2.2× Medicare

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

Quantile Tail Spread+40% Upper Tail
Q25 0.94× · Q50 0.97× · Q75 1.36×

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
1.1× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.7× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.9× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
1.6× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
4.0× MedicareElevated
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.5× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
2 CMS · 66/100Fair

Hospitals in the Richmond area

Ranked by how their prices compare to the fair BaseRate — best value first. The × fair figure is geo-adjusted. Tap any hospital for its full price list.

Compare prices by procedure in Richmond

Local prices across Richmond-area hospitals for 108 procedures.

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

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

Inpatient MS-DRG vs. Outpatient CPT Care-Setting Savings

Total Hip Arthroplasty (Replacement)DRG 470 vs CPT 27130
Inpatient: $26,394Outpatient: $13,545 Save $12,849 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Total Knee Arthroplasty (Replacement)DRG 470 vs CPT 27447
Inpatient: $26,394Outpatient: $14,081 Save $12,313 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Left Heart Diagnostic Cardiac CatheterizationDRG 247 vs CPT 93458
Inpatient: $20,239Outpatient: $13,690 Save $6,548 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Laparoscopic Gallbladder RemovalDRG 419 vs CPT 47562
Inpatient: $11,641Outpatient: $6,126 Save $5,515 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Cesarean Section DeliveryDRG 788 vs CPT 59510
Inpatient: $10,135Outpatient: $5,902 Save $4,233 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

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 →