MRI brain with and without contrastCPT 70553Imaging

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 36.0× price range across 59 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
$557
$1,003
$1,866
$2,627

The part you don’t feel

Lewisgale Hospital Alleghany $12,605vsCentra Bedford Memorial Hospital $351 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Hospital Alleghany
Centra Bedford Memorial Hospital
$12,254you feel all of it
Deductible met20% coinsurance
Lewisgale Hospital Alleghany
Centra Bedford Memorial Hospital
$2,451$9,803 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lewisgale Hospital Alleghany
Centra Bedford Memorial Hospital
$0the market goes blind

The gap is $12,254 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
Southside Community Hospital⚠ data flag ● actual$171$34050%~$1,8627
Centra Bedford Memorial Hospital ● actual$351$340103%~$2,0447
Centra Health - Lynchburg Gen Hospital ● actual$376$341110%~$1,70111
Mary Washington Hospital$557$361154%~$1,20519
Stafford Hospital$557$361154%~$1,35919
Twin County Regional Hospital$688$340202%—1
Wythe County Community Hospital$736$340216%—2
Virginia Hospital Center$753$361209%~$1,17010
Clinch Valley Medical Center$818$340240%—2
Buchanan General Hospital$971$340285%~$1281
Augusta Health$1,003$341294%—2
Johnston Memorial Hospital$1,025$340301%~$80227
Dickenson Community Hospital$1,039$356291%—20
Winchester Medical Center$1,039$350297%~$2,61116
Sentara Rmh Medical Center$1,120$340329%—2
Sentara Halifax Regional Hospital$1,182$343345%—3
Sentara Martha Jefferson Hospital$1,201$340353%—2
Smyth County Community Hospital$1,208$340355%~$83324
Russell County Hospital$1,255$340369%~$1,07423
Lonesome Pine Hospital$1,258$340370%~$1,01226
Warren Memorial Hospital$1,359$361377%~$2,89316
Lee County Community Hospital$1,404$356394%—26
Sentara Careplex Hospital$1,539$340452%—4
Sentara Williamsburg Regional Medical Center$1,585$340466%—4
Sentara Obici Hospital$1,639$340482%—6
Henrico Doctors' Hospital$1,660$350474%~$54319
John Randolph Medical Center$1,676$340492%~$66919
Sentara Northern Virginia Medical Center$1,744$340512%—5
Sentara Norfolk General Hospital$1,856$340545%—5
Cjw Medical Center$1,866$350533%~$50021
Sentara Virginia Beach General Hospital$1,869$340549%—5
Sentara Leigh Hospital$1,879$340552%—5
Sentara Princess Anne Hospital$1,907$340560%—5
Shenandoah Memorial Hospital$2,085$356585%—16
Inova Alexandria Hospital$2,307$378610%~$1,05317
Inova Loudoun Hospital$2,307$361639%~$1,00317
Inova Fairfax Hospital$2,307$374617%~$1,13617
Inova Fair Oaks Hospital$2,307$361639%~$1,10317
Inova Mount Vernon Hospital$2,307$378610%~$1,21017
Uva Health Haymarket Medical Center ● actual$2,452$361679%~$1,89420
Uva Health Prince William Medical Center ● actual$2,454$361680%~$1,76021
Fauquier Hospital$2,627$361728%—1
Chesapeake General Hospital$3,344$340982%—3
Page Memorial Hospital$3,353$356941%—16
Bath Community Hospital$3,494$356980%—3
University Of Virginia Medical Center ● actual$3,583$3501024%~$1,78130
Uva Health Culpeper Medical Center ● actual$4,173$3611156%~$1,88014
Carilion Tazewell Community Hospital$4,359$3401281%~$1,62823
Carilion Medical Center ● actual$4,425$3401300%~$1,47719
Carilion New River Valley Medical Center ● actual$4,425$3401300%~$1,54919
Carilion Franklin Memorial Hospital$4,425$3401300%~$1,58219
Carilion Giles Community Hospital$4,425$3561241%—19
Spotsylvania Regional Medical Center$4,592$3611272%~$1,13619
Reston Hospital Center$5,063$3691371%~$1,67716
Stonesprings Hospital Center$5,063$3611403%~$1,85117
Carilion Stonewall Jackson Hospital$5,252$3561474%—21
Lewisgale Hospital Montgomery$5,486$3401612%~$99026
Lewisgale Medical Center$7,984$3402346%~$1,06830
Lewisgale Hospital Pulaski$9,523$3402798%~$2,59225
Lewisgale Hospital Alleghany$12,605$3403703%~$3,03623

*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 →