CT abdomen and pelvis with contrastCPT 74177Imaging

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 32.2× price range across 60 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
$443
$1,003
$1,524
$3,408

The part you don’t feel

Lewisgale Medical Center $12,088vsSouthside Community Hospital $376 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Medical Center
Southside Community Hospital
$11,712you feel all of it
Deductible met20% coinsurance
Lewisgale Medical Center
Southside Community Hospital
$2,342$9,370 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lewisgale Medical Center
Southside Community Hospital
$0the market goes blind

The gap is $11,712 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 ● actual$376$340110%~$1,3677
Twin County Regional Hospital$409$340120%—1
Wythe County Community Hospital$437$340128%—2
Mary Washington Hospital$443$361123%~$93519
Stafford Hospital$443$361123%~$1,05519
Clinch Valley Medical Center$468$340138%—2
Johnston Memorial Hospital$542$340159%~$67227
Virginia Hospital Center$753$361209%~$92110
Dickenson Community Hospital$794$356223%—20
Lonesome Pine Hospital$881$340259%~$84726
Buchanan General Hospital ● actual$971$340285%~$2261
Centra Bedford Memorial Hospital ● actual$971$340285%~$1,5017
Augusta Health$1,003$341294%—2
Winchester Medical Center$1,039$350297%~$1,56116
Smyth County Community Hospital$1,072$340315%~$69824
Sentara Rmh Medical Center$1,120$340329%—2
Sentara Halifax Regional Hospital$1,182$343345%—3
Sentara Martha Jefferson Hospital$1,201$340353%—2
Russell County Hospital$1,255$340369%~$89923
Lee County Community Hospital$1,257$356353%—26
Warren Memorial Hospital$1,359$361377%~$1,72916
Centra Health - Lynchburg Gen Hospital ● actual$1,374$341403%~$1,24911
Fauquier Hospital$1,524$361422%—1
Shenandoah Memorial Hospital$1,525$356428%—16
Inova Alexandria Hospital$1,661$378439%~$75817
Inova Loudoun Hospital$1,661$361460%~$72217
Inova Fairfax Hospital$1,661$374444%~$81817
Inova Fair Oaks Hospital$1,661$361460%~$79417
Inova Mount Vernon Hospital$1,661$378439%~$87117
Uva Health Haymarket Medical Center ● actual$1,838$361509%~$1,41820
Uva Health Prince William Medical Center ● actual$2,015$361558%~$1,31721
Sentara Northern Virginia Medical Center$2,108$340619%—4
Page Memorial Hospital$2,218$356622%—16
Henrico Doctors' Hospital ● actual$2,332$350666%~$1,10923
John Randolph Medical Center ● actual$2,337$340687%~$1,35423
Spotsylvania Regional Medical Center$2,348$361650%~$85722
Sentara Careplex Hospital$2,451$340720%—4
Sentara Williamsburg Regional Medical Center$2,500$340734%—4
Sentara Obici Hospital$2,559$340752%—6
Bath Community Hospital ● actual$2,765$356776%—3
Carilion Tazewell Community Hospital$2,926$340859%~$1,09323
Carilion Medical Center ● actual$2,970$340872%~$99119
Carilion New River Valley Medical Center ● actual$2,970$340872%~$1,04019
Carilion Franklin Memorial Hospital ● actual$2,970$340872%~$1,06219
Carilion Giles Community Hospital ● actual$2,970$356833%—19
Chesapeake General Hospital$2,977$340875%—3
Reston Hospital Center$3,031$369821%~$1,30419
University Of Virginia Medical Center ● actual$3,312$350946%~$1,64631
Cjw Medical Center$3,408$350974%~$1,01124
Stonesprings Hospital Center$3,474$361962%~$1,41220
Carilion Stonewall Jackson Hospital$3,525$356989%—21
Sentara Norfolk General Hospital$3,653$3401073%—5
Sentara Virginia Beach General Hospital$3,678$3401081%—5
Sentara Leigh Hospital$3,698$3401086%—5
Sentara Princess Anne Hospital$3,750$3401102%—5
Uva Health Culpeper Medical Center ● actual$3,781$3611048%~$1,70314
Lewisgale Hospital Montgomery ● actual$5,010$3401472%~$91028
Lewisgale Hospital Alleghany ● actual$8,052$3402366%~$1,93925
Lewisgale Hospital Pulaski ● actual$11,777$3403460%~$3,25127
Lewisgale Medical Center ● actual$12,088$3403551%~$1,61731

*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 →