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Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 76.2× price range across 57 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

The part you don’t feel

Lewisgale Medical Center $622vsAugusta Health $8 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Medical Center
Augusta Health
$614you feel all of it
Deductible met20% coinsurance
Lewisgale Medical Center
Augusta Health
$123$491 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lewisgale Medical Center
Augusta Health
$0the market goes blind

The gap is $614 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
Augusta Health$8$8100%—3
Buchanan General Hospital$8$8100%~$81
Warren Memorial Hospital$9$8110%~$4716
Winchester Medical Center$9$8111%~$4216
Lonesome Pine Hospital$10$8120%~$2127
Johnston Memorial Hospital$10$8121%~$1626
Russell County Hospital$10$8122%~$2223
Fauquier Hospital$10$8126%—1
Sentara Williamsburg Regional Medical Center$11$8136%—4
Sentara Careplex Hospital$11$8136%—4
Lee County Community Hospital$14$8167%—26
Sentara Halifax Regional Hospital$14$8168%—5
Sentara Norfolk General Hospital$14$8172%—5
Sentara Obici Hospital$14$8172%—6
Sentara Leigh Hospital$14$8172%—5
Sentara Virginia Beach General Hospital$14$8172%—5
Sentara Princess Anne Hospital$14$8172%—5
Centra Health - Lynchburg Gen Hospital ● actual$16$8200%~$369
Centra Bedford Memorial Hospital ● actual$16$8200%~$445
Southside Community Hospital ● actual$16$8200%~$405
Sentara Rmh Medical Center$16$8201%—3
Sentara Martha Jefferson Hospital$17$8211%—4
Dickenson Community Hospital$18$8222%—20
Smyth County Community Hospital$20$8250%~$1724
Stafford Hospital$22$8269%~$4221
Uva Health Haymarket Medical Center ● actual$22$8272%~$10318
Mary Washington Hospital$24$8294%~$3821
Chesapeake General Hospital$26$8315%—4
Sentara Northern Virginia Medical Center$28$8345%—6
Virginia Hospital Center$31$8377%~$779
John Randolph Medical Center$33$8400%~$3926
Shenandoah Memorial Hospital$34$8413%—16
Uva Health Prince William Medical Center ● actual$34$8418%~$9519
Henrico Doctors' Hospital$35$8429%~$3227
Cjw Medical Center$37$8451%~$3029
Page Memorial Hospital$39$8478%—16
Reston Hospital Center$43$8522%~$11721
Stonesprings Hospital Center$45$8547%~$13022
University Of Virginia Medical Center ● actual$46$8563%~$7032
Inova Alexandria Hospital$52$8633%~$16217
Inova Loudoun Hospital$52$8633%~$15517
Inova Fairfax Hospital$52$8633%~$17517
Inova Fair Oaks Hospital$52$8633%~$17017
Inova Mount Vernon Hospital$52$8633%~$18617
Bath Community Hospital$70$8853%—3
Carilion Giles Community Hospital$79$8973%—18
Carilion Stonewall Jackson Hospital$91$81116%—20
Uva Health Culpeper Medical Center ● actual$110$81348%~$5613
Carilion Medical Center$166$82030%~$5418
Carilion New River Valley Medical Center$166$82030%~$5618
Carilion Franklin Memorial Hospital$166$82030%~$5718
Spotsylvania Regional Medical Center$206$82523%~$9624
Carilion Tazewell Community Hospital$333$84077%~$12221
Lewisgale Hospital Pulaski$407$84980%~$11228
Lewisgale Hospital Alleghany$488$85978%~$13927
Lewisgale Hospital Montgomery$494$86048%~$9028
Lewisgale Medical Center$622$87617%~$8433

*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 →