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Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 26.2× 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
$18

The part you don’t feel

Lewisgale Medical Center $472vsSouthside Community Hospital $18 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Medical Center
Southside Community Hospital
$454you feel all of it
Deductible met20% coinsurance
Lewisgale Medical Center
Southside Community Hospital
$91$363 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 $454 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$18$1898%~$475
Augusta Health$18$18100%—3
Johnston Memorial Hospital$18$18100%~$3927
Buchanan General Hospital$18$18100%~$441
Russell County Hospital$19$18105%~$5223
Lonesome Pine Hospital$19$18105%~$4927
Warren Memorial Hospital$20$18110%~$9716
Winchester Medical Center$20$18111%~$8816
Fauquier Hospital$23$18126%—1
Sentara Williamsburg Regional Medical Center$25$18136%—4
Sentara Careplex Hospital$25$18136%—4
Lee County Community Hospital$30$18165%—26
Sentara Halifax Regional Hospital$31$18168%—5
Sentara Norfolk General Hospital$32$18172%—5
Sentara Obici Hospital$32$18172%—6
Sentara Leigh Hospital$32$18172%—5
Sentara Virginia Beach General Hospital$32$18172%—5
Sentara Princess Anne Hospital$32$18172%—5
Sentara Rmh Medical Center$37$18201%—3
Centra Health - Lynchburg Gen Hospital ● actual$37$18202%~$439
Centra Bedford Memorial Hospital ● actual$37$18202%~$515
Smyth County Community Hospital$39$18210%~$4024
Sentara Martha Jefferson Hospital$39$18210%—4
Dickenson Community Hospital$41$18225%—20
Chesapeake General Hospital$50$18270%—4
Stafford Hospital$51$18277%~$4121
Mary Washington Hospital$53$18288%~$3621
Sentara Northern Virginia Medical Center$59$18322%—6
Virginia Hospital Center$60$18324%~$289
John Randolph Medical Center$74$18400%~$5326
Uva Health Prince William Medical Center$77$18418%~$13119
Henrico Doctors' Hospital$79$18429%~$4327
Uva Health Haymarket Medical Center ● actual$80$18435%~$14120
Cjw Medical Center$83$18451%~$3929
University Of Virginia Medical Center ● actual$85$18463%~$4532
Reston Hospital Center$96$18522%~$10921
Stonesprings Hospital Center$101$18547%~$12022
Shenandoah Memorial Hospital$112$18607%—16
Inova Alexandria Hospital$116$18633%~$10017
Inova Loudoun Hospital$116$18633%~$9617
Inova Fairfax Hospital$116$18633%~$10817
Inova Fair Oaks Hospital$116$18633%~$10517
Inova Mount Vernon Hospital$116$18633%~$11517
Bath Community Hospital$123$18668%—3
Carilion Tazewell Community Hospital$140$18762%~$5121
Carilion Medical Center$144$18785%~$4718
Carilion New River Valley Medical Center$144$18785%~$4918
Carilion Franklin Memorial Hospital$144$18785%~$5018
Carilion Giles Community Hospital$144$18785%—18
Page Memorial Hospital$148$18807%—16
Carilion Stonewall Jackson Hospital$166$18900%—20
Spotsylvania Regional Medical Center$192$181041%~$8924
Uva Health Culpeper Medical Center ● actual$202$181097%~$9614
Lewisgale Hospital Alleghany$206$181119%~$5927
Lewisgale Hospital Montgomery$300$181633%~$5528
Lewisgale Hospital Pulaski$325$181768%~$9028
Lewisgale Medical Center$472$182566%~$6433

*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 →