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Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 15.0× 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

Carilion Stonewall Jackson Hospital $117vsAugusta Health $8 what you pay what your plan pays
Deductible not metearly in the plan year
Carilion Stonewall Jackson Hospital
Augusta Health
$109you feel all of it
Deductible met20% coinsurance
Carilion Stonewall Jackson Hospital
Augusta Health
$22$87 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Carilion Stonewall Jackson Hospital
Augusta Health
$0the market goes blind

The gap is $109 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
Lewisgale Medical Center$8$8100%—9
Lewisgale Hospital Montgomery$8$8100%—8
Lewisgale Hospital Pulaski$8$8100%—8
Lewisgale Hospital Alleghany$8$8100%—9
Buchanan General Hospital ● actual$8$8100%~$181
Russell County Hospital$8$8105%~$2223
Johnston Memorial Hospital$8$8105%~$1627
Lonesome Pine Hospital$8$8105%~$2027
Southside Community Hospital ● actual$8$8105%~$417
Warren Memorial Hospital$9$8110%~$4116
Winchester Medical Center$9$8111%~$3716
Fauquier Hospital$10$8126%—1
John Randolph Medical Center$10$8135%—17
Sentara Williamsburg Regional Medical Center$11$8136%—4
Sentara Careplex Hospital$11$8136%—4
Virginia Hospital Center$12$8155%—8
Henrico Doctors' Hospital$12$8157%—18
Lee County Community Hospital$13$8164%—26
Sentara Halifax Regional Hospital$13$8168%—5
Sentara Norfolk General Hospital$13$8172%—5
Sentara Obici Hospital$13$8172%—6
Sentara Leigh Hospital$13$8172%—5
Sentara Virginia Beach General Hospital$13$8172%—5
Sentara Princess Anne Hospital$13$8172%—5
Cjw Medical Center$14$8175%—18
Smyth County Community Hospital$15$8198%~$1724
Sentara Rmh Medical Center$16$8201%—3
Chesapeake General Hospital$16$8210%—4
Sentara Martha Jefferson Hospital$16$8211%—4
Sentara Northern Virginia Medical Center$17$8212%—6
Dickenson Community Hospital$17$8224%—20
Stafford Hospital$21$8270%~$2721
Mary Washington Hospital$23$8296%~$2421
Shenandoah Memorial Hospital$30$8381%—16
Reston Hospital Center$31$8399%—13
Stonesprings Hospital Center$31$8399%—13
Spotsylvania Regional Medical Center$31$8404%—11
Uva Health Haymarket Medical Center ● actual$32$8418%~$6919
Page Memorial Hospital$34$8441%—16
Uva Health Prince William Medical Center ● actual$36$8459%~$6421
University Of Virginia Medical Center ● actual$46$8592%~$4232
Inova Alexandria Hospital$49$8633%~$7217
Inova Loudoun Hospital$49$8633%~$6817
Inova Fairfax Hospital$49$8633%~$7717
Inova Fair Oaks Hospital$49$8633%~$7517
Inova Mount Vernon Hospital$49$8633%~$8217
Bath Community Hospital ● actual$51$8651%—3
Centra Health - Lynchburg Gen Hospital ● actual$71$8913%~$3711
Centra Bedford Memorial Hospital ● actual$71$8913%~$457
Carilion Tazewell Community Hospital$99$81272%~$3621
Uva Health Culpeper Medical Center ● actual$101$81304%~$4814
Carilion Medical Center$102$81310%~$3318
Carilion New River Valley Medical Center$102$81310%~$3418
Carilion Franklin Memorial Hospital$102$81310%~$3518
Carilion Giles Community Hospital$102$81310%—18
Carilion Stonewall Jackson Hospital$117$81503%—20

*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 →