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Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 42.5× 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 $256vsAugusta Health $6 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Medical Center
Augusta Health
$249you feel all of it
Deductible met20% coinsurance
Lewisgale Medical Center
Augusta Health
$50$200 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 $249 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$6$6100%—3
Buchanan General Hospital$6$6100%~$101
Russell County Hospital$6$6105%~$1723
Johnston Memorial Hospital$6$6105%~$1327
Lonesome Pine Hospital$6$6105%~$1627
Warren Memorial Hospital$7$6110%~$3016
Winchester Medical Center$7$6111%~$2816
Fauquier Hospital$8$6125%—1
Sentara Williamsburg Regional Medical Center$8$6136%—4
Sentara Careplex Hospital$8$6136%—4
Lee County Community Hospital$10$6165%—26
Sentara Halifax Regional Hospital$10$6167%—5
Sentara Norfolk General Hospital$10$6172%—5
Sentara Obici Hospital$10$6172%—6
Sentara Leigh Hospital$10$6172%—5
Sentara Virginia Beach General Hospital$10$6172%—5
Sentara Princess Anne Hospital$10$6172%—5
Smyth County Community Hospital$12$6196%~$1324
Sentara Rmh Medical Center$12$6201%—3
Sentara Martha Jefferson Hospital$13$6210%—4
Dickenson Community Hospital$14$6225%—20
Chesapeake General Hospital$14$6233%—4
Mary Washington Hospital$17$6283%~$2521
Stafford Hospital$17$6283%~$2921
Sentara Northern Virginia Medical Center$21$6344%—6
Virginia Hospital Center$22$6363%~$109
Shenandoah Memorial Hospital$22$6366%—16
John Randolph Medical Center$24$6400%~$3426
Page Memorial Hospital$25$6423%—16
Henrico Doctors' Hospital$26$6430%~$2827
Uva Health Prince William Medical Center ● actual$26$6431%~$6120
Cjw Medical Center$27$6452%~$2529
Reston Hospital Center ● actual$33$6544%~$5022
Stonesprings Hospital Center$33$6547%~$5722
Centra Health - Lynchburg Gen Hospital ● actual$38$6625%~$179
Centra Bedford Memorial Hospital ● actual$38$6625%~$205
Southside Community Hospital ● actual$38$6625%~$185
Inova Alexandria Hospital$38$6632%~$5617
Inova Loudoun Hospital$38$6632%~$5417
Inova Fairfax Hospital$38$6632%~$6117
Inova Fair Oaks Hospital$38$6632%~$5917
Inova Mount Vernon Hospital$38$6632%~$6517
Bath Community Hospital$39$6650%—3
Uva Health Haymarket Medical Center ● actual$52$6867%~$6620
University Of Virginia Medical Center ● actual$70$61161%~$3232
Carilion Tazewell Community Hospital$82$61363%~$3021
Carilion Medical Center$84$61403%~$2718
Carilion New River Valley Medical Center$84$61403%~$2918
Carilion Franklin Memorial Hospital$84$61403%~$2918
Carilion Giles Community Hospital$84$61403%—18
Uva Health Culpeper Medical Center ● actual$92$61528%~$4414
Carilion Stonewall Jackson Hospital$97$61611%—20
Spotsylvania Regional Medical Center ● actual$101$61673%~$4225
Lewisgale Hospital Alleghany$133$62206%~$3827
Lewisgale Hospital Pulaski$198$63296%~$5528
Lewisgale Hospital Montgomery$209$63473%~$3828
Lewisgale Medical Center$256$64251%~$3533

*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 →