Psychotherapy, 45 minutesCPT 90834Mental health

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.9× price range across 26 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
$314
$510

The part you don’t feel

Sentara Halifax Regional Hospital $611vsChesapeake General Hospital $124 what you pay what your plan pays
Deductible not metearly in the plan year
Sentara Halifax Regional Hospital
Chesapeake General Hospital
$487you feel all of it
Deductible met20% coinsurance
Sentara Halifax Regional Hospital
Chesapeake General Hospital
$97$389 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Sentara Halifax Regional Hospital
Chesapeake General Hospital
$0the market goes blind

The gap is $487 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
Centra Health - Lynchburg Gen Hospital⚠ data flag ● actual$81$17446%$1099
Centra Bedford Memorial Hospital⚠ data flag ● actual$81$17347%$1317
Southside Community Hospital⚠ data flag ● actual$81$17347%$1208
Dickenson Community Hospital⚠ data flag$92$18151%—17
Chesapeake General Hospital$124$17372%—1
University Of Virginia Medical Center$148$17883%$5225
Uva Health Culpeper Medical Center$169$18492%$738
Bath Community Hospital$178$18198%—3
Virginia Hospital Center$185$184101%$7810
Johnston Memorial Hospital$186$173108%$5422
Uva Health Prince William Medical Center$188$184102%$9714
Uva Health Haymarket Medical Center$188$184102%$10413
Lee County Community Hospital⚠ data flag$191$181105%—23
Lonesome Pine Hospital$191$173111%$6823
Russell County Hospital$193$173112%$7220
Smyth County Community Hospital$193$173112%$5621
Henrico Doctors' Hospital$245$178137%$4916
Stafford Hospital$314$184171%$14815
Mary Washington Hospital$329$184179%$13215
Winchester Medical Center$361$178203%$23416
Inova Alexandria Hospital$426$192221%$26717
Inova Mount Vernon Hospital$430$192223%$30717
Inova Loudoun Hospital$433$184236%$25517
Inova Fair Oaks Hospital$435$184237%$28017
Inova Fairfax Hospital$439$190231%$28817
Augusta Health$510$174294%—2
Shenandoah Memorial Hospital$542$181299%—14
Sentara Rmh Medical Center$570$173329%—2
Reston Hospital Center$595$188317%—2
Stonesprings Hospital Center$595$184324%—2
Sentara Halifax Regional Hospital$611$175350%—2

*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 →