This analysis covers hospitals in Virginia. We're expanding to new states — check our latest findings or our Virginia and North Carolina pricing reports.

Lower price does not mean lower quality. Across Virginia, the 35 hospitals with below-average procedure prices have an average CMS rating of 3.67 stars, and 72.9% of their patients say they would recommend them. The 17 hospitals with above-average prices average 3.12 stars and 66.5% recommend. The data shows the opposite of what many patients assume.

Higher quality ratings at lower average prices

These Virginia hospitals have 4 or 5 CMS overall stars and rank among the lowest average cash prices across the procedures we track. The HAC-penalty column shows whether Medicare's Hospital-Acquired Condition Reduction Program placed the hospital in the bottom quartile for the current payment period — one safety signal among several. Your situation may call for different priorities.

HospitalCMS Stars% RecommendAvg Cash PriceHAC Penalty
Sentara Martha Jefferson Hospital5.082%$1,148Yes
Sentara RMH Medical Center4.066%$1,148No
Augusta Health4.069%$1,220No
Inova Loudoun Hospital5.077%$1,380No
Inova Fair Oaks Hospital5.077%$1,380No
Inova Alexandria Hospital4.070%$1,380No

Higher prices paired with lower ratings

A small number of Virginia hospitals combine 2-star CMS ratings with well-above-average procedure prices. These are worth looking at closely before scheduling non-emergency care:

HospitalCMS Stars% RecommendAvg Cash PriceHAC Penalty
Sovah Health Danville2.051%$7,589No
LewisGale Medical Center2.057%$3,936No

The gap is wide. The higher-rated, lower-priced hospitals average $1,148–$1,380 for the procedures we track. The lower-rated, higher-priced hospitals run $3,936–$7,589 for the same set of procedures. Paying more does not guarantee better care.

Quality ratings are one input. Patient experience, distance, insurance network status, and specific procedure volume matter too. Browse all Virginia hospitals and their quality ratings on our hospitals page.

Not medical advice. Prices are averaged across the procedures each hospital publishes and may not represent what you personally would pay. Quality ratings are from Medicare's Care Compare.

Methodology: for each Virginia hospital with a published cash price, hospital-level average cash_price computed across all CPTs the hospital prices. Hospital is "below average" if its average is below the state-wide average of those hospital averages. Star rating is CMS overall_star_rating; recommendation rate is HCAHPS H_RECMND_DY. Recomputed against current data 2026-05-01.

Sources: hospital machine-readable files (45 CFR Part 180), CMS Hospital Compare, HCAHPS, CMS Cost Reports, and IRS Form 990 filings via ProPublica. Every number traces to a federal primary source — full methodology and direct links.

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