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

Virginia's largest nonprofit hospital systems are required to offer financial assistance to patients who can't afford care. These programs can cover 100% of the bill — but most eligible patients never apply because they don't know the programs exist.

Eligibility is based on household income relative to the Federal Poverty Level (FPL). For 2026, 100% FPL for a family of four is $31,200.

Virginia hospital financial assistance thresholds

HospitalSystemFree Care BelowFamily of 4 LimitCharity Care Provided
INOVA ALEXANDRIA HOSPITALInova Health System400% FPL$124,800$23.5M
INOVA FAIR OAKS HOSPITALInova Health System400% FPL$124,800$13.3M
INOVA LOUDOUN HOSPITALInova Health System400% FPL$124,800$19.6M
INOVA MOUNT VERNON HOSPITALInova Health System400% FPL$124,800$12.5M
INOVA FAIRFAX HOSPITALInova Health System400% FPL$124,800$90.3M
SENTARA MARTHA JEFFERSON HOSPITALSentara Health300% FPL$93,600$5.3M
SENTARA RMH MEDICAL CENTERSentara Health300% FPL$93,600$10.7M
SENTARA HALIFAX REGIONAL HOSPITALSentara Health300% FPL$93,600$2.4M
SENTARA LEIGH HOSPITALSentara Health300% FPL$93,600$10.7M
SENTARA PRINCESS ANNE HOSPITALSentara Health300% FPL$93,600$5.9M
SENTARA OBICI HOSPITALSentara Health300% FPL$93,600$7.6M
SENTARA CAREPLEX HOSPITALSentara Health300% FPL$93,600$8.1M
SENTARA WILLIAMSBURG REGIONAL MEDICSentara Health300% FPL$93,600$3.3M
SENTARA VIRGINIA BEACH GENERAL HOSPSentara Health300% FPL$93,600$9.1M
SENTARA NORFOLK GENERAL HOSPITALSentara Health300% FPL$93,600$30.6M
SENTARA NORTHERN VIRGINIA MEDICAL CSentara Health300% FPL$93,600$11.9M
UVA HEALTH HAYMARKET MEDICAL CENTERUVA Health200% FPL$62,400$2.1M
UVA HEALTH CULPEPER MEDICAL CENTERUVA Health200% FPL$62,400$9.0M
VCU HEALTH TAPPAHANNOCK HOSPITALVCU Health200% FPL$62,400$1.2M
CARILION MEDICAL CENTERCarilion Clinic200% FPL$62,400$8.5M
CARILION GILES COMMUNITY HOSPITALCarilion Clinic200% FPL$62,400$397,730
CARILION NEW RIVER VALLEY MEDICAL CCarilion Clinic200% FPL$62,400$2.0M
CARILION TAZEWELL COMMUNITY HOSPITACarilion Clinic200% FPL$62,400$231,523
UNIVERSITY OF VIRGINIA MEDICAL CENTUVA Health200% FPL$62,400$61.8M
CARILION STONEWALL JACKSON HOSPITALCarilion Clinic200% FPL$62,400$559,566
CARILION FRANKLIN MEMORIAL HOSPITALCarilion Clinic200% FPL$62,400$650,849

How to apply

Contact the hospital's billing department or financial counselor before your procedure. Ask for the Financial Assistance Policy (FAP) application. Under ACA Section 501(r), nonprofit hospitals are required to make these applications available and process them before sending bills to collections.

Financial assistance thresholds are shown on every hospital profile page.

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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