Price Comparison Report
Office Visit Established Patient Level 3
Richmond, VA · 8 facilities · CPT 99213 · May 30, 2026
Summary
8 facilities within 25 miles of Richmond publish prices for Office Visit Established Patient Level 3. Cash prices range from $160 to $488 — a 3.1x difference for an identical procedure. The Virginia average is $215.
Bon Secours Memorial Regional Medical Center
Mechanicsville, VA · Bon Secours Mercy Health · 0.2 mi
Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 65%. Cash price of $116 is below the statewide average of $215.
All facilities ranked by price
Complete facility data
| # | Facility | Cash Price | Gross Charge | Markup | CMS Stars | Patient Rating | Ownership |
|---|---|---|---|---|---|---|---|
| 1 | Bon Secours Memorial Regional Medical Center Bon Secours Mercy Health Mechanicsville, VA · 0.2 mi | $116 | $193 | 1.67x | 4/5 | 65.0% | Nonprofit |
| 2 | Bon Secours St Francis Medical Center Bon Secours Mercy Health Midlothian, VA · 0.2 mi | $116 | $193 | 1.67x | 3/5 | 71.0% | Nonprofit |
| 3 | Bon Secours Richmond Community Hospital Bon Secours Mercy Health Richmond, VA · 0.0 mi | $122 | $203 | 1.67x | — | 68.0% | Nonprofit |
| 4 | Henrico Doctors' Hospital HCA Virginia Richmond, VA · 0.0 mi | $160 | $160 | 1.0x | 3/5 | 69.0% | Nonprofit |
| 5 | CJW Medical Center Richmond, VA · 0.0 mi | $194 | $194 | 1.0x | 4/5 | 64.0% | For-profit |
| 6 | Bon Secours St Marys Hospital Bon Secours Mercy Health Richmond, VA · 0.0 mi | $268 | $447 | 1.67x | 3/5 | 66.0% | Nonprofit |
| 7 | Spotsylvania Regional Medical Center HCA Virginia Fredericksburg, VA · 0.2 mi | $488 | $488 | 1.0x | 3/5 | 61.0% | For-profit |
| 8 | Sentara Williamsburg Regional Medical Center Sentara Health Williamsburg, VA · 0.2 mi | — | — | — | 4/5 | 79.0% | Nonprofit |
Insurance negotiated rates by facility
The rates below are what each insurer has contractually agreed to pay this hospital for Office Visit Established Patient Level 3. Your actual out-of-pocket cost depends on your deductible status and copay structure.
Henrico Doctors' Hospital
Cash: $160| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Aetna | MGMCR | $24 | -$136 |
| Lifeworks | MCR | $30 | -$130 |
| UnitedHealthcare | OptionsPPO | $33 | -$127 |
| Universal Healthcare Group | MCR | $35 | -$125 |
| Aetna | Broad | $51 | -$109 |
| Aetna | SharedSavings | $53 | -$107 |
| Virginia Health Network | ULTRA | $56 | -$104 |
| UnitedHealthcare | GlobalBenefitPlan | $72 | -$88 |
| Greenvbrier Sporting Club | COMM | $96 | -$64 |
| Virginia Health Network | COMM | $104 | -$56 |
| Virginia Health Network | WC | $104 | -$56 |
| CorVel | WorkersComp | $115 | -$45 |
| OccuNet Workers Comp | WorkersComp | $128 | -$32 |
| 4Most Health Nework | COMM | $144 | -$16 |
| Multiplan | PHCS | $144 | -$16 |
1 additional plans not shown.
CJW Medical Center
Cash: $194| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Aetna | MGMCR | $29 | -$165 |
| Lifeworks | MCR | $37 | -$157 |
| UnitedHealthcare | OptionsPPO | $40 | -$154 |
| Universal Healthcare Group | MCR | $43 | -$151 |
| Aetna | Broad | $62 | -$132 |
| Aetna | SharedSavings | $64 | -$130 |
| Virginia Health Network | ULTRA | $68 | -$126 |
| UnitedHealthcare | GlobalBenefitPlan | $87 | -$107 |
| Greenvbrier Sporting Club | COMM | $116 | -$78 |
| Value Options | COMM | $116 | -$78 |
| Naphcare | GVT | $126 | -$68 |
| Virginia Health Network | COMM | $126 | -$68 |
| Virginia Health Network | WC | $126 | -$68 |
| CorVel | WorkersComp | $140 | -$54 |
| Evernorth | COMM | $155 | -$39 |
4 additional plans not shown.
Spotsylvania Regional Medical Center
Cash: $488| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Aetna | MGMCR | $73 | -$415 |
| Lifeworks | MCR | $93 | -$395 |
| UnitedHealthcare | OptionsPPO | $137 | -$351 |
| Aetna | Broad | $171 | -$317 |
| Virginia Health Network | ULTRA | $171 | -$317 |
| UnitedHealthcare | GlobalBenefitPlan | $220 | -$268 |
| Kaiser Permanente | COMM | $288 | -$200 |
| Greenvbrier Sporting Club | COMM | $293 | -$195 |
| Virginia Health Network | COMM | $317 | -$171 |
| Virginia Health Network | WC | $317 | -$171 |
| Multiplan | MPI | $347 | -$142 |
| Multiplan | PHCS | $347 | -$142 |
| CorVel | WorkersComp | $351 | -$137 |
| OccuNet Workers Comp | WorkersComp | $391 | -$98 |
| 4Most Health Nework | COMM | $439 | -$49 |
3 additional plans not shown.
Sentara Williamsburg Regional Medical Center
Cash: N/A| Insurance | Plan | Negotiated Rate |
|---|---|---|
| Sentara Health Plan | Hmo/Pos | $62 |
| Sentara Health Plan | Ppo | $66 |
| Sentara Health Plan | Exchange | $66 |
Before you call
The data in this report is from each hospital's publicly filed prices. Here's how to use it.
Confirm the price
Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Office Visit Established Patient Level 3 (CPT 99213). Under federal law, they must provide this. Compare it to the published price in this report.
Ask about cash pay
If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.
Compare before you schedule
You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.
Ask about financial help
Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.
Financial assistance by facility
Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.
| Facility | Status | Charity Care Provided | How to Apply |
|---|---|---|---|
| Bon Secours Memorial Regional Medical Center | Nonprofit | — | Call billing, request Financial Assistance application |
| Bon Secours St Francis Medical Center | Nonprofit | — | Call billing, request Financial Assistance application |
| Bon Secours Richmond Community Hospital | Nonprofit | — | Call billing, request Financial Assistance application |
| Henrico Doctors' Hospital | Nonprofit | — | Call billing, request Financial Assistance application |
| CJW Medical Center | For-profit | — | N/A (for-profit) |
| Bon Secours St Marys Hospital | Nonprofit | — | Call billing, request Financial Assistance application |
| Spotsylvania Regional Medical Center | For-profit | — | N/A (for-profit) |
| Sentara Williamsburg Regional Medical Center | Nonprofit | — | Call billing, request Financial Assistance application |
What to do next
Data sources
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
CMS Hospital Compare, updated quarterly
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)
This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.