Summary

6 facilities within 25 miles of Richmond publish prices for Spirometry Pulmonary Function Test. Cash prices range from $164 to $1,630 — a 9.9x difference for an identical procedure. The Virginia average is $361.

$164 lowest
$1,630 highest
Best Value

CJW Medical Center

Richmond, VA · 0.0 mi

$1,630 Cash price
4/5 CMS rating
64.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 64%. Cash price of $1,630 is near the statewide average of $361.

All facilities ranked by price

1
Stafford Hospital, LLC 3★ · 0.2 mi · Nonprofit
$164
2
Mary Washington Hospital 2★ · 0.2 mi · Nonprofit
$164
3
Spotsylvania Regional Medical Center 3★ · 0.2 mi · For-profit
$189
4
CJW Medical Center 4★ · 0.0 mi · For-profit
$1,630
5
Henrico Doctors' Hospital 3★ · 0.0 mi · Nonprofit
$1,630
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Stafford Hospital, LLC Stafford, VA · 0.2 mi $164 $328 2.0x 3/5 70.0% Nonprofit
2 Mary Washington Hospital Mary Washington Healthcare Fredericksburg, VA · 0.2 mi $164 $328 2.0x 2/5 61.0% Nonprofit
3 Spotsylvania Regional Medical Center HCA Virginia Fredericksburg, VA · 0.2 mi $189 $189 1.0x 3/5 61.0% For-profit
4 CJW Medical Center Richmond, VA · 0.0 mi $1,630 $1,630 1.0x 4/5 64.0% For-profit
5 Henrico Doctors' Hospital HCA Virginia Richmond, VA · 0.0 mi $1,630 $1,630 1.0x 3/5 69.0% Nonprofit
6 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 Spirometry Pulmonary Function Test. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Spotsylvania Regional Medical Center

Cash: $189
Insurance Plan Negotiated Rate vs Cash
Bright Health COMM $31 -$159
Lifeworks MCR $36 -$153
Cigna IFP $50 -$139
UnitedHealthcare OptionsPPO $53 -$136
Cigna HMO $64 -$125
Cigna PPO $64 -$125
Aetna Broad $66 -$123
Virginia Health Network ULTRA $66 -$123
UnitedHealthcare GlobalBenefitPlan $85 -$104
Kaiser Permanente COMM $112 -$78
Greenvbrier Sporting Club COMM $114 -$76
Virginia Health Network COMM $123 -$66
Virginia Health Network WC $123 -$66
Multiplan MPI $134 -$55
Multiplan PHCS $134 -$55

5 additional plans not shown.

CJW Medical Center

Cash: $1,630
Insurance Plan Negotiated Rate vs Cash
Cigna IFP $233 -$1,397
Bright Health COMM $263 -$1,367
Oscar COMM $277 -$1,353
Lifeworks MCR $310 -$1,320
UnitedHealthcare OptionsPPO $339 -$1,291
Cigna HMO $342 -$1,288
Cigna PPO $342 -$1,288
Universal Healthcare Group MCR $359 -$1,271
Aetna Broad $522 -$1,108
Aetna SharedSavings $538 -$1,092
Virginia Health Network ULTRA $570 -$1,060
UnitedHealthcare GlobalBenefitPlan $734 -$896
Greenvbrier Sporting Club COMM $978 -$652
Value Options COMM $978 -$652
Virginia Health Network COMM $1,060 -$570

6 additional plans not shown.

Henrico Doctors' Hospital

Cash: $1,630
Insurance Plan Negotiated Rate vs Cash
Cigna IFP $233 -$1,397
Bright Health COMM $263 -$1,367
Oscar COMM $277 -$1,353
Lifeworks MCR $310 -$1,320
UnitedHealthcare OptionsPPO $339 -$1,291
Cigna HMO $342 -$1,288
Cigna PPO $342 -$1,288
Universal Healthcare Group MCR $359 -$1,271
Aetna Broad $522 -$1,108
Aetna SharedSavings $538 -$1,092
Virginia Health Network ULTRA $570 -$1,060
UnitedHealthcare GlobalBenefitPlan $734 -$896
Greenvbrier Sporting Club COMM $978 -$652
Virginia Health Network COMM $1,060 -$570
Virginia Health Network WC $1,060 -$570

4 additional plans not shown.

Sentara Williamsburg Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Sentara Health Plan Medicare Managed Care Plan $215
Humana Medicare Managed Care Plan $217
Anthem Anthem Medicare Managed Care Plan $221
UnitedHealthcare Dsnp Medicare Managed Care Plan $221
Sentara Health Plan Exchange $333
Sentara Health Plan Ppo $338
Sentara Health Plan Hmo/Pos $342
Anthem Anthem Exchange $711
Anthem Anthem Hmo $761
Anthem Anthem Ppo $793

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 Spirometry Pulmonary Function Test (CPT 94010). 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
Stafford Hospital, LLC Nonprofit Call billing, request Financial Assistance application
Mary Washington Hospital Nonprofit Call billing, request Financial Assistance application
Spotsylvania Regional Medical Center For-profit N/A (for-profit)
CJW Medical Center For-profit N/A (for-profit)
Henrico Doctors' Hospital Nonprofit Call billing, request Financial Assistance application
Sentara Williamsburg Regional Medical Center Nonprofit Call billing, request Financial Assistance application

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
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.