Hospital prices in Virginia

Compare what every hospital we cover in Virginia charges for common procedures, side by side with quality ratings and insurance rates.

53 Hospitals
114 Procedures priced
207 Insurance plans

53 hospitals in Virginia publish prices for 114 common medical procedures, from basic lab tests and imaging to major surgeries. Prices vary substantially within each procedure — see the biggest differences below. Virginia also has 68 ambulatory surgery centers that may offer lower prices for outpatient procedures.

Virginia Hospital Pricing Report — verified findings from real data Read the report →

Biggest price differences

The same procedure costs dramatically different amounts at Virginia hospitals.

Joint Injection
$76 lowest
306.0x
$23,134 highest
Compare 46 hospitals → Chemotherapy Infusion First Hour
$221 lowest
165.1x
$36,478 highest
Compare 50 hospitals → Echocardiogram Complete
$60 lowest
140.0x
$8,401 highest
Compare 60 hospitals → CT Chest without Contrast
$118 lowest
99.7x
$11,737 highest
Compare 56 hospitals → MRI Knee without Contrast
$127 lowest
81.7x
$10,363 highest
Compare 56 hospitals → Cystoscopy
$261 lowest
78.4x
$20,436 highest
Compare 35 hospitals →

All procedures with price data

Every procedure where Virginia hospitals publish price data, grouped by category. Each link opens a comparison across all hospitals offering that procedure.

Cancer

Chemotherapy Infusion First Hour 8 hospitals · median $872 Lumpectomy 7 hospitals · median $5,820

Cardiac

Carotid Duplex Scan 9 hospitals · median $942 Coronary Stent Placement 6 hospitals · median $18,773 Echocardiogram Complete 9 hospitals · median $2,230 Left Heart Catheterization 7 hospitals · median $9,673 Stress Echocardiogram 7 hospitals · median $1,389

Dermatology

Skin Biopsy Punch 7 hospitals · median $436 Skin Biopsy Tangential 7 hospitals · median $357

Emergency

Emergency Room Visit — Critical (Level 5) 9 hospitals · median $1,778 Emergency Room Visit — High Acuity (Level 4) 9 hospitals · median $1,458 Emergency Room Visit — Moderate (Level 3) 9 hospitals · median $920

Ent

Septoplasty 3 hospitals · median $7,534

Gynecologic

HPV High-Risk Test 4 hospitals · median $122 Hysteroscopy with Biopsy 5 hospitals · median $4,494 Pap Smear Liquid-Based Cytology 4 hospitals · median $68

Imaging

Bone Density Scan (DEXA) 9 hospitals · median $566 CT Abdomen and Pelvis with Contrast 9 hospitals · median $1,680 CT Abdomen and Pelvis without Contrast 9 hospitals · median $1,470 CT Angiography Chest 9 hospitals · median $1,602 CT Chest with Contrast 9 hospitals · median $1,150 CT Chest without Contrast 9 hospitals · median $958 CT Head without Contrast 9 hospitals · median $1,016 Chest X-Ray 2 Views 9 hospitals · median $247 Heart Calcium Score (Cardiac CT) 9 hospitals · median $364 MRI Brain with Contrast 9 hospitals · median $1,432 MRI Brain with and without Contrast 9 hospitals · median $2,244 MRI Brain without Contrast 9 hospitals · median $1,194 MRI Cervical Spine without Contrast 9 hospitals · median $1,118 MRI Knee with and without Contrast 9 hospitals · median $1,574 MRI Knee without Contrast 9 hospitals · median $838 MRI Lumbar Spine with and without Contrast 9 hospitals · median $1,706 MRI Lumbar Spine without Contrast 9 hospitals · median $1,118 MRI Shoulder without Contrast 9 hospitals · median $984 PET Scan Whole Body 7 hospitals · median $4,409 Screening Mammography 8 hospitals · median $403 Shoulder X-Ray 9 hospitals · median $298 Ultrasound Abdomen Complete 8 hospitals · median $876 Ultrasound Pregnancy 8 hospitals · median $708 Ultrasound Transvaginal 8 hospitals · median $925

Lab

Blood Draw / Venipuncture 7 hospitals · median $10 CBC Complete Blood Count 7 hospitals · median $98 Comprehensive Metabolic Panel 7 hospitals · median $194 Ferritin Level 9 hospitals · median $136 Hemoglobin A1C 7 hospitals · median $110 Lipid Panel 7 hospitals · median $4 PSA Prostate Screening 7 hospitals · median $86 TSH Thyroid Test 7 hospitals · median $18 Urinalysis with Microscopy 9 hospitals · median $44 Vitamin D Level 7 hospitals · median $15

Office

Office Visit Established Patient Level 3 8 hospitals · median $342 Office Visit Established Patient Level 4 6 hospitals · median $180

Orthopedic

Knee Arthroscopy with Meniscectomy 3 hospitals · median $8,321 Rotator Cuff Repair 3 hospitals · median $5,860

Pain

Epidural Steroid Injection 7 hospitals · median $1,685 Facet Joint Injection 7 hospitals · median $1,508 Joint Injection 7 hospitals · median $523 Transforaminal Epidural Injection 6 hospitals · median $1,508

Rehab

Neuromuscular Re-education 9 hospitals · median $154 Physical Therapy Manual Therapy 9 hospitals · median $127 Physical Therapy Therapeutic Exercise 9 hospitals · median $124 Therapeutic Activities 9 hospitals · median $128

Screening

Colonoscopy Diagnostic 6 hospitals · median $1,444 Colonoscopy with Biopsy 5 hospitals · median $2,088 Colonoscopy with Polyp Removal 5 hospitals · median $2,650 Diagnostic Mammography Bilateral 3 hospitals · median $434 Diagnostic Mammography Unilateral 3 hospitals · median $341 Screening Colonoscopy Average Risk 4 hospitals · median $4,366 Screening Colonoscopy High Risk 3 hospitals · median $4,121 Sleep Study 7 hospitals · median $3,165 Spirometry Pulmonary Function Test 7 hospitals · median $298

Surgery

Eye Injection Intravitreal 5 hospitals · median $644 Upper GI Endoscopy with Biopsy 6 hospitals · median $1,484

Urologic

Cystoscopy 6 hospitals · median $506 ESWL Shockwave Lithotripsy 4 hospitals · median $15,075 Prostate Biopsy 6 hospitals · median $4,356

Price by hospital system

Average cash price for the same procedures across all hospitals in each multi-hospital system, ranked low to high. Useful when a system operates multiple campuses with different pricing.

SystemAvg PriceHospitalsAvg Rating
Inova Health System $1,380 4 4.3★
Sentara Health $1,434 9 4.0★
Carilion Clinic $2,130 5 3.8★
Riverside Health System $2,419 4 3.5★
HCA Virginia $4,097 5 2.8★
UVA Health $8,230 2 3.5★
Bon Secours Mercy Health $8,857 8 2.8★

Cities we cover in Virginia

Metros with hospital price data. Each card opens that city's most-covered procedure — branch out from there to other procedures.

Fairfax 64 procedures · up to 9 hospitals Arlington 64 procedures · up to 9 hospitals Alexandria 64 procedures · up to 9 hospitals Roanoke 61 procedures · up to 7 hospitals Virginia Beach 60 procedures · up to 7 hospitals Norfolk 60 procedures · up to 7 hospitals Newport News 60 procedures · up to 6 hospitals Hampton 60 procedures · up to 7 hospitals Chesapeake 60 procedures · up to 7 hospitals Richmond 46 procedures · up to 6 hospitals

All Virginia hospitals

53 hospitals ranked by quality.

Hospital City Stars Patient Rating Ownership
Inova Fair Oaks Hospital Inova Health System Fairfax ★★★★★ 79.0% Nonprofit
Inova Loudoun Hospital Inova Health System Leesburg ★★★★★ 76.0% Nonprofit
Inova Fairfax Hospital Falls Church ★★★★★ 76.0% Nonprofit
Sentara Martha Jefferson Hospital Sentara Health Charlottesville ★★★★★ 78.0% Nonprofit
Augusta Health Augusta Health Fishersville ★★★★☆ 68.0% Nonprofit
Bon Secours Memorial Regional Medical Center Bon Secours Mercy Health Mechanicsville ★★★★☆ 65.0% Nonprofit
Carilion Giles Community Hospital Carilion Clinic Pearisburg ★★★★☆ 83.0% Nonprofit
Carilion Medical Center Carilion Clinic Roanoke ★★★★☆ 66.0% Nonprofit
Carilion New River Valley Medical Center Carilion Clinic Christiansburg ★★★★☆ 69.0% Nonprofit
CJW Medical Center Richmond ★★★★☆ 64.0% For-profit
Inova Alexandria Hospital Inova Health System Alexandria ★★★★☆ 70.0% Nonprofit
Medical College of Virginia Hospitals VCU Health Richmond ★★★★☆ 74.0% Local government
Novant Prince William Medical Center Novant Health Manassas ★★★★☆ 64.0% Nonprofit
Riverside Doctors' Hospital of Williamsburg Riverside Health System Williamsburg ★★★★☆ 76.0% Nonprofit
Riverside Walter Reed Hospital Riverside Health System Gloucester ★★★★☆ 77.0% Nonprofit
Sentara Careplex Hospital Sentara Health Hampton ★★★★☆ 73.0% Nonprofit
Sentara Leigh Hospital Sentara Health Norfolk ★★★★☆ 76.0% Nonprofit
Sentara Obici Hospital Sentara Health Suffolk ★★★★☆ 73.0% Nonprofit
Sentara Princess Anne Hospital Sentara Health Virginia Beach ★★★★☆ 78.0% Nonprofit
Sentara RMH Medical Center Sentara Health Harrisonburg ★★★★☆ 75.0% Nonprofit
Sentara Virginia Beach General Hospital Sentara Health Virginia Beach ★★★★☆ 71.0% Nonprofit
Sentara Williamsburg Regional Medical Center Sentara Health Williamsburg ★★★★☆ 79.0% Nonprofit
Southside Community Hospital, INC Farmville ★★★★☆ 70.0% Nonprofit
UVA Health Haymarket Medical Center UVA Health Haymarket ★★★★☆ 76.0% Nonprofit
Wythe County Community Hospital Wytheville ★★★★☆ 73.0% For-profit
Bon Secours Maryview Medical Center Bon Secours Mercy Health Portsmouth ★★★☆☆ 67.0% Nonprofit
Bon Secours Southampton Memorial Hospital Bon Secours Mercy Health Franklin ★★★☆☆ 68.0% Nonprofit
Bon Secours St Francis Medical Center Bon Secours Mercy Health Midlothian ★★★☆☆ 71.0% Nonprofit
Bon Secours St Marys Hospital Bon Secours Mercy Health Richmond ★★★☆☆ 66.0% Nonprofit
Carilion Stonewall Jackson Hospital Carilion Clinic Lexington ★★★☆☆ 75.0% Nonprofit
Chesapeake General Hospital Chesapeake ★★★☆☆ 67.0% Local government
Fauquier Hospital Warrenton ★★★☆☆ 62.0% For-profit
Henrico Doctors' Hospital HCA Virginia Richmond ★★★☆☆ 69.0% Nonprofit
Inova Mount Vernon Hospital Inova Health System Alexandria ★★★☆☆ 67.0% Nonprofit
Reston Hospital Center HCA Virginia Reston ★★★☆☆ 66.0% Nonprofit
Riverside Regional Medical Center Riverside Health System Newport News ★★★☆☆ 72.0% Nonprofit
Riverside Shore Memorial Hospital Riverside Health System Onancock ★★★☆☆ 81.0% Nonprofit
Sentara Halifax Regional Hospital Sentara Health South Boston ★★★☆☆ 71.0% Nonprofit
Spotsylvania Regional Medical Center HCA Virginia Fredericksburg ★★★☆☆ 61.0% For-profit
Stafford Hospital, LLC Stafford ★★★☆☆ 70.0% Nonprofit
Stonesprings Hospital Center Dulles ★★★☆☆ 76.0% For-profit
Sentara Norfolk General Hospital Norfolk ★★★☆☆ 75.0% Nonprofit
UVA Health Culpeper Medical Center UVA Health Culpeper ★★★☆☆ 63.0% Nonprofit
Buchanan General Hospital Grundy ★★☆☆☆ 80.0% Nonprofit
Lewisgale Medical Center HCA Virginia Salem ★★☆☆☆ 57.0% For-profit
Mary Washington Hospital Mary Washington Healthcare Fredericksburg ★★☆☆☆ 61.0% Nonprofit
Sovah Health Danville Danville ★★☆☆☆ 59.0% For-profit
Bon Secours Southside Medical Center Bon Secours Mercy Health Petersburg ★☆☆☆☆ 64.0% For-profit
Bon Secours Richmond Community Hospital Bon Secours Mercy Health Richmond — 68.0% Nonprofit
Bon Secours Southern Virginia Medical Center Bon Secours Mercy Health Emporia — 66.0% For-profit
Carilion Tazewell Community Hospital Carilion Clinic Tazewell — 80.0% Nonprofit
Children's Hospital of The King's Daughters Norfolk — — Nonprofit
Dominion Hospital HCA Virginia Falls Church — — For-profit

Common questions

How much do hospital procedures cost in Virginia?

Procedure prices at 53 Virginia hospitals range from $4 to $178,326. The average is $4,251. Prices vary by hospital, ownership type, location, and insurance plan.

Why do Virginia hospitals charge different prices for the same procedure?

Price variation is driven by ownership type (for-profit hospitals charge more on average), location, negotiated insurance rates, and facility overhead. The CMS Hospital Price Transparency Rule requires every hospital to publish all prices, making these differences visible.

Can I save money by paying cash instead of using insurance?

In many cases, yes. Our analysis shows that a significant percentage of insurance negotiated rates exceed the hospital's own cash price. If you haven't met your deductible, ask the billing department about their cash rate before scheduling.

Data compiled by HospitalCost from 17 federal sources including CMS Hospital Price Transparency files, Hospital Compare, HCAHPS, and Medicare Cost Reports. Updated April 2026.