Prices at 7 hospitals in Virginia, from their machine-readable files. Here the median cash price is $58 — 59% below the US median ($143), roughly 0.7× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Lonesome Pine Hospital | Big Stone Gap, VA | $58 | $136 | ★ 4/5 | 131 min | — |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated September 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
Price comparison (median)
Typical cash price here is $58 — about 0.7× the Medicare rate ($88). Reasonable. A fair cash price is usually within ~2× Medicare ($175).
💡 Asking for the cash price instead of the $255 list price could save about $197 (77%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Routine eye exam cost in other states
All Routine eye exam prices (national) → · All hospitals in Virginia →