Office visit, new patient (level 4) cost in Virginia

Prices at 32 hospitals in Virginia, from their machine-readable files. Here the median cash price is $220 — 14% below the US median ($255), roughly 1.2× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Dickenson Community Hospital Clintwood, VA $50 $80 109 min
Lee County Community Hospital Pennington Gap, VA $50 $85 112 min 15.2%
Russell County Hospital Lebanon, VA $51 $162 ★ 4/5 117 min 15.8%
Smyth County Community Hospital Marion, VA $51 $160 ★ 3/5 142 min 14.7%
Johnston Memorial Hospital Abingdon, VA $51 $133 ★ 3/5 186 min 15.1%
Lonesome Pine Hospital Big Stone Gap, VA $51 $151 ★ 4/5 132 min 15.7%
Bon Secours Richmond Community Hospital Richmond, VA $146 116 min 14.9%
Bon Secours Maryview Medical Center Portsmouth, VA $151 ★ 3/5 167 min 14.8%
Mary Immaculate Hospital Newport News, VA $151 ★ 4/5 173 min 14.8%
Bon Secours Harbour View Medical Center Suffolk, VA $151
Carilion Medical Center Roanoke, VA $158 $279 ★ 3/5 260 min 14.1%
Carilion New River Valley Medical Center Christiansburg, VA $158 $279 ★ 4/5 204 min 14.9%
Carilion Franklin Memorial Hospital Rocky Mount, VA $158 $279 ★ 4/5 191 min 14.2%
Carilion Tazewell Community Hospital Tazewell, VA $158 $282 138 min 15.2%
Carilion Stonewall Jackson Hospital Lexington, VA $158 $279 ★ 3/5 203 min 15.4%
Bon Secours St Francis Medical Center Midlothian, VA $220 ★ 3/5 132 min 14.8%
Rappahannock General Hospital Kilmarnock, VA $267 ★ 4/5 134 min 14.8%
Bon Secours Southside Medical Center Petersburg, VA $289 ★ 2/5 130 min 15.8%
Fauquier Hospital Warrenton, VA $314 ★ 3/5 163 min 15.0%
Wythe County Community Hospital Wytheville, VA $392 ★ 3/5 158 min 13.9%
Clinch Valley Medical Center Richlands, VA $399 ★ 3/5 176 min 16.0%
Twin County Regional Hospital Galax, VA $410 ★ 2/5 204 min 14.6%
Dominion Hospital Falls Church, VA $474 $336
Henrico Doctors' Hospital Richmond, VA $484 $248 ★ 4/5 141 min 15.2%
Sovah Health Danville Danville, VA $496 ★ 2/5 200 min 14.4%

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 August 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)

Chargemaster (list price)
$450
Cash / self-pay
$220
Insurer-negotiated
$279
Medicare pays
$177
$51$691
Median cash $220  ·  Medicare $177  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $220 — about 1.2× the Medicare rate ($177). Reasonable. A fair cash price is usually within ~2× Medicare ($355).

💡 Asking for the cash price instead of the $450 list price could save about $230 (51%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

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