COVID-19 PCR test cost in Virginia

Prices at 39 hospitals in Virginia, from their machine-readable files. Here the median cash price is $81 — 19% below the US median ($100), roughly 1.6× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Dickenson Community Hospital Clintwood, VA $15 $25 — 109 min —
Lee County Community Hospital Pennington Gap, VA $15 $49 — 109 min —
Russell County Hospital Lebanon, VA $15 $51 ★ 4/5 130 min —
Smyth County Community Hospital Marion, VA $15 $53 ★ 3/5 141 min —
Johnston Memorial Hospital Abingdon, VA $15 $51 ★ 3/5 192 min —
Lonesome Pine Hospital Big Stone Gap, VA $15 $51 ★ 4/5 131 min —
Bon Secours Southern Virginia Medical Center Emporia, VA $58 — ★ 4/5 119 min —
Bon Secours Southside Medical Center Petersburg, VA $61 — ★ 2/5 137 min —
Carilion Medical Center Roanoke, VA $61 $109 ★ 3/5 272 min —
Carilion New River Valley Medical Center Christiansburg, VA $61 $109 ★ 4/5 211 min —
Carilion Franklin Memorial Hospital Rocky Mount, VA $61 $109 ★ 4/5 191 min —
Carilion Tazewell Community Hospital Tazewell, VA $61 $110 — 139 min —
Carilion Giles Community Hospital Pearisburg, VA $61 $109 ★ 4/5 138 min —
Carilion Stonewall Jackson Hospital Lexington, VA $61 $109 ★ 3/5 198 min —
Bon Secours Southampton Memorial Hospital Franklin, VA $65 — ★ 3/5 152 min —
Lewisgale Medical Center Salem, VA $76 $68 ★ 2/5 122 min —
Lewisgale Hospital Alleghany Low Moor, VA $76 $68 ★ 4/5 112 min —
Lewisgale Hospital Pulaski Pulaski, VA $77 $58 ★ 4/5 125 min —
Spotsylvania Regional Medical Center Fredericksburg, VA $79 $195 ★ 3/5 120 min —
John Randolph Medical Center Hopewell, VA $81 $52 ★ 3/5 132 min —
Cjw Medical Center Richmond, VA $81 $52 ★ 4/5 167 min —
Henrico Doctors' Hospital Richmond, VA $81 $53 ★ 4/5 148 min —
Lewisgale Hospital Montgomery Blacksburg, VA $83 $64 ★ 3/5 124 min —
Reston Hospital Center Reston, VA $83 $247 ★ 3/5 132 min —
Dominion Hospital Falls Church, VA $83 $54 — — —

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 October 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)
$175
Cash / self-pay
$81
Insurer-negotiated
$66
Medicare pays
$51
$15$130
Median cash $81  ·  Medicare $51  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $81 — about 1.6× the Medicare rate ($51). Reasonable. A fair cash price is usually within ~2× Medicare ($103).

💡 Asking for the cash price instead of the $175 list price could save about $94 (54%).

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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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COVID-19 PCR test cost in other states

All COVID-19 PCR test prices (national) → · All hospitals in Virginia →