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 — 15% below the US median ($258), 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 — 109 min —
Russell County Hospital Lebanon, VA $51 $162 ★ 4/5 130 min —
Smyth County Community Hospital Marion, VA $51 $160 ★ 3/5 141 min —
Johnston Memorial Hospital Abingdon, VA $51 $133 ★ 3/5 192 min —
Lonesome Pine Hospital Big Stone Gap, VA $51 $151 ★ 4/5 131 min —
Bon Secours Richmond Community Hospital Richmond, VA $146 — — 111 min —
Bon Secours Maryview Medical Center Portsmouth, VA $151 — ★ 3/5 164 min —
Mary Immaculate Hospital Newport News, VA $151 — ★ 4/5 174 min —
Bon Secours Harbour View Medical Center Suffolk, VA $151 — — — —
Carilion Medical Center Roanoke, VA $158 $279 ★ 3/5 272 min —
Carilion New River Valley Medical Center Christiansburg, VA $158 $279 ★ 4/5 211 min —
Carilion Franklin Memorial Hospital Rocky Mount, VA $158 $279 ★ 4/5 191 min —
Carilion Tazewell Community Hospital Tazewell, VA $158 $282 — 139 min —
Carilion Stonewall Jackson Hospital Lexington, VA $158 $279 ★ 3/5 198 min —
Bon Secours St Francis Medical Center Midlothian, VA $220 — ★ 3/5 128 min —
Rappahannock General Hospital Kilmarnock, VA $267 — ★ 4/5 137 min —
Bon Secours Southside Medical Center Petersburg, VA $289 — ★ 2/5 137 min —
Fauquier Hospital Warrenton, VA $314 — ★ 3/5 162 min —
Wythe County Community Hospital Wytheville, VA $392 — ★ 3/5 148 min —
Clinch Valley Medical Center Richlands, VA $399 — ★ 3/5 174 min —
Twin County Regional Hospital Galax, VA $410 — ★ 2/5 208 min —
Dominion Hospital Falls Church, VA $474 $336 — — —
Henrico Doctors' Hospital Richmond, VA $484 $248 ★ 4/5 148 min —
Sovah Health Danville Danville, VA $496 — ★ 2/5 202 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 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)
$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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