Are these the prices I'll pay?

These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.

Why do prices vary so much between hospitals?

Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.

Where does this data come from?

Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Home › Emergency department visit with high level of medical decision making › Virginia

Emergency Department Visit with High Level of Medical Decision Making Cost in Virginia

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 67 Virginia hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $1,715 📉 Low $116 📈 High $7,195 🏥 67 hospitals 🏛️ 47 with insurance contracts 🇺🇸 Medicare $166

Hospital comparison — Virginia

Sorted by cash price (lowest first). Showing top 60 of 67 hospitals.

Billed more than $1,715 for this? That gap is evidence. Build my dispute letter

Hospital	Cash	Aetna	UHC	Cigna	Humana	BCBS	MultiPlan	Medicare	Molina
CENTRA SOUTHSIDE COMMUNITY HOSPITAL OAK STREET FARMVILLE	$116	$34.20	$143	$70.90	$638	—	—	—	$145
CENTRA SPECIALTY HOSPITAL RIVERMONT AVE LYNCHBURG	$116	$27.87	$28.43	$67.60	$639	—	—	—	$28.71
CENTRA LYNCHBURG GENERAL HOSPITAL LYNCHBURG	$116	$27.87	$28.43	$67.60	$639	—	—	—	$28.71
CENTRA BEDFORD MEMORIAL HOSPITAL BEDFORD	$116	$34.20	$143	$90.00	$596	—	—	—	$145
LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP	$448	$428	$51.00	$450	$435	$441	—	$428	$445
LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP	$448	$428	$51.00	$450	$435	$441	—	$428	$445
DICKENSON COMMUNITY HOSPITAL CLINTWOOD	$448	$584	$51.00	$613	$593	$584	—	$584	$607
LONESOME PINE HOSPITAL BIG STONE GAP	$456	$581	$50.00	$610	$581	$598	—	$581	$610
SMYTH COUNTY COMMUNITY HOSPITAL MARION	$456	$581	$51.00	$610	$581	$598	—	$581	$604
RUSSELL COUNTY HOSPITAL LEBANON	$456	$581	$51.00	$610	$590	$581	—	$581	$604
JOHNSTON MEMORIAL HOSPITAL ABINGDON	$456	$581	$51.00	$610	$581	$253	—	$581	$604
BUCHANAN GENERAL HOSPITAL GRUNDY	$516	$616	$610	—	$610	—	—	$610	—
BATH COMMUNITY HOSPITAL HOT SPRINGS	$678	$836	$1,102	—	—	—	—	—	—
STAFFORD HOSPITAL HOSPITAL CENTER BLVD. STAFFORD	$990	$405	—	$3,886	$612	$1,013	$405	—	$636
MARY WASHINGTON HOSPITAL FREDERICKSBURG	$990	$405	—	$3,886	$612	$1,060	$405	—	$636
BON SECOURS HARBOUR VIEW MEDICAL CENTER SUFFOLK	$998	—	—	—	—	—	—	—	—
BON SECOURS MARYVIEW MEDICAL CENTER PORTSMOUTH	$998	—	—	—	—	—	—	—	—
BON SECOURS MARY IMMACULATE HOSPITAL NEWPORT NEWS	$998	—	—	—	—	—	—	—	—
FAUQUIER HOSPITAL WARRENTON	$1,102	$58.30	$102	$70.00	$102	$145	—	$100	—
CARILION GILES COMMUNITY HOSPITAL BELLEVIEW AVE SE ROANOKE	$1,160	$523	$132	$2,234	$132	—	—	—	—
CARILION ROANOKE MEMORIAL HOSPITAL BELLEVIEW AVE SE ROANOKE	$1,160	$523	$132	$2,234	$132	—	—	—	—
CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE	$1,160	$523	$132	$2,234	$132	—	—	—	—
CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE	$1,160	$523	$132	$2,234	$132	—	—	—	—
CARILION ROCKBRIDGE COMMUNITY HOSPITAL HEALTH CIR LEXINGTON	$1,160	$523	$132	$2,655	$132	—	—	—	—
CARILION TAZEWELL COMMUNITY HOSPITAL BEN BOLT AVE TAZEWELL	$1,160	$523	$132	$2,105	$132	—	—	—	—
CARILION FRANKLIN MEMORIAL HOSPITAL S MAIN ST ROCKY MT	$1,160	$523	$132	$2,234	$132	—	—	—	—
CARILION NEW RIVER VALLEY MEDICAL CENTER LAMB CIRCLE CHRISTIANSBURG	$1,160	$523	$132	$2,234	$132	—	—	—	—
TWIN COUNTY REGIONAL HOSPITAL GALAX	$1,214	$34.20	$50.30	$60.50	$102	$100	—	$100	—
BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL KILMARNOCK	$1,331	—	—	—	—	—	—	—	—
UVA CULPEPER MEDICAL CENTER CULPEPER	$1,409	—	—	—	—	—	—	—	—
WYTHE COUNTY COMMUNITY HOSPITAL WYTHEVILLE	$1,415	$41.60	$63.10	$64.70	$100	$100	—	$100	—
UVA PRINCE WILLIAM MEDICAL CENTER MANASSAS	$1,568	—	—	—	—	—	—	—	—
UVA HAYMARKET MEDICAL CENTER HAYMARKET	$1,568	—	—	—	—	—	—	—	—
AUGUSTA HEALTH-MAIN CAMPUS FISHERSVILLE	$1,609	$588	—	—	—	$582	—	—	$295
SOVAH HEALTH MARTINSVILLE MARTINSVILLE	$1,715	$51.90	$54.62	$58.90	$102	$100	$90.00	$100	—
SOVAH HEALTH DANVILLE DANVILLE	$1,715	$51.90	$54.62	$58.90	$102	$100	$90.00	$100	—
INOVA LOUDOUN HOSPITAL LEESBURG	$1,778	—	—	—	—	—	—	—	—
INOVA MOUNT VERNON HOSPITAL ALEXANDRIA	$1,778	—	—	—	—	—	—	—	—
INOVA FAIRFAX HOSPITAL FALLS CHURCH	$1,778	—	—	—	—	—	—	—	—
INOVA FAIR OAKS HOSPITAL JOSEPH SIEWICK DRIVE FAIRFAX	$1,778	—	—	—	—	—	—	—	—
INOVA ALEXANDRIA HOSPITAL ALEXANDRIA	$1,778	—	—	—	—	—	—	—	—
VALLEY HEALTH WARREN MEMORIAL HOSPITAL FRONT ROYAL	$1,882	$580	$616	$2,688	$616	$628	—	—	—
VALLEY HEALTH WINCHESTER MEDICAL CENTER WINCHESTER	$1,882	$580	$597	$2,688	$656	$640	—	—	—
PAGE MEMORIAL HOSPITAL LURAY	$1,882	$833	$850	$1,002	$854	$850	—	—	—
VALLEY HEALTH SHENANDOAH MEMORIAL HOSPITAL WOODSTOCK	$1,882	$780	$780	$2,688	$799	$795	—	—	—
CLINCH VALLEY MEDICAL CENTER RICHLANDS	$1,903	$51.30	$54.90	$58.90	$100	$100	—	$100	—
BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER EMPORIA	$2,011	—	—	—	—	—	—	—	—
BON SECOURS SOUTHSIDE REGIONAL MEDICAL CENTER PETERSBURG	$2,317	—	—	—	—	—	—	—	—
BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL FRANKLIN	$2,391	—	—	—	—	—	—	—	—
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER MECHANICSVILLE	$2,770	—	—	—	—	—	—	—	—
BON SECOURS ST. MARY'S HOSPITAL RICHMOND	$2,770	—	—	—	—	—	—	—	—
BON SECOURS ST. FRANCIS MEDICAL CENTER MIDLOTHIAN	$2,770	—	—	—	—	—	—	—	—
BON SECOURS RICHMOND COMMUNITY HOSPITAL RICHMOND	$2,770	—	—	—	—	—	—	—	—
UVA CHILDRENS LEE STREET CHARLOTTESVILLE	$2,815	—	—	—	—	—	—	—	—
LEWISGALE MEDICAL CENTER SALEM	$2,882	$3,098	$1,052	$2,029	—	—	$2,594	—	—
LEWISGALE HOSPITAL ALLEGHANY LOW MOOR	$3,064	$3,098	$1,164	—	—	—	$2,758	—	—
RESTON HOSPITAL CENTER RESTON	$4,389	$3,904	$1,229	$3,002	—	—	—	—	—
SPOTSYLVANIA REGIONAL MEDICAL CENTER FREDERICKSBURG	$4,986	$3,904	$1,396	$3,731	—	—	$3,540	—	—
STONESPRINGS HOSPITAL CENTER DULLES	$5,013	$3,904	$1,564	$3,002	—	—	—	—	—
TRICITIES HOSPITAL HOPEWELL	$5,022	$3,500	$1,045	$4,734	—	—	$4,520	—	—

What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.

Billed more than $1,715 for this?

That is the median of what the 67 Virginia hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 99285 in Virginia, Medicare reimburses about $166 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Virginia range from $116 to $7,195 — that means hospital cash prices are typically 10.3x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does emergency department visit with high level of medical decision making cost in Virginia?: Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Virginia range from $116 to $7,195, with a median of $1,715. Prices vary widely by hospital.
Where can I find the cheapest emergency department visit with high level of medical decision making in Virginia?: The cheapest Virginia hospital published cash price for this procedure is $116. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?: These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?: Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?: Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Emergency department visit with high level of medical decision making in nearby states

Other procedures in Virginia

Methodology. Cash prices and insurance-negotiated rates published by each Virginia facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.