Emergency Department Visit with Moderate 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 99284. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Virginia
Sorted by cash price (lowest first). Showing top 60 of 67 hospitals.
| Hospital | Cash | Aetna | UHC | Cigna | Humana | BCBS | MultiPlan | Medicare | Molina |
|---|---|---|---|---|---|---|---|---|---|
| CENTRA SPECIALTY HOSPITAL RIVERMONT AVE LYNCHBURG |
$78.21 | $34.20 | $70.77 | $67.60 | $448 | — | — | — | $71.46 |
| CENTRA BEDFORD MEMORIAL HOSPITAL BEDFORD |
$78.21 | $34.20 | $72.80 | $90.00 | $417 | — | — | — | $73.51 |
| CENTRA SOUTHSIDE COMMUNITY HOSPITAL OAK STREET FARMVILLE |
$78.21 | $34.20 | $72.80 | $70.90 | $447 | — | — | — | $73.51 |
| CENTRA LYNCHBURG GENERAL HOSPITAL LYNCHBURG |
$78.21 | $34.20 | $70.77 | $67.60 | $448 | — | — | — | $71.46 |
| DICKENSON COMMUNITY HOSPITAL CLINTWOOD |
$295 | $384 | $51.00 | $404 | $390 | $384 | — | $384 | $400 |
| LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP |
$295 | $282 | $51.00 | $296 | $286 | $290 | — | $282 | $293 |
| LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP |
$295 | $282 | $51.00 | $296 | $286 | $290 | — | $282 | $293 |
| RUSSELL COUNTY HOSPITAL LEBANON |
$300 | $407 | $51.00 | $427 | $414 | $407 | — | $407 | $423 |
| LONESOME PINE HOSPITAL BIG STONE GAP |
$300 | $407 | $50.00 | $427 | $407 | $419 | — | $407 | $427 |
| SMYTH COUNTY COMMUNITY HOSPITAL MARION |
$300 | $407 | $51.00 | $427 | $407 | $419 | — | $407 | $423 |
| JOHNSTON MEMORIAL HOSPITAL ABINGDON |
$300 | $407 | $51.00 | $427 | $407 | $134 | — | $407 | $423 |
| BUCHANAN GENERAL HOSPITAL GRUNDY |
$426 | $432 | $427 | — | $427 | — | — | $427 | — |
| BATH COMMUNITY HOSPITAL HOT SPRINGS |
$439 | $542 | $710 | — | — | — | — | — | — |
| STAFFORD HOSPITAL HOSPITAL CENTER BLVD. STAFFORD |
$666 | $405 | — | $2,142 | $422 | $699 | $405 | — | $439 |
| MARY WASHINGTON HOSPITAL FREDERICKSBURG |
$666 | $405 | — | $2,142 | $422 | $731 | $405 | — | $439 |
| FAUQUIER HOSPITAL WARRENTON |
$668 | $58.30 | $102 | $70.00 | $102 | $145 | — | $100 | — |
| CARILION ROANOKE MEMORIAL HOSPITAL BELLEVIEW AVE SE ROANOKE |
$762 | $366 | $90.96 | $1,468 | $90.96 | — | — | — | — |
| CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE |
$762 | $366 | $90.96 | $1,468 | $90.96 | — | — | — | — |
| CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE |
$762 | $366 | $90.96 | $1,468 | $90.96 | — | — | — | — |
| CARILION GILES COMMUNITY HOSPITAL BELLEVIEW AVE SE ROANOKE |
$762 | $366 | $90.96 | $1,468 | $90.96 | — | — | — | — |
| CARILION FRANKLIN MEMORIAL HOSPITAL S MAIN ST ROCKY MT |
$762 | $366 | $90.96 | $1,468 | $90.96 | — | — | — | — |
| CARILION TAZEWELL COMMUNITY HOSPITAL BEN BOLT AVE TAZEWELL |
$762 | $366 | $90.96 | $1,383 | $90.96 | — | — | — | — |
| CARILION NEW RIVER VALLEY MEDICAL CENTER LAMB CIRCLE CHRISTIANSBURG |
$762 | $366 | $90.96 | $1,468 | $90.96 | — | — | — | — |
| CARILION ROCKBRIDGE COMMUNITY HOSPITAL HEALTH CIR LEXINGTON |
$762 | $366 | $90.96 | $1,745 | $90.96 | — | — | — | — |
| WYTHE COUNTY COMMUNITY HOSPITAL WYTHEVILLE |
$807 | $41.60 | $63.10 | $64.70 | $100 | $100 | — | $100 | — |
| TWIN COUNTY REGIONAL HOSPITAL GALAX |
$821 | $34.20 | $50.30 | $60.50 | $102 | $100 | — | $100 | — |
| BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL KILMARNOCK |
$857 | — | — | — | — | — | — | — | — |
| BON SECOURS HARBOUR VIEW MEDICAL CENTER SUFFOLK |
$899 | — | — | — | — | — | — | — | — |
| BON SECOURS MARY IMMACULATE HOSPITAL NEWPORT NEWS |
$899 | — | — | — | — | — | — | — | — |
| BON SECOURS MARYVIEW MEDICAL CENTER PORTSMOUTH |
$899 | — | — | — | — | — | — | — | — |
| AUGUSTA HEALTH-MAIN CAMPUS FISHERSVILLE |
$910 | $412 | — | — | — | $408 | — | — | $346 |
| SOVAH HEALTH MARTINSVILLE MARTINSVILLE |
$979 | $51.90 | $54.62 | $58.90 | $102 | $100 | $90.00 | $100 | — |
| SOVAH HEALTH DANVILLE DANVILLE |
$979 | $51.90 | $54.62 | $58.90 | $102 | $100 | $90.00 | $100 | — |
| UVA CULPEPER MEDICAL CENTER CULPEPER |
$1,198 | — | — | — | — | — | — | — | — |
| UVA PRINCE WILLIAM MEDICAL CENTER MANASSAS |
$1,240 | — | — | — | — | — | — | — | — |
| UVA HAYMARKET MEDICAL CENTER HAYMARKET |
$1,240 | — | — | — | — | — | — | — | — |
| CLINCH VALLEY MEDICAL CENTER RICHLANDS |
$1,279 | $51.30 | $54.90 | $58.90 | $100 | $100 | — | $100 | — |
| VALLEY HEALTH WARREN MEMORIAL HOSPITAL FRONT ROYAL |
$1,310 | $192 | $432 | $1,694 | $432 | $440 | — | — | — |
| PAGE MEMORIAL HOSPITAL LURAY |
$1,310 | $580 | $592 | $487 | $595 | $592 | — | — | — |
| VALLEY HEALTH WINCHESTER MEDICAL CENTER WINCHESTER |
$1,310 | $192 | $419 | $1,694 | $460 | $448 | — | — | — |
| VALLEY HEALTH SHENANDOAH MEMORIAL HOSPITAL WOODSTOCK |
$1,310 | $543 | $543 | $1,652 | $556 | $554 | — | — | — |
| INOVA FAIR OAKS HOSPITAL JOSEPH SIEWICK DRIVE FAIRFAX |
$1,458 | — | — | — | — | — | — | — | — |
| INOVA FAIRFAX HOSPITAL FALLS CHURCH |
$1,458 | — | — | — | — | — | — | — | — |
| INOVA LOUDOUN HOSPITAL LEESBURG |
$1,458 | — | — | — | — | — | — | — | — |
| INOVA ALEXANDRIA HOSPITAL ALEXANDRIA |
$1,458 | — | — | — | — | — | — | — | — |
| INOVA MOUNT VERNON HOSPITAL ALEXANDRIA |
$1,458 | — | — | — | — | — | — | — | — |
| BON SECOURS SOUTHSIDE REGIONAL MEDICAL CENTER PETERSBURG |
$1,482 | — | — | — | — | — | — | — | — |
| BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER EMPORIA |
$1,534 | — | — | — | — | — | — | — | — |
| BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL FRANKLIN |
$1,619 | — | — | — | — | — | — | — | — |
| UVA CHILDRENS LEE STREET CHARLOTTESVILLE |
$1,695 | — | — | — | — | — | — | — | — |
| BON SECOURS ST. MARY'S HOSPITAL RICHMOND |
$1,930 | — | — | — | — | — | — | — | — |
| BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER MECHANICSVILLE |
$1,930 | — | — | — | — | — | — | — | — |
| BON SECOURS RICHMOND COMMUNITY HOSPITAL RICHMOND |
$1,930 | — | — | — | — | — | — | — | — |
| BON SECOURS ST. FRANCIS MEDICAL CENTER MIDLOTHIAN |
$1,930 | — | — | — | — | — | — | — | — |
| LEWISGALE HOSPITAL ALLEGHANY LOW MOOR |
$1,945 | $2,431 | $739 | $1,204 | — | — | $1,750 | — | — |
| LEWISGALE MEDICAL CENTER SALEM |
$2,289 | $2,431 | $835 | $398 | — | — | $2,060 | — | — |
| RESTON HOSPITAL CENTER RESTON |
$3,076 | $3,846 | $861 | $2,252 | — | — | — | — | — |
| LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG |
$3,135 | $2,431 | $1,213 | $545 | — | — | $2,414 | — | — |
| STONESPRINGS HOSPITAL CENTER DULLES |
$3,613 | $3,846 | $1,127 | $2,252 | — | — | — | — | — |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER FREDERICKSBURG |
$3,815 | $3,846 | $1,068 | $2,640 | — | — | $2,708 | — | — |
That is the median of what the 67 Virginia hospitals above publish for Emergency department visit with moderate 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 99284 in Virginia, Medicare reimburses about $115 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Virginia range from $78.21 to $4,436 — that means hospital cash prices are typically 10.8x 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 moderate level of medical decision making cost in Virginia?
- Cash prices for emergency department visit with moderate level of medical decision making (CPT 99284) in Virginia range from $78.21 to $4,436, with a median of $1,240. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with moderate level of medical decision making in Virginia?
- The cheapest Virginia hospital published cash price for this procedure is $78.21. 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.