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.

📊 Median $1,240 📉 Low $78.21 📈 High $4,436 🏥 67 hospitals 🏛️ 47 with insurance contracts 🇺🇸 Medicare $115

Hospital comparison — Virginia

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

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HospitalCashAetnaUHCCignaHumanaBCBSMultiPlanMedicareMolina
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——
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99284, 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: $834 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,240 for this?

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.

Emergency department visit with moderate 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 99284 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.