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Therapy Procedure Using Functional Activities Cost in Virginia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 68 Virginia hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $78.11
📉 Low $24.42
📈 High $367
🏥 68 hospitals
🏛️ 47 with insurance contracts
🇺🇸 Medicare $34.63
Hospital comparison — Virginia
Sorted by cash price (lowest first). Showing top 60 of 68 hospitals.
Billed more than $78.11 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | Humana | BCBS | Devoted | MultiPlan | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| CENTRA LYNCHBURG GENERAL HOSPITAL LYNCHBURG |
$24.42 | $34.20 | $89.00 | $67.60 | — | — | — | — | — |
| CENTRA SOUTHSIDE COMMUNITY HOSPITAL OAK STREET FARMVILLE |
$24.42 | $24.79 | $25.29 | $70.90 | — | — | — | — | — |
| CENTRA BEDFORD MEMORIAL HOSPITAL BEDFORD |
$24.42 | $24.79 | $25.29 | $90.00 | — | — | — | — | — |
| CENTRA SPECIALTY HOSPITAL RIVERMONT AVE LYNCHBURG |
$24.42 | $34.20 | $89.00 | $67.60 | — | — | — | — | — |
| WYTHE COUNTY COMMUNITY HOSPITAL WYTHEVILLE |
$27.60 | $41.60 | $63.10 | $64.70 | $100 | $8.60 | — | — | $100 |
| LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP |
$33.12 | $31.68 | $31.68 | $33.26 | $32.19 | $32.63 | $33.26 | — | $31.68 |
| LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP |
$33.12 | $31.68 | $31.68 | $33.26 | $32.19 | $32.63 | $33.26 | — | $31.68 |
| DICKENSON COMMUNITY HOSPITAL CLINTWOOD |
$33.12 | $43.20 | $43.20 | $45.36 | $43.89 | $34.63 | $45.36 | — | $43.20 |
| BUCHANAN GENERAL HOSPITAL GRUNDY |
$33.25 | $30.15 | $29.86 | — | $29.86 | — | — | — | $29.86 |
| JOHNSTON MEMORIAL HOSPITAL ABINGDON |
$33.60 | $34.63 | $34.63 | $36.36 | $34.63 | $25.53 | $36.36 | — | $34.63 |
| RUSSELL COUNTY HOSPITAL LEBANON |
$33.60 | $34.63 | $34.63 | $36.36 | $35.18 | $34.63 | $36.36 | — | $34.63 |
| LONESOME PINE HOSPITAL BIG STONE GAP |
$33.60 | $34.63 | $34.63 | $36.36 | $34.63 | $34.63 | $36.36 | — | $34.63 |
| SMYTH COUNTY COMMUNITY HOSPITAL MARION |
$33.60 | $34.63 | $34.63 | $36.36 | $34.63 | $34.63 | $36.36 | — | $34.63 |
| SOVAH HEALTH MARTINSVILLE MARTINSVILLE |
$46.40 | $51.90 | $54.62 | $58.90 | $102 | $9.60 | — | $90.00 | $100 |
| MARY WASHINGTON HOSPITAL FREDERICKSBURG |
$49.00 | $49.00 | $49.00 | — | $36.00 | $36.00 | — | $378 | — |
| STAFFORD HOSPITAL HOSPITAL CENTER BLVD. STAFFORD |
$49.00 | $49.00 | $49.00 | — | $36.00 | $36.00 | — | $378 | — |
| AUGUSTA HEALTH-MAIN CAMPUS FISHERSVILLE |
$51.50 | $34.98 | — | — | — | $34.63 | — | — | — |
| BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL KILMARNOCK |
$51.60 | — | — | — | — | — | — | — | — |
| CARILION ROCKBRIDGE COMMUNITY HOSPITAL HEALTH CIR LEXINGTON |
$59.50 | $86.53 | $55.96 | $136 | $55.96 | — | — | — | — |
| CARILION ROANOKE MEMORIAL HOSPITAL BELLEVIEW AVE SE ROANOKE |
$59.50 | $86.53 | $55.96 | $115 | $55.96 | — | — | — | — |
| CARILION GILES COMMUNITY HOSPITAL BELLEVIEW AVE SE ROANOKE |
$59.50 | $86.53 | $55.96 | $115 | $55.96 | — | — | — | — |
| CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE |
$59.50 | $86.53 | $55.96 | $115 | $55.96 | — | — | — | — |
| CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE |
$59.50 | $86.53 | $55.96 | $115 | $55.96 | — | — | — | — |
| CARILION NEW RIVER VALLEY MEDICAL CENTER LAMB CIRCLE CHRISTIANSBURG |
$59.50 | $86.53 | $55.96 | $115 | $55.96 | — | — | — | — |
| CARILION FRANKLIN MEMORIAL HOSPITAL S MAIN ST ROCKY MT |
$59.50 | $86.53 | $55.96 | $115 | $55.96 | — | — | — | — |
| CARILION TAZEWELL COMMUNITY HOSPITAL BEN BOLT AVE TAZEWELL |
$59.50 | $86.53 | $55.96 | $108 | $55.96 | — | — | — | — |
| VALLEY HEALTH SHENANDOAH MEMORIAL HOSPITAL WOODSTOCK |
$60.20 | $24.94 | $24.94 | $86.00 | $25.56 | $25.44 | — | — | — |
| VALLEY HEALTH WINCHESTER MEDICAL CENTER WINCHESTER |
$60.20 | $25.41 | $34.63 | $86.00 | $35.50 | $34.63 | — | — | — |
| VALLEY HEALTH WARREN MEMORIAL HOSPITAL FRONT ROYAL |
$60.20 | $25.41 | $34.63 | $86.00 | $34.63 | $34.63 | — | — | — |
| PAGE MEMORIAL HOSPITAL LURAY |
$60.20 | $26.66 | $27.19 | $21.24 | $27.33 | $27.19 | — | — | — |
| UVA CULPEPER MEDICAL CENTER CULPEPER |
$61.50 | — | — | — | — | — | — | — | — |
| SOVAH HEALTH DANVILLE DANVILLE |
$62.40 | $51.90 | $54.62 | $58.90 | $102 | $9.60 | — | $90.00 | $100 |
| UVA PRINCE WILLIAM MEDICAL CENTER MANASSAS |
$64.50 | — | — | — | — | — | — | — | — |
| UVA HAYMARKET MEDICAL CENTER HAYMARKET |
$64.50 | — | — | — | — | — | — | — | — |
| TWIN COUNTY REGIONAL HOSPITAL GALAX |
$78.11 | $34.20 | $50.30 | $60.50 | $102 | $9.50 | — | — | $100 |
| BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL FRANKLIN |
$95.40 | — | — | — | — | — | — | — | — |
| BATH COMMUNITY HOSPITAL HOT SPRINGS |
$97.02 | $132 | $108 | — | — | — | — | — | — |
| FAUQUIER HOSPITAL WARRENTON |
$112 | $58.30 | $102 | $68.70 | $102 | $14.70 | — | — | $100 |
| BON SECOURS HARBOUR VIEW MEDICAL CENTER SUFFOLK |
$119 | — | — | — | — | — | — | — | — |
| CLINCH VALLEY MEDICAL CENTER RICHLANDS |
$121 | $51.30 | $54.90 | $58.90 | $100 | $8.20 | — | — | $100 |
| INOVA FAIR OAKS HOSPITAL JOSEPH SIEWICK DRIVE FAIRFAX |
$128 | — | — | — | — | — | — | — | — |
| INOVA FAIRFAX HOSPITAL FALLS CHURCH |
$128 | — | — | — | — | — | — | — | — |
| INOVA LOUDOUN HOSPITAL LEESBURG |
$128 | — | — | — | — | — | — | — | — |
| INOVA ALEXANDRIA HOSPITAL ALEXANDRIA |
$128 | — | — | — | — | — | — | — | — |
| INOVA MOUNT VERNON HOSPITAL ALEXANDRIA |
$128 | — | — | — | — | — | — | — | — |
| UVA CHILDRENS LEE STREET CHARLOTTESVILLE |
$128 | — | — | — | — | — | — | — | — |
| SHELTERING ARMS INSTITUTE RICHMOND |
$139 | — | — | — | — | — | — | — | — |
| BON SECOURS MARYVIEW MEDICAL CENTER PORTSMOUTH |
$160 | — | — | — | — | — | — | — | — |
| BON SECOURS MARY IMMACULATE HOSPITAL NEWPORT NEWS |
$160 | — | — | — | — | — | — | — | — |
| BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER MECHANICSVILLE |
$163 | — | — | — | — | — | — | — | — |
| BON SECOURS ST. MARY'S HOSPITAL RICHMOND |
$163 | — | — | — | — | — | — | — | — |
| BON SECOURS ST. FRANCIS MEDICAL CENTER MIDLOTHIAN |
$163 | — | — | — | — | — | — | — | — |
| BON SECOURS RICHMOND COMMUNITY HOSPITAL RICHMOND |
$163 | — | — | — | — | — | — | — | — |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER FREDERICKSBURG |
$173 | $31.69 | $31.33 | $32.58 | $31.33 | — | $31.33 | $123 | — |
| LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG |
$187 | $31.69 | $31.33 | $32.54 | $31.33 | — | $31.33 | $144 | — |
| BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER EMPORIA |
$190 | — | — | — | — | — | — | — | — |
| RESTON HOSPITAL CENTER RESTON |
$221 | $35.13 | $34.73 | $36.12 | $34.73 | — | $34.73 | — | — |
| STONESPRINGS HOSPITAL CENTER DULLES |
$227 | $31.69 | $31.33 | $32.58 | $25.68 | — | $31.33 | — | — |
| BON SECOURS SOUTHSIDE REGIONAL MEDICAL CENTER PETERSBURG |
$249 | — | — | — | — | — | — | — | — |
| LEWISGALE HOSPITAL PULASKI PULASKI |
$260 | $31.69 | $31.33 | $32.58 | $25.68 | — | $31.33 | $200 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97530, 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: $98.00 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $78.11 for this?
That is the median of what the 68 Virginia hospitals above publish for Therapy procedure using functional activities — 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 97530 in Virginia, Medicare reimburses about $34.63 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Virginia range from $24.42 to $367 — that means hospital cash prices are typically 2.3x 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 therapy procedure using functional activities cost in Virginia?
- Cash prices for therapy procedure using functional activities (CPT 97530) in Virginia range from $24.42 to $367, with a median of $78.11. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in Virginia?
- The cheapest Virginia hospital published cash price for this procedure is $24.42. 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.
Therapy procedure using functional activities 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 97530 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.