SelfPayRates
Cash prices Virginia Outpatient

Cheapest hospitals in Virginia without insurance

Of 66 hospitals in Virginia we can compare, Lee County Community Hospital (Pennington Gap) has the lowest cash prices: its typical outpatient price is 73% below the Virginia median across 331 procedures. The ranking compares each hospital's own cash price with the median of all Virginia hospitals, procedure by procedure.

Collected Nov 11, 2026 Hospitals with at least 30 comparable procedures

HospitalTypical priceBelow medianAbove median
1. Lee County Community Hospital Pennington Gap 73% below 327 of 331 4 of 331
2. Dickenson Community Hospital Clintwood 73% below 327 of 331 4 of 331
3. Russell County Hospital Lebanon 73% below 372 of 376 1 of 376
4. Smyth County Community Hospital Marion 73% below 372 of 376 1 of 376
5. Lonesome Pine Hospital Big Stone Gap 72% below 394 of 398 1 of 398
6. Johnston Memorial Hospital Abingdon 72% below 373 of 377 1 of 377
7. Augusta Health Fishersville 51% below 294 of 339 42 of 339
8. Rappahannock General Hospital Kilmarnock 39% below 309 of 351 40 of 351
9. Riverside Smithfield Hospital Smithfield 32% below 371 of 416 42 of 416
10. Sentara Martha Jefferson Hospital Charlottesville 31% below 328 of 385 47 of 385
11. Sentara RMH Medical Center Harrisonburg 31% below 328 of 385 47 of 385
12. Mary Washington Hospital Fredericksburg 30% below 341 of 394 46 of 394
13. Stafford Hospital Stafford 30% below 341 of 394 46 of 394
14. Bon Secours Southampton Memorial Hospital Franklin 30% below 264 of 339 74 of 339
15. Carilion Franklin Memorial Hospital Rocky Mt 28% below 259 of 329 23 of 329
16. Carilion New River Valley Medical Center Christiansburg 26% below 283 of 364 30 of 364
17. Carilion Roanoke Community Hospital Roanoke 26% below 286 of 368 31 of 368
18. Carilion Roanoke Memorial Hospital Roanoke 26% below 286 of 368 31 of 368
19. Sentara Halifax Regional Hospital South Boston 23% below 263 of 381 105 of 381
20. Bath Community Hospital Hot Springs 22% below 268 of 369 95 of 369
21. Carilion Giles Community Hospital Roanoke 22% below 252 of 334 36 of 334
22. Carilion Tazewell Community Hospital Tazewell 21% below 244 of 326 38 of 326
23. Carilion Rockbridge Community Hospital Lexington 21% below 251 of 336 37 of 336
24. Chesapeake General Hospital Chesapeake 12% below 224 of 358 131 of 358
25. Sentara Virginia Beach General Hospital Virginia Beach at median 132 of 391 126 of 391
26. Sentara Careplex Hospital Hampton at median 131 of 390 126 of 390
27. Sentara Obici Hospital Suffolk at median 131 of 390 126 of 390
28. Hospital for Extended Recovery Norfolk at median 130 of 389 126 of 389
29. Sentara Leigh Hospital Norfolk at median 130 of 389 126 of 389
30. Sentara Norfolk General Hospital Norfolk at median 130 of 389 126 of 389
31. Sentara Northern Virginia Medical Center Woodbridge at median 130 of 389 126 of 389
32. Sentara Princess Anne Hospital Virginia Beach at median 130 of 389 126 of 389
33. Fauquier Health Warrenton at median 197 of 400 200 of 400
34. Inova Alexandria Hospital Alexandria 8% above 128 of 404 234 of 404
35. Inova Fair Oaks Hospital Fairfax 8% above 128 of 404 234 of 404
36. Inova Fairfax Hospital Falls Church 8% above 128 of 404 234 of 404
37. Inova Loudoun Hospital Leesburg 8% above 128 of 404 234 of 404
38. Inova Mount Vernon Hospital Alexandria 8% above 128 of 404 234 of 404
39. Sovah Health - Danville Danville 9% above 179 of 419 229 of 419
40. Sovah Health - Martinsville Martinsville 10% above 158 of 389 220 of 389
41. Bon Secours Maryview Medical Center Portsmouth 15% above 131 of 439 283 of 439
42. Bon Secours Harbour View Medical Center Suffolk 17% above 98 of 359 240 of 359
43. Bon Secours St Marys Hospital of Richmond Richmond 17% above 126 of 466 297 of 466
44. Mary Immaculate Hospital Newport News 17% above 110 of 418 279 of 418
45. Bon Secours Memorial Regional Medical Center Mechanicsville 19% above 124 of 445 283 of 445
46. Bon Secours Richmond Community Hospital Richmond 20% above 96 of 346 223 of 346
47. Bon Secours St Francis Medical Center Midlothian 20% above 127 of 450 287 of 450
48. Twin County Regional Healthcare Galax 25% above 130 of 389 258 of 389
49. Bon Secours Southside Medical Center Petersburg 26% above 138 of 420 278 of 420
50. Wythe County Community Hospital Wytheville 35% above 116 of 384 264 of 384
51. Bon Secours Southern Virginia Medical Center Emporia 51% above 115 of 339 224 of 339
52. Children's Hospital of the King's Daughters Norfolk 58% above 90 of 370 280 of 370
53. Clinch Valley Health Richlands 69% above 91 of 407 313 of 407
54. Lewisgale Hospital Montgomery Christiansburg 257% above 11 of 289 278 of 289
55. Reston Hospital Center Reston 258% above 3 of 290 287 of 290
56. Lewisgale Hospital Alleghany Low Moor 265% above 5 of 275 269 of 275
57. Spotsylvania Regional Medical Center Fredericksburg 267% above 3 of 292 289 of 292
58. Stonesprings Hospital Center Dulles 268% above 2 of 277 274 of 277
59. Lewisgale Medical Center Roanoke 313% above 4 of 303 298 of 303
60. Chippenham Hospital Chesterfield 346% above 1 of 304 300 of 304
61. Johnston-Willis Hospital Richmond 346% above 2 of 304 299 of 304
62. Henrico Doctors Hospital - Forest Mechanicsville 348% above 1 of 316 312 of 316
63. Retreat Doctors Hospital Richmond 349% above 2 of 316 311 of 316
64. Parham Doctors Hospital Richmond 350% above 2 of 317 312 of 317
65. Tricities Hospital Prince George 351% above 3 of 285 281 of 285
66. Lewisgale Hospital Pulaski Pulaski 371% above 9 of 287 277 of 287
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Typical price The median of this hospital's cash prices divided by the state median for the same codes: below means cheaper than a typical hospital in the state.
Below median For how many of the compared procedures this hospital is cheaper than the state median.
Above median For how many of the compared procedures this hospital is more expensive than the state median.

Not in the ranking: Hiram W Davis Medical Center (Petersburg), Lake Taylor Transitional Care Hospital (Norfolk) — their price files list no cash price (all US hospitals without one).

Procedure costs in Virginia

Cheapest hospitals by metro area in Virginia

How the ranking works

  • For every procedure, we take the hospital's lowest outpatient cash price and compare it with the median of all Virginia hospitals that publish a cash price for the same code (only codes with at least three hospitals in the state).
  • "Typical price" is the middle of those comparisons: half of the hospital's procedures are cheaper than that, half are dearer. One expensive surgery does not outweigh a hundred cheap lab tests, and the other way round.
  • Hospitals with fewer than 30 comparable procedures are left out: with a handful of codes the place would be decided by chance.
  • Prices far below every other hospital are worth a phone call: some price files list only part of a service (for example the facility fee without the doctor's fee), or a discount that depends on income.
  • A low rank does not mean every price is low. Open the hospital to see the procedure you need, then ask its billing office for a Good Faith Estimate in writing.