Best Hospitals in Virginia 2026
Virginia has 95 hospitals with an average procedure payment of $17K. The top-rated hospital is Inova Fairfax Hospital in Falls Church with a 5-star CMS rating.
95 Virginia hospitals appear in the CMS Inpatient Payment dataset. Ranked by average payment per documented procedure: Chesapeake General Hospital is the lowest at $10,819; Spotsylvania Regional Medical Center the highest at $26,366. The gap between the extremes is large enough to matter for any patient with elective scheduling.
Ranking interpretation: the rankings sort on the Medicare payment-per-procedure average, weighted equally across DRG codes. That makes them most useful as a cost-comparison starting point — the LakeQuality value grade layered on top combines this cost data with CMS Hospital Compare quality measures, which is usually the more decision-useful number. For patients comparing hospital costs, the ranking is a useful first cut, but the procedure-specific page is the better tool: cost spreads vary by DRG code, and the all-procedure average can hide important per-procedure differences.
Across Virginia's 95 Medicare-participating hospitals, the average payment per procedure is $17K, above the national average of $16K. 37% ofVirginia's hospitals carry a CMS quality rating of 4 stars or higher, and 32% earn an A or B on our Value Score, which weighs price (40%), quality (40%), and patient outcomes (20%).
Procedure prices in Virginia range from Chesapeake General Hospital at $11K per procedure to Spotsylvania Regional Medical Center at $26K — a difference of $16K on the same kinds of inpatient stays. Where you go for the same procedure can swing the bill by more than the procedure itself.
All numbers come from the latest CMS Hospital Compare release, which uses Medicare claims data and only reflects payments for Medicare inpatient stays — not what private insurers or self-pay patients actually pay. Star ratings combine seven groups of measures including mortality, patient safety, readmissions, and patient experience. Lower-priced hospitals can still earn an A on the Value Score if their quality stays competitive.
Top 3 Hospitals in Virginia
Inova Fairfax Hospital
Falls Church, VA
Virginia's top-rated hospital with a 5-star CMS quality rating and an average payment of $18K per procedure. Outcome score: 97/100.
Inova Loudoun Hospital
Leesburg, VA
Second-best in Virginia. 5-star CMS rating with an outcome score of 73/100. Average procedure payment: $20K.
Richmond Va Medical Center
Richmond, VA
Third on quality + outcomes. 5-star CMS rating; Value Score 77/100. Lists 15 priced procedures.
Top 20 of 95 Hospitals in Virginia
Hospital quality and cost data for Virginia is sourced from the Centers for Medicare & Medicaid Services (CMS) Hospital Compare dataset.
Frequently Asked Questions
Based on CMS quality ratings and patient outcomes, Inova Fairfax Hospital in Falls Church is the top-rated hospital in Virginia with a 5-star CMS rating and an average procedure payment of $18K. Its Value Score is 82/100 (Grade A).
Virginia has 95 Medicare-participating hospitals. The average procedure payment across the state is $17K, and 32% of hospitals earn an A or B Value Score.
Virginia's average procedure payment of $17K is above the national average of $16K. Within the state, prices range from $11K at Chesapeake General Hospital to $26K at Spotsylvania Regional Medical Center — a gap of $16K per procedure.
Of 95 hospitals analyzed in Virginia, 35 (37%) earn a CMS quality rating of 4 stars or better. CMS star ratings combine measures of mortality, safety, readmission, patient experience, timeliness, and effectiveness of care.
Hospitals are ranked first by CMS star quality rating (1-5 stars), then by outcome score, which reflects mortality rates, patient safety, and readmissions. The Value Score combines price percentile (40%, lower price = higher score), quality rating (40%), and outcome score (20%).
Hospitals ranked by CMS star quality rating and outcome score. Value Score: price percentile (40% inverted), quality rating (40%), outcome score (20%).