About this information

Health Insurance carriers report this information under Virginia law 32.1-276.5:1 The health care services in this report are those provided by doctors, emergency rooms, hospitals, diagnostic and surgical centers.

The services reported were recommended to Virginia Health Information (VHI) by a workgroup of health care stakeholders. After VHI Board of Directors review, the list of services was approved by the State Health Commissioner. Commercial insurance allowed amounts are based on 2008 paid commercial claims and exclude government programs like Medicare and Medicaid. The Medicare information was obtained from CMS and related websites and are footnoted with their source.

After review for accuracy, the amounts reported for each health insurance carrier are averaged for this report.

Virginia Health Information (VHI) is an independent non-profit organization. VHI works under contracts with state agencies and others to provide consumers with information on health care cost and quality.

Limitations

Because insurance plans may have different benefits, our report does not show you exactly what you will pay. For that, you must check with your health insurance company or the health care provider.

Consumers may not get as much of a discount as a larger health insurance carrier.
Some geographic areas of Virginia may have lower prices. Statewide averages do not account for these differences.
Some health insurance carriers may negotiate lower allowed amounts than others. State averages do not show the lowest allowed amount.

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