Office consultation, comprehensiveCPT 99244Clinic

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 15.9× price range across 17 Colorado hospitals. Open in the explorer → — filter by insurer or region, map it, or compare hospitals side by side.

How to read “% of Medicare” Medicare’s payment is a hospital-specific benchmark built from CMS files — adjusted for local wages and case complexity, and roughly pegged to the cost of care. A commercial rate at 300% means a private plan pays about triple that benchmark for the same care at the same hospital. The gap is negotiation, not quality. Full methodology →
Median commercial negotiated rate Medicare benchmark
$177
$291
$347

The part you don’t feel

Spanish Peaks Regional Health Center $1,327vsMt San Rafael Hospital $83 what you pay what your plan pays
Deductible not metearly in the plan year
Spanish Peaks Regional Health Center
Mt San Rafael Hospital
$1,243you feel all of it
Deductible met20% coinsurance
Spanish Peaks Regional Health Center
Mt San Rafael Hospital
$249$994 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Spanish Peaks Regional Health Center
Mt San Rafael Hospital
$0the market goes blind

The gap is $1,243 in every row. The only thing that changes is how much of it reaches the person choosing. Nobody hid the price — the deductible structure hides the difference, and a difference nobody feels is a difference nobody shops. Illustration uses a 20% coinsurance plan with no separate facility or professional bill; your own plan governs.

Detail (click headers to sort, or “why” for cost vs price)

HospitalCommercial medianMedicare% of MedicareEst. cost*Plan rows
Mt San Rafael Hospital$83———53
San Luis Valley Regional Medical Center$138———1
San Luis Valley Health Conejos County Hospital$138———1
Denver Health$177——$612
Weisbrod Memorial County Hospital$190———6
Boulder Community Health$191——$3632
Montrose Regional Health$283——$10310
Haxtun Hospital$291———5
Prowers Medical Center$310———6
Rangely Hospital$347———2
Vail Health Hospital$348——$2157
Gunnison Valley Hospital$419———14
Heart Of The Rockies Regional Medical Center$456———9
Sedgwick County Memorial Hospital$641———5
Estes Park Medical Center$656———15
Aspen Valley Hospital$936———33
Spanish Peaks Regional Health Center$1,327———10

*Cost estimates use hospital-level cost-to-charge ratios from federal cost reports and are approximate; ~ marks categories (imaging, labs) where they are least precise. "Plan rows" is how many distinct plan rates the hospital published; medians over more rows are sturdier.
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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved August 21–22, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →