Office visit, new patient, level 4CPT 99204Clinic

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 5.9× price range across 69 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
$130
$195
$226
$247

The part you don’t feel

Witham Health Services $613vsIndiana University Health Jay. $103 what you pay what your plan pays
Deductible not metearly in the plan year
Witham Health Services
Indiana University Health Jay.
$510you feel all of it
Deductible met20% coinsurance
Witham Health Services
Indiana University Health Jay.
$102$408 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Witham Health Services
Indiana University Health Jay.
$0the market goes blind

The gap is $510 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
Indiana University Health Jay.$103———35
Deaconess Hospital Inc$125———3
The Orthopaedic Hospital Of Lutheran Health Networ$128——$2232
Dukes Memorial Hospital$128———44
Pulaski Memorial Hospital$128———32
Adams Memorial Hospital$129———38
Dupont Hospital$130——$4635
Lutheran Hospital Of Indiana$130——$3438
Rush Memorial Hospital ● actual$131———22
Indiana University Health Frankfort Inc$132———32
Gibson General Hospital$137———8
Indiana University Health White Memorial Hospital$143———37
Indiana University Health Tipton Hospital Inc$144———37
Indiana University Health Ball Memorial Hospital$148——$5138
Indiana University Health Arnett Hospital$150——$5238
Indiana University Health Bedford Hospital$151———36
Henry County Memorial Hospital ● actual$154——$11714
Bluffton Regional Medical Center$156——$7439
Kosciusko Community Hospital$156——$3729
St Joseph Health System$157———1
Hendricks Regional Health$158——$6115
Indiana University Health Bloomington Hospital$159——$5839
Indiana University Health$159——$5541
Iu Health West Hospital$159——$5641
Indiana University Health North Hospital$159——$6141
Indiana University Health Paoli Hospital ● actual$159———39
Ascension St Vincent Kokomo$162——$17816
Ascension St Vincent Anderson$162——$19716
Ascension St Vincent Evansville$162——$9515
St Vincent Heart Center$162——$25815
Ascension St Vincent Carmel$162———15
Ascension St Vincent Fishers$162——$20915
Ascension St Vincent Randolph$162———16
Ascension St Vincent Jennings$162———15
Ascension St Vincent Williamsport$162———16
Ascension St Vincent Mercy$162———15
Ascension St Vincent Clay$162———16
Ascension St Vincent Salem$162———15
Ascension St Vincent Warrick$162———20
Methodist Hospitals Inc$168——$6519
Sullivan County Community Hospital ● actual$175———15
Reid Health$195——$749
Franciscan Health Indianapolis$196——$5982
Franciscan Health Mooresville$200——$6945
Good Samaritan Hospital$204———1
Franciscan Health Rensselaer ● actual$222———24
Woodlawn Hospital$226———28
Decatur County Memorial Hospital$245———7
Monroe Hospital$247——$1065
Franciscan Health Dyer$248——$10687
Memorial Hospital And Health Care Center$254———6
Northwest Health-La Porte$257——$7226
Harrison County Hospital ● actual$268———29
Norton Clark Hospital$269——$1204
Franciscan Health Crown Point$270——$11566
Putnam County Hospital$292———21
Daviess Community Hospital$303——$14118
Franciscan Health Lafayette$309——$10440
Franciscan Health Michigan City$309——$11246
Elkhart General Hospital$319——$10018
Franciscan Health Munster$319——$13224
Columbus Regional Hospital$324——$14514
Hancock Regional Hospital ● actual$337——$11643
Memorial Hospital Of South Bend$341——$10215
Johnson Memorial Hospital ● actual$365——$16611
Franciscan Health Crawfordsville$380——$15916
Norton-King'S Daughters' Health$461——$16714
Perry County Memorial Hospital$504———84
Witham Health Services ● actual$613——$21515

*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 September 15–16, 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 →