Office visit, new patient, level 5CPT 99205Clinic

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.8× price range across 68 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
$168
$223
$273
$323

The part you don’t feel

Witham Health Services $666vsIndiana University Health Jay. $139 what you pay what your plan pays
Deductible not metearly in the plan year
Witham Health Services
Indiana University Health Jay.
$527you feel all of it
Deductible met20% coinsurance
Witham Health Services
Indiana University Health Jay.
$105$422 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 $527 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.$139———35
Dukes Memorial Hospital$165———44
The Orthopaedic Hospital Of Lutheran Health Networ$165——$2832
Lutheran Hospital Of Indiana$167——$4338
Dupont Hospital$168——$5935
Deaconess Hospital Inc$170———3
Adams Memorial Hospital$175———38
Pulaski Memorial Hospital$175———32
Indiana University Health Frankfort Inc$179———32
Gibson General Hospital$186———8
Indiana University Health White Memorial Hospital$193———37
Indiana University Health Tipton Hospital Inc$195———37
Bluffton Regional Medical Center$197——$9539
Kosciusko Community Hospital$197——$4729
Indiana University Health Ball Memorial Hospital$200——$6938
Ascension St Vincent Kokomo$201——$27416
Ascension St Vincent Anderson$201——$25416
Ascension St Vincent Evansville$201——$10615
St Vincent Heart Center$201——$21015
Ascension St Vincent Carmel$201———15
Ascension St Vincent Fishers$201——$27415
Ascension St Vincent Randolph$201———16
Ascension St Vincent Jennings$201———15
Ascension St Vincent Williamsport$201———16
Ascension St Vincent Mercy$201———15
Ascension St Vincent Clay$201———16
Ascension St Vincent Salem$201———15
Ascension St Vincent Warrick$201———19
Indiana University Health Arnett Hospital$203——$7138
Indiana University Health Bedford Hospital$205———36
Hendricks Regional Health$205——$7615
Henry County Memorial Hospital ● actual$207——$15014
Methodist Hospitals Inc$209——$8019
St Joseph Health System$215———1
Indiana University Health Bloomington Hospital$215——$7839
Indiana University Health$215——$7541
Iu Health West Hospital$215——$7641
Indiana University Health North Hospital$215——$8241
Indiana University Health Paoli Hospital$217———38
Sullivan County Community Hospital ● actual$219———15
Reid Health$223——$859
Rush Memorial Hospital ● actual$231———22
Franciscan Health Indianapolis$242——$7382
Franciscan Health Mooresville$247——$8645
Decatur County Memorial Hospital$250———7
Woodlawn Hospital$273———28
Good Samaritan Hospital$277———1
Franciscan Health Dyer$304——$12485
Franciscan Health Rensselaer$304———24
Norton Clark Hospital$308——$1374
Putnam County Hospital$313———21
Monroe Hospital$323——$1385
Harrison County Hospital ● actual$338———29
Memorial Hospital And Health Care Center$341———6
Franciscan Health Lafayette$352——$11837
Columbus Regional Hospital$362——$15913
Northwest Health-La Porte$366——$11428
Franciscan Health Crown Point$390——$16664
Johnson Memorial Hospital ● actual$402——$19311
Franciscan Health Munster$409——$16923
Hancock Regional Hospital ● actual$409——$14143
Franciscan Health Michigan City$410——$14845
Elkhart General Hospital$410——$12918
Franciscan Health Crawfordsville$417——$18513
Memorial Hospital Of South Bend$439——$13215
Daviess Community Hospital$550——$36818
Perry County Memorial Hospital$654———84
Witham Health Services ● actual$666——$23415

*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 →