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 119049.0× price range across 128 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
$170
$239
$240
$244
$272
$348
$355
$435
$460
$471
$543
$649
$1,119

The part you don’t feel

Putnam Hospital Center $1,190vsBrookdale Hospital Medical Center $0 what you pay what your plan pays
Deductible not metearly in the plan year
Putnam Hospital Center
Brookdale Hospital Medical Center
$1,190you feel all of it
Deductible met20% coinsurance
Putnam Hospital Center
Brookdale Hospital Medical Center
$238$952 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Putnam Hospital Center
Brookdale Hospital Medical Center
$0the market goes blind

The gap is $1,190 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
Brookdale Hospital Medical Center$0——$28631
Rochester General Hospital$72———1
Chenango Memorial Hospital$130———2
United Health Services Hospitals$130———2
Delaware Valley Hospital$130———2
Medina Memorial Hospital$141———7
Rome Memorial Hospital$151——$3391
Clifton Springs Hospital And Clinic$154———2
Oneida Health Hospital$155——$16920
Niagara Falls Memorial Medical Center$155——$1078
Westchester Medical Center$156——$3423
Samaritan Medical Center$158——$728
Phelps Hospital$170——$2163
Ny Eye And Ear Infirmary Of Mount Sinai$171———1
Suny/Downstate University Hospital Of Brooklyn$173——$43715
St John'S Riverside Hospital$184——$5414
Wyckoff Heights Medical Center$184——$19219
Olean General Hospital$185———3
Jones Memorial Hospital$192———17
Suny/Stony Brook University Hospital ● actual$193——$1527
Bronxcare Hospital Center$194——$20846
Soldiers And Sailors Memorial Hospital Of Yates ● actual$201———5
Nassau University Medical Center$202——$10112
Flushing Hospital Medical Center$207——$41725
Bertrand Chaffee Hospital$209——$17921
Montefiore New Rochelle Hospital$220——$9411
Brooks-Tlc Hospital System$221———4
Sisters Of Charity Hospital$221——$12997
Kenmore Mercy Hospital$221——$13497
Mount St. Mary'S Hospital & Health Center$221——$13897
Mercy Hospital Of Buffalo$221——$14697
St Barnabas Hospital$222——$1939
St John'S Episcopal Hospital At South Shore$224——$1957
St Francis Hospital - The Heart Center$225——$8470
St Charles Hospital$225——$9981
Mercy Medical Center$225——$9281
Good Samaritan Hospital Medical Center$225——$8270
Chsli St Joseph Hospital$225——$10265
St Catherine Of Siena Hospital$225——$9281
Jamaica Hospital Medical Center$232——$21226
Upmc Chautauqua At Wca$234——$16217
O'Connor Hospital$239———12
F F Thompson Hospital$240———13
St James Hospital$240———13
Nicholas H Noyes Memorial Hospital$240———15
Community Memorial Hospital$241———2
Wynn Hospital$244——$1119
Our Lady Of Lourdes Memorial Hospital$250——$22718
Cobleskill Regional Hospital$256———16
St Anthony Community Hospital$257——$5312
Auburn Community Hospital$257——$24720
Lewis County General Hospital$262———8
Canton-Potsdam Hospital$272———2
Gouverneur Hospital$272———2
Slhs Massena$272———1
Arnot Ogden Medical Center$276——$1769
Erie County Medical Center$286——$30215
Little Falls Hospital$291———13
Ellenville Regional Hospital$304———10
Mount Sinai Hospital$304———2
Helen Hayes Hospital$309———8
Columbia Memorial Hospital$318——$15212
Newark-Wayne Community Hospital$323———1
United Memorial Medical Center$323———5
Hospital For Special Surgery$326——$13163
Carthage Area Hospital$343———1
St Joseph'S Medical Center$345——$44210
Nyack Hospital$348——$35014
Cuba Memorial Hospital$350———2
Kaleida Health$355———16
Brooklyn Hospital Center - Downtown Campus ● actual$363——$1915
Glens Falls Hospital$379——$18912
Geneva General Hospital$389——$2235
Margaretville Memorial Hospital$408———18
University Hospital S U N Y Health Science Center$416——$25315
Highland Hospital$435———10
Richmond University Medical Center$436——$20913
Healthalliance Hospital Marys Avenue Campus$440——$8721
Strong Memorial Hospital ● actual$440———31
The University Of Vermont Health Network-Alice Hy$446———7
Ellis Hospital$460——$1459
Oswego Hospital$471——$2351
John T Mather Memorial Hospital Of Port Jefferson$497———36
Saratoga Hospital$505——$1407
Montefiore Mount Vernon Hospital$507——$30013
Ns/Lij Hs Southside Hospital$543———36
Ns/Lij Hs Huntington Hospital$543———36
North Shore University Hospital$543———36
Peconic Bay Medical Center$543———36
Lenox Hill Hospital$543———36
Staten Island University Hospital$543———36
Northern Westchester Hospital$543———36
Northwell Hospital Glen Cove$543———36
Long Island Jewish Medical Center$543———36
Plainview Hospital$543———36
Adirondack Medical Center - Saranac Lake$566——$2374
The University Of Vermont Health Network - Champl$589——$29815
Jacobi Medical Center$594——$40235
Elmhurst Hospital Center$596——$37935
South Brooklyn Health$600——$36835
Metropolitan Hospital Center$600——$49535
Kings County Hospital Center$600——$32835
Harlem Hospital Center$600——$40234
Woodhull Medical & Mental Health Center$600——$48035
Lincoln Medical & Mental Health Center$602——$43535
Bellevue Hospital Center$602——$36935
Queens Hospital Center$604——$41935
Montefiore Medical Center$618——$15157
New York-Presbyterian Hospital$622——$13911
Cayuga Medical Center At Ithaca$629——$4087
Guthrie Cortland Regional Medical Center$642——$28821
Garnet Health Medical Center$646———5
River Hospital Clinics$646———25
Corning Hospital$649——$13723
Bon Secours Community Hospital$660——$17819
Good Samaritan Hospital Of Suffern$660——$15919
Garnet Health Medical Center Catskills$674———5
Maimonides Medical Center$701———2
Montefiore St Luke'S Cornwall$706———1
White Plains Hospital Center$739——$27610
Albany Medical Center Hospital$812——$27311
New York-Presbyterian/Queens$913——$17510
Long Island Community Hospital$1,025——$178232
Hudson Valley Hospital Center$1,046——$3454
Nyu Langone Hospitals$1,119——$235227
Vassar Brothers Medical Center$1,190———1
Northern Dutchess Hospital$1,190———1
Putnam Hospital Center$1,190———1

*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 28 – October 6, 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 →