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. 300% means commercial plans pay triple that benchmark for the same care at the same hospital. The gap is negotiation, not quality. Full methodology →

Most looked up

Colonoscopy with biopsyCPT 45380
$2,500 median · $791–$6,829
170% of Medicare112 hospitals
● 28 verified ⚠ 13
Major joint replacement (hip/knee), no MCCMS-DRG 470
$38,466 median · $12,052–$401,211
260% of Medicare94 hospitals
● 3 verified
MRI brain with and without contrastCPT 70553
$951 median · $293–$5,961
218% of Medicare137 hospitals
● 16 verified ⚠ 1
Cesarean section, no CC/MCCMS-DRG 788
$17,134 median · $5,476–$199,430
no benchmark90 hospitals
● 5 verified
ED visit, level 4CPT 99284
$942 median · $339–$3,678
194% of Medicare122 hospitals
● 32 verified ⚠ 11
CT abdomen and pelvis with contrastCPT 74177
$776 median · $265–$4,090
189% of Medicare134 hospitals
● 28 verified ⚠ 4

Browse by category 107 procedures

Cardiology 12Clinic 9Emergency 3GI 6General surgery 7Gynecology 1Imaging 13Lab 16Maternity 7Medicine 5Mental health 6Neurology 2Ophthalmology 2Orthopedics 9Pain 3Pulmonology 3Therapy 1Urology 2
Cardiology12 procedures · median 246% of MedicareCategory page →
Clinic9 proceduresCategory page →
Emergency3 procedures · median 194% of MedicareCategory page →
GI6 procedures · median 185% of MedicareCategory page →
General surgery7 procedures · median 126% of MedicareCategory page →
Gynecology1 procedure · median 244% of MedicareCategory page →
Imaging13 procedures · median 206% of MedicareCategory page →
Lab16 procedures · median 234% of MedicareCategory page →
Maternity7 proceduresCategory page →
Medicine5 procedures · median 256% of MedicareCategory page →
Mental health6 procedures · median 116% of MedicareCategory page →
Neurology2 procedures · median 312% of MedicareCategory page →
Ophthalmology2 procedures · median 218% of MedicareCategory page →
Orthopedics9 procedures · median 253% of MedicareCategory page →
Pain3 procedures · median 165% of MedicareCategory page →
Pulmonology3 procedures · median 259% of MedicareCategory page →
Therapy1 procedureCategory page →
Urology2 procedures · median 94% of MedicareCategory page →
● Verified = hospitals publishing actual paid amounts (835-derived, n≥11); ● reported = negotiated rates from the standard file; ⚠ = data-flagged cells, shown but excluded from statistics.
Missing a procedure? We track 107 codes and add more every refresh. Request a procedure or DRG and we’ll triage it into the next data refresh.
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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 →