Preventive visit, new patient, 18-39CPT 99385Clinic

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 14.0× price range across 13 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

The part you don’t feel

Lonesome Pine Hospital $196vsBuchanan General Hospital $14 what you pay what your plan pays
Deductible not metearly in the plan year
Lonesome Pine Hospital
Buchanan General Hospital
$182you feel all of it
Deductible met20% coinsurance
Lonesome Pine Hospital
Buchanan General Hospital
$36$145 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lonesome Pine Hospital
Buchanan General Hospital
$0the market goes blind

The gap is $182 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
Buchanan General Hospital$14——$571
Lewisgale Hospital Pulaski$64———3
Stonesprings Hospital Center$66———2
Lewisgale Medical Center$68———3
Lewisgale Hospital Montgomery$68———3
Lewisgale Hospital Alleghany$68———3
Henrico Doctors' Hospital$71———4
John Randolph Medical Center$73———4
Cjw Medical Center$73———4
Spotsylvania Regional Medical Center$75———2
Reston Hospital Center$83———2
Bath Community Hospital$165———3
Lonesome Pine Hospital$196——$10614

*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 18, 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 →