COPD with MCCMS-DRG 190Pulmonology

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.0× price range across 21 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
$8,529
$16,666
$20,297
$21,480
$24,666
$24,666

The part you don’t feel

St Michael Medical Center $27,141vsProsser Memorial Hospital $6,738 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$20,403you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$4,081$16,322 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
St Michael Medical Center
Prosser Memorial Hospital
$0the market goes blind

The gap is $20,403 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
Three Rivers Hospital⚠ data flag$27$7,3770%—12
Columbia Basin Hospital⚠ data flag$50$7,3771%—1
Tri-State Memorial Hospital⚠ data flag$85$7,3771%—18
Coulee Medical Center⚠ data flag$103$7,3771%—1
Newport Community Hospital⚠ data flag$195$7,3773%—4
Mid Valley Hospital & Clinic⚠ data flag$255$7,3773%—11
Prosser Memorial Hospital$6,738$7,37791%—1
Island Hospital$8,529$7,377116%—5
Pullman Regional Hospital$11,249$7,377152%—2
Multicare Valley Hospital$14,554$7,377197%—21
Skagit Valley Hospital ● actual$15,758$8,814179%$15,3724
Deaconess Medical Center$15,902$7,377216%—21
Yakima Valley Memorial$16,666$7,739215%—23
Peacehealth Southwest Medical Cente$20,054$8,812228%—3
Capital Medical Center$20,297$7,377275%—23
St Elizabeth Hospital$21,480$7,377291%—10
Multicare Auburn Medical Center$21,917$7,377297%—24
Multicare Good Samaritan Hospital$21,917$7,788281%—24
Tacoma General Allenmore Hospital$21,917$7,377297%—24
Multicare Covington Medical Center$21,917$7,377297%—24
Highline Medical Center$23,068$7,377313%—10
St Clare Hospital$24,666$7,377334%—14
St Joseph Medical Center$24,666$7,377334%—14
St Francis Community Hospital$24,666$7,377334%—14
St Anthony Hospital$24,666$7,458331%—14
Virginia Mason Medical Center$25,776$7,377349%—9
St Michael Medical Center$27,141$8,566317%—5

*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 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 →