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Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.0× price range across 22 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
$12,352
$23,544
$29,014
$29,667
$31,160
$36,018
$36,018

The part you don’t feel

St Michael Medical Center $39,669vsProsser Memorial Hospital $9,848 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$29,821you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$5,964$23,856 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 $29,821 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
Prosser Memorial Hospital$9,848$11,21788%—1
Tri-State Memorial Hospital$11,999$11,217107%—2
Island Hospital$12,352$11,217110%—3
Multicare Valley Hospital$20,953$10,414201%—21
Deaconess Medical Center$22,893$11,621197%—21
Skagit Valley Hospital$22,983$12,890178%$15,8704
Yakima Valley Memorial$23,544$11,637202%—23
Valley Medical Center$29,014$10,922266%$13,7402
Peacehealth Southwest Medical Cente$29,041$12,325236%—3
Capital Medical Center$29,667$10,591280%—23
St Elizabeth Hospital$31,160$11,217278%—10
Multicare Auburn Medical Center$32,244$12,295262%—24
Multicare Good Samaritan Hospital$32,244$11,789274%—24
Tacoma General Allenmore Hospital$32,244$12,758253%—24
Multicare Covington Medical Center$32,244$11,217287%—24
Highline Medical Center$33,766$11,537293%—10
St Clare Hospital$36,018$10,272351%—14
St Joseph Medical Center$36,018$11,835304%—14
St Francis Community Hospital$36,018$12,108297%—14
St Anthony Hospital$36,018$10,655338%—14
Virginia Mason Medical Center$37,713$13,763274%—9
St Michael Medical Center$39,669$13,473294%—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 →