Heart failure and shock, with CCMS-DRG 292Cardiology

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.7× 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
$6,537
$13,082
$15,565
$16,582
$19,625
$19,625

The part you don’t feel

St Michael Medical Center $20,813vsGrays Harbor Community Hospital $4,430 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Grays Harbor Community Hospital
$16,383you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Grays Harbor Community Hospital
$3,277$13,106 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
St Michael Medical Center
Grays Harbor Community Hospital
$0the market goes blind

The gap is $16,383 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
Grays Harbor Community Hospital$4,430$5,92775%$8,7471
Prosser Memorial Hospital$5,167$5,92787%—1
Island Hospital$6,537$5,927110%—3
Tri-State Memorial Hospital$7,168$5,927121%—2
Pullman Regional Hospital⚠ data flag$7,858$5,927133%—2
Multicare Valley Hospital$11,312$5,927191%—21
Deaconess Medical Center$12,359$5,927209%—21
Skagit Valley Hospital$12,378$5,927209%$10,1504
Yakima Valley Memorial$13,082$5,927221%—23
Peacehealth Southwest Medical Cente$15,370$5,927259%—3
Capital Medical Center$15,565$5,927263%—23
St Elizabeth Hospital$16,582$5,927280%—10
Multicare Auburn Medical Center$17,128$5,927289%—24
Multicare Good Samaritan Hospital$17,128$5,927289%—24
Tacoma General Allenmore Hospital$17,128$5,927289%—24
Multicare Covington Medical Center$17,128$5,927289%—24
Highline Medical Center$18,533$5,927313%—10
St Clare Hospital$19,625$5,927331%—14
St Joseph Medical Center$19,625$5,927331%—14
St Francis Community Hospital$19,625$5,927331%—14
St Anthony Hospital$19,625$5,927331%—14
Virginia Mason Medical Center$19,947$5,927337%—9
St Michael Medical Center$20,813$5,927351%—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 →