Chest painMS-DRG 313Cardiology

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
$5,544
$12,758
$12,904
$13,706
$15,047
$15,750

The part you don’t feel

St Michael Medical Center $17,241vsProsser Memorial Hospital $4,280 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$12,961you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$2,592$10,368 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 $12,961 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$4,280———1
Tri-State Memorial Hospital$4,810———2
Island Hospital$5,544———3
Cascade Valley Hospital ● actual$8,339——$6,2461
Multicare Valley Hospital$9,557———21
Skagit Valley Hospital ● actual$10,420——$6,4734
Deaconess Medical Center$10,442———21
Yakima Valley Memorial$12,758———23
Capital Medical Center$12,904———23
Peacehealth Southwest Medical Cente$13,035———3
St Elizabeth Hospital$13,706———10
Highline Medical Center$14,174———10
Multicare Good Samaritan Hospital$14,280$4,886292%—24
Tacoma General Allenmore Hospital$14,280———24
Multicare Auburn Medical Center$14,312———24
Multicare Covington Medical Center$14,593———24
St Clare Hospital$15,047———14
St Joseph Medical Center$15,047$4,255354%—14
St Francis Community Hospital$15,047———14
St Anthony Hospital$15,750$4,588343%—14
Virginia Mason Medical Center$16,684———9
St Michael Medical Center$17,241———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 →