Major joint replacement (hip/knee), with MCCMS-DRG 469Orthopedics

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
$43,344
$51,564
$59,078
$63,234
$71,252
$72,318

The part you don’t feel

St Michael Medical Center $78,998vsProsser Memorial Hospital $19,612 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$59,386you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$11,877$47,509 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 $59,386 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$19,612$22,34688%—1
Tri-State Memorial Hospital$24,731$22,346111%—2
Yakima Valley Memorial$43,344$22,346194%—23
Multicare Valley Hospital$43,977$22,346197%—21
Deaconess Medical Center$45,204$22,346202%—21
Skagit Valley Hospital$47,284$22,346212%$26,5304
Island Hospital$51,564$22,346231%—3
Peacehealth Southwest Medical Cente$54,913$22,346246%—3
Capital Medical Center$59,078$22,346264%—23
St Elizabeth Hospital$63,234$22,346283%—10
Multicare Auburn Medical Center$64,207$22,346287%—24
Multicare Good Samaritan Hospital$64,207$22,346287%—24
Tacoma General Allenmore Hospital$64,207$22,346287%—24
Multicare Covington Medical Center$64,207$22,346287%—24
Highline Medical Center$66,392$22,346297%—10
St Clare Hospital$71,252$22,346319%—14
St Joseph Medical Center$71,252$22,346319%—14
St Francis Community Hospital$71,252$22,346319%—14
St Anthony Hospital$72,318$22,346324%—14
Virginia Mason Medical Center$75,132$22,346336%—9
St Michael Medical Center$78,998$27,722285%—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 →