Cervical spinal fusion, no CC/MCCMS-DRG 473Orthopedics

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.5× 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
$37,998
$43,753
$46,612
$50,712
$52,907
$63,564

The part you don’t feel

Island Hospital $63,564vsProsser Memorial Hospital $14,204 what you pay what your plan pays
Deductible not metearly in the plan year
Island Hospital
Prosser Memorial Hospital
$49,360you feel all of it
Deductible met20% coinsurance
Island Hospital
Prosser Memorial Hospital
$9,872$39,488 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Island Hospital
Prosser Memorial Hospital
$0the market goes blind

The gap is $49,360 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$14,204$16,34387%—1
Tri-State Memorial Hospital$20,323$16,343124%—2
Multicare Valley Hospital$32,497$16,343199%—21
Deaconess Medical Center$35,506$16,343217%—21
Skagit Valley Hospital$35,943$16,343220%$52,1224
Yakima Valley Memorial$37,998$16,343233%—23
Capital Medical Center$43,753$16,343268%—23
Peacehealth Southwest Medical Cente$44,197$16,343270%—3
St Elizabeth Hospital$46,612$16,343285%—10
Multicare Auburn Medical Center$47,490$16,343291%—24
Multicare Good Samaritan Hospital$47,490$16,343291%—24
Tacoma General Allenmore Hospital$47,490$16,343291%—24
Multicare Covington Medical Center$47,490$16,343291%—24
Highline Medical Center$47,608$16,343291%—10
St Clare Hospital$50,712$16,343310%—14
St Joseph Medical Center$50,712$16,343310%—14
St Francis Community Hospital$50,712$16,343310%—14
St Anthony Hospital$52,907$16,343324%—14
Virginia Mason Medical Center$55,366$16,343339%—9
St Michael Medical Center$57,215$16,343350%—5
Island Hospital$63,564$16,343389%—3

*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 →