Psychotherapy, 45 minutesCPT 90834Mental health

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 8.0× price range across 47 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
$152
$259
$537

The part you don’t feel

Providence Centralia Hospital $879vsForks Community Hospital $110 what you pay what your plan pays
Deductible not metearly in the plan year
Providence Centralia Hospital
Forks Community Hospital
$769you feel all of it
Deductible met20% coinsurance
Providence Centralia Hospital
Forks Community Hospital
$154$615 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Providence Centralia Hospital
Forks Community Hospital
$0the market goes blind

The gap is $769 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
Astria Sunnyside Hospital⚠ data flag ● actual$63$18135%—13
Lourdes Medical Center⚠ data flag$80$18144%—19
Lincoln Hospital⚠ data flag$93$18151%—9
Lake Chelan Community Hospital⚠ data flag$93$18151%—11
Columbia Basin Hospital⚠ data flag$103$18157%—4
Forks Community Hospital$110$18161%—10
Mid Valley Hospital & Clinic$112$18162%—16
Arbor Health Morton Hospital ● actual$112$18162%—17
Samaritan Hospital⚠ data flag ● actual$117$19859%$7742
Virginia Mason Medical Center⚠ data flag$118$20657%$5010
Olympic Medical Center⚠ data flag$135$19868%$6212
Astria Toppenish Hospital$149$19875%$7610
Island Hospital$152$19877%$7922
Pullman Regional Hospital$154$18185%—24
Tri-State Memorial Hospital$157$18186%—18
Jefferson Healthcare ● actual$158$18187%—13
Prosser Memorial Hospital$171$18194%—15
Summit Pacific Medical Center$172$18195%—8
Confluence Health Hospital$181$20489%$8924
Kittitas Valley Community Hospital$183$181101%—7
Garfield County Public Hospital #1$189$181104%—10
Whitman Hospital And Medical Center ● actual$190$181105%—10
Dayton General Hospital$194$181107%—18
Ocean Beach Hospital$196$181108%—4
Cascade Medical Center$211$181116%—9
Deaconess Medical Center$239$198121%—16
Grays Harbor Community Hospital ● actual$243$198123%$796
Evergreenhealth Monroe$244$202121%$12021
Skyline Hospital$259$181143%—9
Mason General Hospital & Family Of Clinics⚠ data flag ● actual$266$181147%—2
Multicare Valley Hospital$292$198148%—16
Yakima Valley Memorial$311$198157%$7726
Whidbeyhealth Medical Center ● actual$375$181207%—5
Evergreenhealth Medical Center ● actual$403$206195%$6521
Providence Regional Medical Center Everett$403$202199%—7
Capital Medical Center$416$206202%$19524
Harborview Medical Center$438$206213%—1
Kadlec Regional Medical Center$439$198222%—6
Valley Medical Center$441$206214%$10240
Legacy Salmon Creek Medical Center$457$198231%—4
Providence St Mary Medical Center$478$198241%—5
Prov Sacred Hrt Med Ctr & Childs Hosp.$486$198246%—8
Overlake Hospital Medical Center & Clinics$516$206250%—10
Providence Holy Family Hospital$519$198263%—7
Providence St Peter Hospital$522$204256%—10
Tacoma General Allenmore Hospital ● actual$523$207253%$24027
Multicare Auburn Medical Center$531$206258%$25226
Multicare Good Samaritan Hospital$531$207256%$18326
Multicare Covington Medical Center$531$206258%$28626
University Of Washington Medical Ctr$534$206260%—9
Swedish Issaquah$537$206261%—8
Swedish Edmonds Hospital$552$202273%—8
Swedish Medical Center$570$206277%—13
Swedish Medical Center / Cherry Hill$584$206284%—10
Coulee Medical Center$643$181354%—19
Providence Centralia Hospital$879$206428%—6

*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 →