Family psychotherapy, without patientCPT 90846Mental health

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 7.9× price range across 40 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
$167
$283
$537

The part you don’t feel

Providence Centralia Hospital $879vsLake Chelan Community Hospital $111 what you pay what your plan pays
Deductible not metearly in the plan year
Providence Centralia Hospital
Lake Chelan Community Hospital
$768you feel all of it
Deductible met20% coinsurance
Providence Centralia Hospital
Lake Chelan Community Hospital
$154$614 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Providence Centralia Hospital
Lake Chelan Community Hospital
$0the market goes blind

The gap is $768 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
Coulee Medical Center⚠ data flag$67$18137%—1
Astria Sunnyside Hospital⚠ data flag$76$18142%—13
Ocean Beach Hospital⚠ data flag$84$18146%—4
Columbia Basin Hospital⚠ data flag$104$18157%—4
Arbor Health Morton Hospital⚠ data flag$106$18159%—17
Lake Chelan Community Hospital$111$18161%—9
Virginia Mason Medical Center⚠ data flag$118$20657%$5010
Forks Community Hospital$125$18169%—10
Mid Valley Hospital & Clinic$129$18171%—16
Tri-State Memorial Hospital$151$18184%—18
Lourdes Medical Center$155$18186%—2
Astria Toppenish Hospital$163$19883%$9110
Island Hospital$167$19884%$8722
Kittitas Valley Community Hospital$168$18193%—7
Cascade Medical Center$172$18195%—9
Pullman Regional Hospital$176$18197%—24
Confluence Health Hospital$181$20489%$8924
Jefferson Healthcare$185$181102%—13
Deaconess Medical Center$204$198103%—21
Multicare Valley Hospital$204$198103%—21
Yakima Valley Memorial$233$198118%—25
Dayton General Hospital$236$181130%—18
Skyline Hospital$283$181156%—9
Whidbeyhealth Medical Center ● actual$287$181158%—5
Capital Medical Center$340$206165%$8329
Multicare Auburn Medical Center$341$206165%$10731
Multicare Covington Medical Center$341$206165%$12131
Multicare Good Samaritan Hospital$342$207165%$7831
Tacoma General Allenmore Hospital$342$207165%$10231
Evergreenhealth Medical Center$403$206195%$10219
Providence Regional Medical Center Everett$403$202199%—7
Harborview Medical Center$438$206213%—1
Kadlec Regional Medical Center$439$198222%—6
Valley Medical Center$441$206214%$6040
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
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
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 →