Left heart catheterization, diagnosticCPT 93452Cardiology

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 8.8× price range across 43 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
$4,063
$6,768
$10,656
$11,504
$11,504
$11,643
$12,493

The part you don’t feel

Astria Sunnyside Hospital $35,765vsIsland Hospital $4,063 what you pay what your plan pays
Deductible not metearly in the plan year
Astria Sunnyside Hospital
Island Hospital
$31,703you feel all of it
Deductible met20% coinsurance
Astria Sunnyside Hospital
Island Hospital
$6,341$25,362 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Astria Sunnyside Hospital
Island Hospital
$0the market goes blind

The gap is $31,703 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$542$3,31216%—1
Columbia Basin Hospital⚠ data flag$1,079$3,31233%—4
Mid Valley Hospital & Clinic⚠ data flag$1,168$3,31235%—16
Island Hospital$4,063$3,613112%—13
Confluence Health Hospital$5,031$3,728135%$2,48830
Deaconess Medical Center$5,431$3,613150%$3,69728
Multicare Valley Hospital$5,819$3,613161%$4,65227
Yakima Valley Memorial$6,067$3,613168%$1,94331
Tacoma General Allenmore Hospital$6,251$3,784165%$6,45231
Prosser Memorial Hospital$6,584$3,312199%—15
Multicare Auburn Medical Center$6,643$3,765176%$6,76331
Multicare Good Samaritan Hospital$6,643$3,784176%$4,91731
Multicare Covington Medical Center$6,643$3,765176%$7,69631
Valley Medical Center$6,768$3,765180%$5,02040
Skagit Valley Hospital$6,971$3,613193%$2,17711
Capital Medical Center$7,646$3,754204%$4,75429
Harborview Medical Center$7,992$3,754213%—1
Evergreenhealth Medical Center$8,334$3,765221%$2,35726
Overlake Hospital Medical Center & Clinics$8,550$3,765227%—11
Providence Regional Medical Center Everett$8,565$3,692232%—9
Kadlec Regional Medical Center$8,968$3,613248%—6
Prov Sacred Hrt Med Ctr & Childs Hosp.$9,107$3,613252%—9
Peacehealth Southwest Medical Cente$9,481$3,613262%$3,5597
Swedish Edmonds Hospital$9,543$3,692258%—10
Virginia Mason Medical Center$10,064$3,765267%$4,25310
Providence Holy Family Hospital$10,301$3,613285%—8
St Elizabeth Hospital$10,656$3,312322%—15
University Of Washington Medical Ctr$10,909$3,754291%—9
Providence St Peter Hospital$11,113$3,728298%—11
Grays Harbor Community Hospital$11,319$3,613313%$3,5711
St Clare Hospital$11,504$3,784304%$6,56915
St Joseph Medical Center$11,504$3,784304%$7,19715
St Francis Community Hospital$11,504$3,765306%$6,96615
St Anthony Hospital$11,504$3,784304%$6,89915
Swedish Medical Center$11,643$3,754310%—13
Legacy Salmon Creek Medical Center$11,774$3,613326%—7
Swedish Medical Center / Cherry Hill$12,050$3,754321%—10
Swedish Issaquah$12,493$3,765332%—9
Astria Toppenish Hospital$12,582$3,613348%$16,23112
Providence St Mary Medical Center$12,648$3,613350%—8
Highline Medical Center$13,853$3,765368%$7,26314
Providence Centralia Hospital$19,199$3,754511%—7
Peacehealth St Joseph Medical Center$22,026$3,613610%$2,2302
Peacehealth St John Medical Center$22,181$3,617613%$3,8015
St Michael Medical Center$23,769$3,733637%$6,23915
Astria Sunnyside Hospital$35,765$3,3121080%—14

*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 →