Preventive visit, new patient, 40-64CPT 99386Clinic

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.1× price range across 36 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
$209
$221
$342

The part you don’t feel

Dayton General Hospital $492vsGrays Harbor Community Hospital $120 what you pay what your plan pays
Deductible not metearly in the plan year
Dayton General Hospital
Grays Harbor Community Hospital
$372you feel all of it
Deductible met20% coinsurance
Dayton General Hospital
Grays Harbor Community Hospital
$74$298 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Dayton General Hospital
Grays Harbor Community Hospital
$0the market goes blind

The gap is $372 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
Grays Harbor Community Hospital$120——$921
Mid Valley Hospital & Clinic$160———16
Multicare Auburn Medical Center$167———5
Multicare Covington Medical Center$167———5
Tacoma General Allenmore Hospital ● actual$176———6
Lincoln Hospital⚠ data flag$184———6
Jefferson Healthcare ● actual$185———13
Capital Medical Center$192———5
Kadlec Regional Medical Center$195———1
Island Hospital$209——$10915
Samaritan Hospital ● actual$221——$10942
Columbia Basin Hospital$221———7
Yakima Valley Memorial$223———5
Tri-State Memorial Hospital$225———18
Garfield County Public Hospital #1$238———10
Astria Toppenish Hospital$256——$1355
Multicare Valley Hospital$267———1
Kittitas Valley Community Hospital ● actual$276———4
St Elizabeth Hospital$285———8
Highline Medical Center$289——$1069
St Clare Hospital$289——$967
St Joseph Medical Center$289——$1057
St Francis Community Hospital$289——$1027
St Anthony Hospital$289——$1017
Evergreenhealth Medical Center$297——$10115
Summit Pacific Medical Center$300———7
Pullman Regional Hospital$303———21
Whidbeyhealth Medical Center ● actual$313———5
Whitman Hospital And Medical Center⚠ data flag$318———4
Arbor Health Morton Hospital ● actual$334———15
Skyline Hospital$342———10
St Michael Medical Center$386——$9112
Lake Chelan Community Hospital$389———10
Cascade Medical Center$426———9
Overlake Hospital Medical Center & Clinics$427———1
Prosser Memorial Hospital$435———2
Olympic Medical Center⚠ data flag$454——$20812
Forks Community Hospital$455———6
Dayton General Hospital$492———18

*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 →