Spinal fusion except cervical, with MCCMS-DRG 459Orthopedics

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 3.6× price range across 25 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
$85,722
$137,228
$137,228
$137,228
$137,228
$138,758
$176,974
$176,974
$176,974
$176,974
$176,974

The part you don’t feel

Palm Bay Hospital $176,974vsHca Florida Gulf Coast Hospital $49,255 what you pay what your plan pays
Deductible not metearly in the plan year
Palm Bay Hospital
Hca Florida Gulf Coast Hospital
$127,719you feel all of it
Deductible met20% coinsurance
Palm Bay Hospital
Hca Florida Gulf Coast Hospital
$25,544$102,175 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Palm Bay Hospital
Hca Florida Gulf Coast Hospital
$0the market goes blind

The gap is $127,719 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
Good Samaritan Medical Center⚠ data flag$21,210$51,12741%—2
St Mary'S Medical Center⚠ data flag$21,210$51,12741%—2
Hca Florida Gulf Coast Hospital$49,255$51,12796%—1
Larkin Community Hospital$77,112$51,127151%$46,22931
Jackson Health System$85,722$51,127168%$41,83117
Mease Dunedin Hospital$137,228$51,127268%—8
Morton Plant North Bay Hospital$137,228$51,127268%—8
St Anthonys Hospital$137,228$51,127268%—8
St Josephs Hospital$137,228$51,127268%—8
Bartow Regional Medical Center$137,228$51,127268%—8
Morton Plant Hospital$137,228$51,127268%—8
South Florida Baptist Hospital$137,228$51,127268%—8
Mease Countryside Hospital$137,228$51,127268%—8
Baycare Hospital Wesley Chapel$137,228$51,127268%—8
Winter Haven Hospital$138,758$51,127271%—9
Sarasota Memorial Hospital$157,968$51,127309%—3
Sarasota Memorial Hospital - Venice$162,897$51,127319%—3
Holmes Regional Medical Center$176,974$51,127346%—3
Parrish Medical Center$176,974$51,127346%—2
North Shore Medical Center$176,974$51,127346%—12
Mount Sinai Medical Center Of Florida$176,974$51,127346%—6
Hialeah Hospital$176,974$51,127346%—14
Cape Canaveral Hospital$176,974$51,127346%—3
Coral Gables Hospital$176,974$51,127346%—14
Palmetto General Hospital$176,974$51,127346%—13
Viera Hospital$176,974$51,127346%—3
Palm Bay Hospital$176,974$51,127346%—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 October 6, 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 →