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 2.0× price range across 8 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
$132,730

The part you don’t feel

Lutheran Hospital Of Indiana $137,529vsNorthwest Health - Porter $68,811 what you pay what your plan pays
Deductible not metearly in the plan year
Lutheran Hospital Of Indiana
Northwest Health - Porter
$68,718you feel all of it
Deductible met20% coinsurance
Lutheran Hospital Of Indiana
Northwest Health - Porter
$13,744$54,975 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lutheran Hospital Of Indiana
Northwest Health - Porter
$0the market goes blind

The gap is $68,718 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
Schneck Medical Center⚠ data flag$12,648$51,12725%—6
Northwest Health - Porter$68,811$51,127135%—4
Dukes Memorial Hospital$70,790$51,127138%—3
Kosciusko Community Hospital$75,214$51,127147%—6
Bluffton Regional Medical Center$79,638$51,127156%—9
Good Samaritan Hospital$110,187$51,127216%—3
Dupont Hospital$132,730$51,127260%—12
The Orthopaedic Hospital Of Lutheran Health Networ$132,730$51,127260%—12
Lutheran Hospital Of Indiana$137,529$51,127269%—12

*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 15–16, 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 →