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 4.2× 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
$50,411

The part you don’t feel

Anderson County Hospital $176,974vsSalina Regional Health Center $42,615 what you pay what your plan pays
Deductible not metearly in the plan year
Anderson County Hospital
Salina Regional Health Center
$134,359you feel all of it
Deductible met20% coinsurance
Anderson County Hospital
Salina Regional Health Center
$26,872$107,487 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Anderson County Hospital
Salina Regional Health Center
$0the market goes blind

The gap is $134,359 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
Salina Regional Health Center$42,615$51,12783%$46,0912
Providence Medical Center$49,655$51,12797%2
Saint John Hospital$50,411$51,12799%5
Russell Regional Hospital$58,192$51,127114%1
Kansas City Orthopaedic Institute$62,892$51,127123%1
Centura St. Catherine-Dodge City$68,412$51,127134%1
Bob Wilson Memorial Hospital$75,875$51,127148%1
Anderson County Hospital$176,974$51,127346%1

*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.
Something look wrong on this page? Tell us.
Thank you. A person reads every one of these.
Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved August 21–22, 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 →