Major joint replacement (hip/knee), with MCCMS-DRG 469Orthopedics

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 2.9× price range across 23 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
$27,055
$27,206
$28,638
$28,778
$31,917

The part you don’t feel

Saint Luke'S South Hospital $62,513vsMorris County Hospital $21,232 what you pay what your plan pays
Deductible not metearly in the plan year
Saint Luke'S South Hospital
Morris County Hospital
$41,281you feel all of it
Deductible met20% coinsurance
Saint Luke'S South Hospital
Morris County Hospital
$8,256$33,024 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Saint Luke'S South Hospital
Morris County Hospital
$0the market goes blind

The gap is $41,281 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
Stormont Vail Health Flint Hills⚠ data flag$12,979$22,34658%5
Morris County Hospital$21,232$22,34695%3
Kansas Spine & Specialty Hospital$23,420$22,346105%2
Stormont Vail Hospital$25,585$22,346114%5
Anderson County Hospital$25,759$22,346115%4
Wesley Medical Center$27,055$23,249116%1
Saint John Hospital$27,206$22,346122%13
Salina Regional Health Center$27,374$22,346122%$21,5352
Hays Medical Center$28,638$22,346128%1
Amberwell Atchison$28,778$22,346129%3
Providence Medical Center$29,314$22,346131%14
Russell Regional Hospital$29,497$22,346132%1
Kansas Surgery & Recovery Center$29,893$22,346134%$22,5534
Kansas City Orthopaedic Institute$31,238$22,346140%8
Labette Health$31,917$22,346143%3
Centura St. Catherine-Dodge City$34,677$22,346155%1
Susan B Allen Memorial Hospital$34,828$22,346156%1
St. Catherine Hospital - Garden City$35,469$22,346159%1
Mercy Hospital Pittsburg$36,477$22,346163%$29,6654
Bob Wilson Memorial Hospital$38,460$22,346172%1
Southwest Medical Center$39,043$22,346175%3
Overland Park Reg Med Ctr$43,819$22,346196%5
Menorah Medical Center$51,998$22,346233%5
Saint Luke'S South Hospital$62,513$22,346280%$10,2653

*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 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 →