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. 300% means commercial plans pay triple that benchmark for the same care at the same hospital. The gap is negotiation, not quality. Full methodology →

Most looked up

Colonoscopy with biopsyCPT 45380
$1,729 median · $827–$5,063
143% of Medicare73 hospitals
● 13 verified ⚠ 17
Major joint replacement (hip/knee), no MCCMS-DRG 470
$21,298 median · $10,421–$62,513
170% of Medicare34 hospitals
● reported
MRI brain with and without contrastCPT 70553
$1,533 median · $219–$6,196
443% of Medicare108 hospitals
● 21 verified
Cesarean section, no CC/MCCMS-DRG 788
$8,074 median · $3,590–$13,936
no benchmark34 hospitals
● reported
ED visit, level 4CPT 99284
$740 median · $260–$3,826
175% of Medicare103 hospitals
● 40 verified ⚠ 8
CT abdomen and pelvis with contrastCPT 74177
$1,270 median · $213–$6,563
356% of Medicare109 hospitals
● 29 verified ⚠ 1

Browse by category 107 procedures

Cardiology 12Clinic 9Emergency 3GI 6General surgery 7Gynecology 1Imaging 13Lab 16Maternity 7Medicine 5Mental health 6Neurology 2Ophthalmology 2Orthopedics 9Pain 3Pulmonology 3Therapy 1Urology 2
Cardiology12 procedures · median 152% of MedicareCategory page →
Clinic9 proceduresCategory page →
Emergency3 procedures · median 181% of MedicareCategory page →
GI6 procedures · median 148% of MedicareCategory page →
General surgery7 procedures · median 133% of MedicareCategory page →
Gynecology1 procedure · median 100% of MedicareCategory page →
Imaging13 procedures · median 418% of MedicareCategory page →
Lab16 procedures · median 522% of MedicareCategory page →
Maternity7 proceduresCategory page →
Medicine5 procedures · median 143% of MedicareCategory page →
Mental health6 procedures · median 124% of MedicareCategory page →
Neurology2 procedures · median 191% of MedicareCategory page →
Ophthalmology2 procedures · median 175% of MedicareCategory page →
Orthopedics9 procedures · median 138% of MedicareCategory page →
Pain3 procedures · median 152% of MedicareCategory page →
Pulmonology3 procedures · median 170% of MedicareCategory page →
Therapy1 procedureCategory page →
Urology2 procedures · median 140% of MedicareCategory page →
● Verified = hospitals publishing actual paid amounts (835-derived, n≥11); ● reported = negotiated rates from the standard file; = data-flagged cells, shown but excluded from statistics.
Missing a procedure? We track 107 codes and add more every refresh. Request a procedure or DRG and we’ll triage it into the next data refresh.
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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 →