Excision of breast lesionCPT 19120General surgery

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 5.5× price range across 18 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

The part you don’t feel

Carlsbad Medical Center $20,624vsLovelace Women'S Hospital $3,751 what you pay what your plan pays
Deductible not metearly in the plan year
Carlsbad Medical Center
Lovelace Women'S Hospital
$16,873you feel all of it
Deductible met20% coinsurance
Carlsbad Medical Center
Lovelace Women'S Hospital
$3,375$13,499 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Carlsbad Medical Center
Lovelace Women'S Hospital
$0the market goes blind

The gap is $16,873 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
Unm Hospital⚠ data flag$395$3,87610%$2,2513
Sierra Vista Hospital⚠ data flag$1,102$4,00028%7
Cibola General Hospital⚠ data flag$1,309$4,00033%14
Rehoboth Mckinley Christian Health Care Services⚠ data flag$1,377$4,00034%13
Artesia General Hospital⚠ data flag$1,387$3,87636%$70518
Lovelace Women'S Hospital$3,751$3,87697%$7435
Christus Southern New Mexico$3,894$3,876100%8
Christus St Vincent Regional Medical Center$4,041$4,09099%21
Union County General Hospital$4,641$4,000116%3
Covenant Health Hobbs Hospital$4,855$3,884125%1
Holy Cross Hospital A Div Of Taos Health Systems$4,908$4,000123%1
Lovelace Westside Hospital$7,342$3,876189%$1,6305
Presbyterian Hospital$8,099$3,876209%4
Presbyterian Espanola Hospital$8,647$3,948219%3
Memorial Medical Center$11,512$3,876297%1
Lovelace Regional Hospital - Roswell$12,072$3,876311%$3,7708
Plains Regional Medical Center$12,791$3,876330%3
Presbyterian Santa Fe Medical Center$12,791$4,090313%3
Socorro General Hospital$12,791$4,000320%2
Dr Dan C Trigg Memorial Hospital$12,791$4,000320%2
Lincoln County Medical Center$12,791$4,000320%2
Mountain View Regional Medical Center$15,975$3,876412%$4,96320
Carlsbad Medical Center$20,624$3,876532%$5,28524

*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 →