Hospital Price Engine

Spinal fusion except cervical, no MCCMS-DRG 460Orthopedics

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 2.2× price range across 2 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
Memorial Medical Center1 plans
$24,303
Los Alamos Medical Center2 plans
$53,272

The part you don’t feel

Los Alamos Medical Center $53,272vsMemorial Medical Center $24,303 what you pay what your plan pays
Deductible not metearly in the plan year
Los Alamos Medical Center
Memorial Medical Center
$28,969you feel all of it
Deductible met20% coinsurance
Los Alamos Medical Center
Memorial Medical Center
$5,794$23,175 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Los Alamos Medical Center
Memorial Medical Center
$0the market goes blind

The gap is $28,969 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
Memorial Medical Center$24,303$25,41396%—1
Los Alamos Medical Center$53,272$25,413210%—2

*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 →