Office visit, new patient, level 5CPT 99205Clinic

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.5× price range across 9 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
$190

The part you don’t feel

Mimbres Valley Medical Center $849vsNor-Lea Hospital $190 what you pay what your plan pays
Deductible not metearly in the plan year
Mimbres Valley Medical Center
Nor-Lea Hospital
$659you feel all of it
Deductible met20% coinsurance
Mimbres Valley Medical Center
Nor-Lea Hospital
$132$527 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Mimbres Valley Medical Center
Nor-Lea Hospital
$0the market goes blind

The gap is $659 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
Nor-Lea Hospital$1901
Roosevelt General Hospital$202$7511
Sierra Vista Hospital$2838
San Juan Regional Medical Center Inc ● actual$351$10820
Artesia General Hospital$545$29515
Union County General Hospital$5573
Rehoboth Mckinley Christian Health Care Services$57013
Cibola General Hospital ● actual$59411
Mimbres Valley Medical Center$8499

*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 →