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
$3,742 median · $1,199–$11,310
306% of Medicare24 hospitals
● 2 verified ⚠ 2
Major joint replacement (hip/knee), no MCCMS-DRG 470
$14,636 median · $8,509–$25,233
101% of Medicare10 hospitals
● reported
MRI brain with and without contrastCPT 70553
$2,726 median · $363–$9,060
789% of Medicare29 hospitals
● 6 verified
Cesarean section, no CC/MCCMS-DRG 788
$7,238 median · $4,003–$14,978
no benchmark11 hospitals
● 3 verified
ED visit, level 4CPT 99284
$1,126 median · $433–$4,580
273% of Medicare25 hospitals
● 8 verified
CT abdomen and pelvis with contrastCPT 74177
$2,880 median · $363–$9,808
808% of Medicare29 hospitals
● 9 verified

Browse by category 106 procedures

Cardiology 11Clinic 9Emergency 3GI 6General surgery 7Gynecology 1Imaging 13Lab 16Maternity 7Medicine 5Mental health 6Neurology 2Ophthalmology 2Orthopedics 9Pain 3Pulmonology 3Therapy 1Urology 2
Cardiology11 procedures · median 144% of MedicareCategory page →
Clinic9 proceduresCategory page →
Emergency3 procedures · median 273% of MedicareCategory page →
GI6 procedures · median 276% of MedicareCategory page →
General surgery7 procedures · median 177% of MedicareCategory page →
Gynecology1 procedure · median 95% of MedicareCategory page →
Imaging13 procedures · median 740% of MedicareCategory page →
Lab16 procedures · median 1132% of MedicareCategory page →
Maternity7 proceduresCategory page →
Medicine5 procedures · median 106% of MedicareCategory page →
Mental health6 procedures · median 225% of MedicareCategory page →
Neurology2 procedures · median 127% of MedicareCategory page →
Ophthalmology2 procedures · median 361% of MedicareCategory page →
Orthopedics9 procedures · median 118% of MedicareCategory page →
Pain3 procedures · median 278% of MedicareCategory page →
Pulmonology3 procedures · median 134% of MedicareCategory page →
Therapy1 procedureCategory page →
Urology2 procedures · median 103% 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 106 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 →