Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216Cardiology

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 933.8× price range across 34 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
$96,945
$107,054
$109,226
$114,211
$124,427
$194,103
$197,751
$200,569

The part you don’t feel

Medical College Of Virginia Hospitals $263,995vsBuchanan General Hospital $283 what you pay what your plan pays
Deductible not metearly in the plan year
Medical College Of Virginia Hospitals
Buchanan General Hospital
$263,712you feel all of it
Deductible met20% coinsurance
Medical College Of Virginia Hospitals
Buchanan General Hospital
$52,742$210,970 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Medical College Of Virginia Hospitals
Buchanan General Hospital
$0the market goes blind

The gap is $263,712 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
Buchanan General Hospital$283——$421
Spotsylvania Regional Medical Center$85,517———8
John Randolph Medical Center$96,945———12
Cjw Medical Center$96,945$61,779157%—12
Henrico Doctors' Hospital$96,945———12
Reston Hospital Center$107,054———9
Stonesprings Hospital Center$107,054———9
Lewisgale Medical Center$108,155———9
Lewisgale Hospital Montgomery$108,155———7
Lewisgale Hospital Pulaski$108,155———5
Lewisgale Hospital Alleghany$108,155———6
Mary Washington Hospital$109,226———14
Stafford Hospital$114,211———8
Virginia Hospital Center$124,427———10
Bon Secours Southside Medical Center$140,784———21
Community Memorial Hospital$146,040———3
Vcu Health Tappahannock Hospital$152,352———4
Centra Health - Lynchburg Gen Hospital$155,771———2
Bon Secours Maryview Medical Center$175,611———19
Uva Health Prince William Medical Center$181,500——$73,20812
Riverside Shore Memorial Hospital$183,820———6
Riverside Regional Medical Center$183,820———6
Riverside Walter Reed Hospital$183,820———6
Riverside Doctors' Hospital Of Williamsburg$183,820———6
Inova Alexandria Hospital$193,456———15
Inova Mount Vernon Hospital$193,456———15
Inova Loudoun Hospital$194,103———15
Inova Fair Oaks Hospital$197,751———15
Inova Fairfax Hospital$200,569$97,015207%—15
Bon Secours St Francis Medical Center$209,782———23
Bon Secours Memorial Regional Medical Center$222,735———17
University Of Virginia Medical Center$231,578——$134,77211
Bon Secours St Marys Hospital$262,756———20
Medical College Of Virginia Hospitals$263,995———7

*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 September 18, 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 →