Heart failure with MCCMS-DRG 291Cardiology

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 2.7× price range across 48 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
$15,202
$20,102
$22,946
$26,242
$27,116
$29,058

The part you don’t feel

Bon Secours St Marys Hospital $34,482vsBon Secours Southampton Memorial Hospital $12,796 what you pay what your plan pays
Deductible not metearly in the plan year
Bon Secours St Marys Hospital
Bon Secours Southampton Memorial Hospital
$21,686you feel all of it
Deductible met20% coinsurance
Bon Secours St Marys Hospital
Bon Secours Southampton Memorial Hospital
$4,337$17,349 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Bon Secours St Marys Hospital
Bon Secours Southampton Memorial Hospital
$0the market goes blind

The gap is $21,686 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
Bon Secours Southampton Memorial Hospital$12,796$10,662120%—18
Wythe County Community Hospital$14,049$9,815143%—4
Twin County Regional Hospital$14,251$9,473150%—4
Clinch Valley Medical Center$14,661$8,663169%—6
Stafford Hospital$15,202$8,467180%—6
Bon Secours Southern Virginia Medical Center$15,737$8,962176%—18
Centra Bedford Memorial Hospital$15,985$9,178174%—2
Virginia Hospital Center$16,825$8,630195%—9
Southside Community Hospital$16,892$8,551198%—2
Mary Washington Hospital$17,348$8,476205%—6
Bon Secours Southside Medical Center$18,475$7,914233%—24
Community Memorial Hospital$19,744$8,669228%—3
John Randolph Medical Center$20,102$8,194245%—9
Cjw Medical Center$20,102$7,654263%—9
Henrico Doctors' Hospital$20,102$7,717260%—9
Centra Health - Lynchburg Gen Hospital$20,442$8,319246%—2
Vcu Health Tappahannock Hospital$20,598$10,418198%—4
Lewisgale Medical Center$20,738$8,653240%—9
Reston Hospital Center$20,738$8,288250%—6
Lewisgale Hospital Pulaski$20,738$9,423220%—5
Lewisgale Hospital Alleghany$20,738$9,264224%—6
Spotsylvania Regional Medical Center$20,738$8,712238%—5
Stonesprings Hospital Center$20,738$8,276251%—6
Medical College Of Virginia Hospitals$21,846$11,682187%—7
Bon Secours Harbour View Medical Center$22,686$8,962253%—17
Sovah Health Danville$22,946$8,392273%—3
Bon Secours Maryview Medical Center$23,045$8,882259%—26
Mary Immaculate Hospital$23,074$8,092285%—23
Uva Health Prince William Medical Center ● actual$23,818$9,207259%$11,01013
Uva Health Haymarket Medical Center$23,844$7,485319%$10,89713
Lewisgale Hospital Montgomery$24,464$9,547256%—7
Riverside Shore Memorial Hospital$24,852$8,190303%—6
Riverside Regional Medical Center$24,852$8,096307%—6
Riverside Walter Reed Hospital$24,852$7,574328%—6
Riverside Doctors' Hospital Of Williamsburg$24,852$7,076351%—6
Uva Health Culpeper Medical Center$25,431$9,238275%$8,4285
Inova Alexandria Hospital$25,967$9,164283%—15
Inova Mount Vernon Hospital$25,967$9,047287%—15
Inova Loudoun Hospital$26,242$8,454310%—15
University Of Virginia Medical Center ● actual$26,405$13,660193%$13,34017
Inova Fair Oaks Hospital ● actual$26,735$8,570312%—15
Inova Fairfax Hospital ● actual$27,116$9,714279%—15
Bon Secours St Francis Medical Center$27,530$8,052342%—26
Bon Secours Richmond Community Hospital$28,964$12,219237%—22
Fauquier Hospital$29,058$7,910367%—3
Bon Secours Memorial Regional Medical Center$29,230$7,900370%—25
Rappahannock General Hospital$30,889$8,962345%—2
Bon Secours St Marys Hospital$34,482$8,299415%—27

*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 →