Cervical spinal fusion, no CC/MCCMS-DRG 473Orthopedics

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 2.2× 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
$28,163
$33,546
$35,000
$41,633
$47,613
$49,199

The part you don’t feel

Medical College Of Virginia Hospitals $61,138vsLewisgale Hospital Pulaski $27,553 what you pay what your plan pays
Deductible not metearly in the plan year
Medical College Of Virginia Hospitals
Lewisgale Hospital Pulaski
$33,585you feel all of it
Deductible met20% coinsurance
Medical College Of Virginia Hospitals
Lewisgale Hospital Pulaski
$6,717$26,868 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Medical College Of Virginia Hospitals
Lewisgale Hospital Pulaski
$0the market goes blind

The gap is $33,585 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
Lewisgale Hospital Pulaski$27,553$16,343169%—5
Lewisgale Hospital Alleghany$27,553$16,343169%—6
Spotsylvania Regional Medical Center$27,553$16,343169%—12
Stafford Hospital$28,163$16,343172%—8
Mary Washington Hospital$30,162$16,343185%—8
Virginia Hospital Center$30,528$16,761182%—9
Cjw Medical Center$33,546$16,343205%—16
Lewisgale Hospital Montgomery$34,109$16,343209%—10
Henrico Doctors' Hospital$34,201$16,343209%—16
John Randolph Medical Center$34,507$16,343211%—16
Reston Hospital Center$35,000$16,343214%—13
Mary Immaculate Hospital$35,560$16,343218%—6
Community Memorial Hospital$35,824$16,343219%—3
Lewisgale Medical Center$35,832$16,343219%—12
Stonesprings Hospital Center$36,764$16,343225%—13
Vcu Health Tappahannock Hospital$37,372$16,343229%—4
Centra Health - Lynchburg Gen Hospital$38,873$16,343238%—2
Sovah Health Danville$41,633$16,343255%—3
Riverside Shore Memorial Hospital$45,091$16,343276%—6
Riverside Regional Medical Center$45,091$16,343276%—6
Riverside Walter Reed Hospital$45,091$16,343276%—6
Riverside Doctors' Hospital Of Williamsburg$45,091$16,343276%—6
Uva Health Haymarket Medical Center$45,293$16,343277%$39,98613
Inova Alexandria Hospital$47,455$16,343290%—15
Inova Mount Vernon Hospital$47,455$16,343290%—15
Inova Loudoun Hospital$47,613$16,343291%—15
Uva Health Culpeper Medical Center$48,360$16,343296%$39,5005
Inova Fair Oaks Hospital$48,508$16,343297%—15
Inova Fairfax Hospital$49,199$16,343301%—15
University Of Virginia Medical Center$50,213$23,933210%$25,76417
Bon Secours St Marys Hospital$56,748$16,343347%—9
Bon Secours Memorial Regional Medical Center$56,748$16,343347%—9
Bon Secours St Francis Medical Center$56,748$16,343347%—9
Medical College Of Virginia Hospitals$61,138$16,343374%—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.
Something look wrong on this page? Tell us.
Thank you. A person reads every one of these.
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 →