Hip and femur procedures except major joint, with CCMS-DRG 481Orthopedics

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.4× price range across 42 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
$24,515
$29,038
$32,953
$36,489
$41,730
$43,121
$46,208

The part you don’t feel

Lewisgale Hospital Pulaski $92,229vsBon Secours Southampton Memorial Hospital $20,876 what you pay what your plan pays
Deductible not metearly in the plan year
Lewisgale Hospital Pulaski
Bon Secours Southampton Memorial Hospital
$71,353you feel all of it
Deductible met20% coinsurance
Lewisgale Hospital Pulaski
Bon Secours Southampton Memorial Hospital
$14,271$57,082 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Lewisgale Hospital Pulaski
Bon Secours Southampton Memorial Hospital
$0the market goes blind

The gap is $71,353 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$20,876$13,876150%—18
Twin County Regional Hospital$22,662$13,876163%—4
Clinch Valley Medical Center$23,315$13,876168%—6
Stafford Hospital$24,515$13,876177%—7
Virginia Hospital Center$26,756$13,507198%—9
Mary Washington Hospital$27,183$13,662199%—7
Henrico Doctors' Hospital$28,964$12,180238%—16
Cjw Medical Center$29,038$12,801227%—16
John Randolph Medical Center$29,198$11,067264%—16
Spotsylvania Regional Medical Center$29,312$13,876211%—12
Bon Secours Southside Medical Center$30,142$12,546240%—21
Community Memorial Hospital$31,397$13,876226%—3
Vcu Health Tappahannock Hospital$32,754$13,876236%—4
Reston Hospital Center$32,953$13,463245%—13
Centra Health - Lynchburg Gen Hospital$33,351$13,820241%—2
Stonesprings Hospital Center$33,591$13,876242%—13
Sovah Health Danville$36,489$13,463271%—3
Bon Secours Harbour View Medical Center$37,012$13,876267%—24
Bon Secours Maryview Medical Center$37,598$15,950236%—22
Mary Immaculate Hospital$37,644$13,876271%—19
Lewisgale Medical Center$37,978$14,023271%—12
Uva Health Haymarket Medical Center$38,901$11,441340%$25,00013
Riverside Shore Memorial Hospital$39,520$13,876285%—6
Riverside Regional Medical Center$39,520$13,370296%—6
Riverside Walter Reed Hospital$39,520$13,876285%—6
Riverside Doctors' Hospital Of Williamsburg$39,520$13,876285%—6
Uva Health Culpeper Medical Center$41,490$13,809300%$26,1385
Inova Alexandria Hospital$41,591$13,813301%—15
Inova Mount Vernon Hospital$41,591$14,228292%—15
Inova Loudoun Hospital$41,730$13,290314%—15
Inova Fair Oaks Hospital$42,515$13,472316%—15
University Of Virginia Medical Center$42,652$20,225211%$24,12413
Inova Fairfax Hospital ● actual$43,121$15,113285%—15
Lewisgale Hospital Montgomery$44,255$15,155292%—10
Bon Secours St Francis Medical Center$44,914$13,594330%—22
Fauquier Hospital$46,208$12,127381%—3
Uva Health Prince William Medical Center$47,052$14,515324%$24,88313
Bon Secours Memorial Regional Medical Center$47,688$12,196391%—21
Medical College Of Virginia Hospitals$52,617$18,018292%—7
Bon Secours St Marys Hospital$56,256$13,483417%—23
Lewisgale Hospital Alleghany$65,842$13,876474%—6
Lewisgale Hospital Pulaski$92,229$13,876665%—5

*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 →