Simple pneumonia and pleurisy, with CCMS-DRG 194Pulmonology

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.0× price range across 22 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
$6,205
$12,485
$14,577
$14,821
$15,898
$18,686
$18,686

The part you don’t feel

St Michael Medical Center $19,818vsProsser Memorial Hospital $4,920 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$14,898you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$2,980$11,918 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
St Michael Medical Center
Prosser Memorial Hospital
$0the market goes blind

The gap is $14,898 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
Prosser Memorial Hospital$4,920$5,17795%—1
Island Hospital$6,205$5,177120%—3
Tri-State Memorial Hospital$6,872$5,177133%—2
Multicare Valley Hospital$10,859$5,177210%—21
Deaconess Medical Center$11,864$5,177229%—21
Skagit Valley Hospital$11,963$6,368188%$10,2134
Yakima Valley Memorial$12,485$5,177241%—23
Valley Medical Center$14,577$5,415269%$8,1362
Peacehealth Southwest Medical Cente$14,590$5,219280%—3
Capital Medical Center$14,821$5,177286%—23
St Elizabeth Hospital$15,898$5,177307%—10
Multicare Auburn Medical Center$16,449$5,177318%—24
Multicare Good Samaritan Hospital$16,449$5,119321%—24
Tacoma General Allenmore Hospital$16,449$5,177318%—24
Multicare Covington Medical Center$16,449$5,177318%—24
Highline Medical Center$17,938$5,177347%—10
St Clare Hospital$18,686$5,177361%—14
St Joseph Medical Center$18,686$5,177361%—14
St Francis Community Hospital$18,686$5,177361%—14
St Anthony Hospital$18,686$5,177361%—14
Virginia Mason Medical Center$18,993$6,720283%—9
St Michael Medical Center$19,818$5,177383%—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 16, 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 →