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 4618.8× price range across 24 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
$75,328
$136,861
$140,047
$175,327
$186,010
$193,301
$209,614
$209,614
$212,162

The part you don’t feel

St Michael Medical Center $233,248vsColumbia Basin Hospital $50 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Columbia Basin Hospital
$233,198you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Columbia Basin Hospital
$46,640$186,558 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
St Michael Medical Center
Columbia Basin Hospital
$0the market goes blind

The gap is $233,198 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
Columbia Basin Hospital$50———1
Coulee Medical Center$309———1
Newport Community Hospital$584———4
Mid Valley Hospital & Clinic$765———11
Prosser Memorial Hospital$57,907———1
Tri-State Memorial Hospital$69,174———2
Island Hospital$75,328———5
Multicare Valley Hospital$128,178———21
Yakima Valley Memorial$136,861———23
Deaconess Medical Center$140,047———21
Capital Medical Center$175,327———23
Peacehealth Southwest Medical Cente$177,108———3
St Elizabeth Hospital$186,010———10
Multicare Auburn Medical Center$192,715———24
Multicare Good Samaritan Hospital$192,715———24
Tacoma General Allenmore Hospital$192,715———24
Multicare Covington Medical Center$192,715———24
Highline Medical Center$193,301———10
St Clare Hospital$209,614———14
St Joseph Medical Center$209,614———14
St Francis Community Hospital$209,614———14
St Anthony Hospital$212,162———14
Virginia Mason Medical Center$225,710———9
St Michael Medical Center$233,248———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 →