Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419General surgery

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.0× price range across 23 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
$10,517
$23,408
$24,403
$25,020
$27,158
$28,036
$28,838

The part you don’t feel

St Michael Medical Center $31,844vsProsser Memorial Hospital $7,906 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$23,938you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$4,788$19,151 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 $23,938 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$7,906$8,97788%—1
Tri-State Memorial Hospital$10,017$8,977112%—2
Island Hospital$10,517$8,977117%—3
Pullman Regional Hospital$13,870$8,977155%—2
Multicare Valley Hospital$17,343$8,977193%—21
Skagit Valley Hospital ● actual$18,856$8,977210%$25,8234
Deaconess Medical Center$18,949$8,977211%—21
Yakima Valley Memorial$23,408$8,977261%—23
Capital Medical Center$24,403$8,977272%—23
Peacehealth Southwest Medical Cente$24,726$8,977275%—3
St Elizabeth Hospital$25,020$8,977279%—10
Highline Medical Center$26,002$8,977290%—10
Multicare Auburn Medical Center$26,047$8,977290%—24
Multicare Good Samaritan Hospital$26,047$8,977290%—24
Tacoma General Allenmore Hospital$26,047$9,937262%—24
Multicare Covington Medical Center$26,047$8,977290%—24
Valley Medical Center$27,158$8,977303%$25,8012
St Clare Hospital$28,036$8,977312%—14
St Joseph Medical Center$28,036$8,977312%—14
St Francis Community Hospital$28,036$8,977312%—14
St Anthony Hospital$28,838$8,977321%—14
Virginia Mason Medical Center$30,637$10,957280%—9
St Michael Medical Center$31,844$8,977355%—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 →