Spinal fusion except cervical, no MCCMS-DRG 460Orthopedics

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 2.9× price range across 18 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
$29,302
$71,177
$76,544
$80,502

The part you don’t feel

St Michael Medical Center $86,151vsIsland Hospital $29,302 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Island Hospital
$56,849you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Island Hospital
$11,370$45,479 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
St Michael Medical Center
Island Hospital
$0the market goes blind

The gap is $56,849 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
Island Hospital$29,302$25,413115%—1
Multicare Valley Hospital$48,310$25,413190%—5
Skagit Valley Hospital$51,274$25,413202%$54,0943
Deaconess Medical Center$52,784$25,413208%—5
Yakima Valley Memorial$53,346$25,413210%—4
St Elizabeth Hospital$71,177$25,413280%—3
St Clare Hospital$76,544$25,413301%—4
St Joseph Medical Center$76,544$25,413301%—4
St Francis Community Hospital$76,544$25,413301%—4
Capital Medical Center$79,194$23,648335%—5
Multicare Auburn Medical Center$79,425$25,413313%—5
Multicare Good Samaritan Hospital$79,425$25,413313%—5
Tacoma General Allenmore Hospital$79,425$25,413313%—5
Multicare Covington Medical Center$79,425$25,413313%—5
Virginia Mason Medical Center$80,251$30,343264%—6
St Anthony Hospital$80,502$25,413317%—4
Highline Medical Center$80,824$25,413318%—3
St Michael Medical Center$86,151$25,413339%—2

*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 →