Major joint replacement (hip/knee), no MCCMS-DRG 470Orthopedics

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
$32,791
$33,541
$34,570
$34,630
$36,368
$42,686
$42,686

The part you don’t feel

St Michael Medical Center $45,569vsProsser Memorial Hospital $11,313 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$34,256you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$6,851$27,405 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 $34,256 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⚠ data flag$50$13,0450%—1
Coulee Medical Center⚠ data flag$123$13,0451%—1
Newport Community Hospital⚠ data flag$234$13,0452%—4
Mid Valley Hospital & Clinic⚠ data flag$306$13,0452%—11
Prosser Memorial Hospital$11,313$13,04587%—1
Tri-State Memorial Hospital$17,584$13,045135%—2
Multicare Valley Hospital$24,852$11,383218%—21
Deaconess Medical Center$27,153$13,076208%—21
Skagit Valley Hospital$27,305$15,515176%$29,3814
Island Hospital$32,791$15,053218%—5
Yakima Valley Memorial$33,541$14,176237%—23
Capital Medical Center$34,570$13,045265%—23
Valley Medical Center$34,630$13,045265%$24,4471
Peacehealth Southwest Medical Cente$34,921$14,059248%—3
St Elizabeth Hospital$36,368$13,045279%—10
Multicare Auburn Medical Center$37,741$13,045289%—24
Multicare Good Samaritan Hospital$37,741$14,006269%—24
Tacoma General Allenmore Hospital$37,741$14,765256%—24
Multicare Covington Medical Center$37,741$13,045289%—24
Highline Medical Center$40,132$13,045308%—10
St Clare Hospital$42,686$13,118325%—14
St Joseph Medical Center$42,686$13,045327%—14
St Francis Community Hospital$42,686$13,045327%—14
St Anthony Hospital$42,686$13,651313%—14
Virginia Mason Medical Center$43,672$15,184288%—9
St Michael Medical Center$45,569$14,660311%—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 →