Hip and femur procedures except major joint, with CCMS-DRG 481Orthopedics

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
$16,128
$30,338
$37,538
$37,603
$39,944
$44,324
$45,487

The part you don’t feel

St Michael Medical Center $50,146vsProsser Memorial Hospital $12,449 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$37,697you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$7,539$30,157 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 $37,697 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$12,449$13,87690%—1
Island Hospital$16,128$13,876116%—3
Tri-State Memorial Hospital$16,959$13,876122%—2
Pullman Regional Hospital$21,270$13,876153%—2
Multicare Valley Hospital$27,403$14,951183%—21
Deaconess Medical Center$29,941$15,195197%—21
Skagit Valley Hospital$30,137$16,481183%$29,1134
Yakima Valley Memorial$30,338$15,713193%—23
Capital Medical Center$37,538$15,328245%—23
Valley Medical Center$37,603$15,073249%$30,2691
Peacehealth Southwest Medical Cente$37,919$15,928238%—3
St Elizabeth Hospital$39,944$13,876288%—10
Highline Medical Center$40,992$16,039256%—10
Multicare Auburn Medical Center$41,622$16,474253%—24
Multicare Good Samaritan Hospital$41,622$14,923279%—24
Tacoma General Allenmore Hospital$41,622$16,269256%—24
Multicare Covington Medical Center$41,622$13,876300%—24
St Clare Hospital$44,324$15,458287%—14
St Joseph Medical Center$44,324$14,318310%—14
St Francis Community Hospital$44,324$16,537268%—14
St Anthony Hospital$45,487$14,839307%—14
Virginia Mason Medical Center$48,526$18,367264%—9
St Michael Medical Center$50,146$17,013295%—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 →