Bariatric (obesity) surgery, no CC/MCCMS-DRG 621General surgery

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 4.0× price range across 20 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
$11,615
$26,141
$27,034
$28,762
$30,946
$32,370

The part you don’t feel

St Michael Medical Center $35,329vsProsser Memorial Hospital $8,771 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Prosser Memorial Hospital
$26,558you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Prosser Memorial Hospital
$5,312$21,247 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 $26,558 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$8,771$8,272106%—1
Island Hospital$11,615$8,272140%—3
Tri-State Memorial Hospital$14,732$8,272178%—2
Multicare Valley Hospital$20,039$8,272242%—21
Deaconess Medical Center$21,895$10,151216%—21
Yakima Valley Memorial$26,141$8,272316%—23
Capital Medical Center$27,034$8,272327%—23
Peacehealth Southwest Medical Cente$27,308$8,272330%—3
St Elizabeth Hospital$28,762$8,272348%—10
Multicare Auburn Medical Center$29,323$8,272354%—24
Multicare Good Samaritan Hospital$29,323$8,272354%—24
Tacoma General Allenmore Hospital$29,323$8,272354%—24
Multicare Covington Medical Center$29,323$8,272354%—24
Highline Medical Center$30,448$8,272368%—10
St Clare Hospital$30,946$8,272374%—14
St Joseph Medical Center$30,946$8,272374%—14
St Francis Community Hospital$30,946$5,353578%—14
St Anthony Hospital$32,370$8,272391%—14
Virginia Mason Medical Center$33,858$11,524294%—9
St Michael Medical Center$35,329$11,012321%—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 →