MRI brain with and without contrastCPT 70553Imaging

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 12.1× price range across 70 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
$749
$920
$1,063
$1,112
$1,287
$1,287
$1,628
$1,836
$2,021
$3,221
$3,777

The part you don’t feel

Forks Community Hospital $5,475vsColumbia Basin Hospital $453 what you pay what your plan pays
Deductible not metearly in the plan year
Forks Community Hospital
Columbia Basin Hospital
$5,021you feel all of it
Deductible met20% coinsurance
Forks Community Hospital
Columbia Basin Hospital
$1,004$4,017 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Forks Community Hospital
Columbia Basin Hospital
$0the market goes blind

The gap is $5,021 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
Coulee Medical Center⚠ data flag$200$35656%—1
Columbia Basin Hospital$453$356127%—7
Mid Valley Hospital & Clinic$489$356137%—16
Astria Toppenish Hospital$617$389159%~$67312
Multicare Valley Hospital$651$389168%~$1,80127
Deaconess Medical Center$656$389169%~$1,43128
Harborview Medical Center$677$404168%—2
Island Hospital$749$389193%~$1,87721
Grays Harbor Community Hospital ● actual$841$389216%~$9677
Lourdes Medical Center ● actual$860$356241%—12
Peacehealth Southwest Medical Cente ● actual$863$389222%~$1,35212
Trios Health$920$389237%~$2,0736
Capital Medical Center$982$404243%~$2,13130
Providence Regional Medical Center Everett$1,011$397254%—10
Yakima Valley Memorial$1,024$389263%~$94831
Evergreenhealth Medical Center ● actual$1,025$405253%~$1,29027
Prov Sacred Hrt Med Ctr & Childs Hosp.$1,032$389265%—10
Legacy Salmon Creek Medical Center$1,052$389270%—10
Valley Medical Center ● actual$1,063$405262%~$60159
Kadlec Regional Medical Center$1,073$389276%—7
Overlake Hospital Medical Center & Clinics$1,089$405269%—13
Swedish Issaquah$1,112$405275%—10
Swedish Edmonds Hospital$1,146$397288%—11
Providence St Mary Medical Center$1,148$389295%—6
Peacehealth St John Medical Center ● actual$1,167$389300%~$1,6148
Providence Holy Family Hospital$1,197$389308%—9
University Of Washington Medical Ctr$1,241$404307%—11
Multicare Auburn Medical Center$1,263$405312%~$1,25531
Multicare Good Samaritan Hospital$1,263$407310%~$91231
Tacoma General Allenmore Hospital$1,263$407310%~$1,19731
Multicare Covington Medical Center$1,263$405312%~$1,42831
Kaiser Permanente Central Hospital$1,280$405316%~$9101
Cascade Medical Center$1,285$356360%—9
St Clare Hospital$1,287$407316%~$1,19415
St Joseph Medical Center$1,287$407316%~$1,30815
St Francis Community Hospital$1,287$405318%~$1,26615
St Anthony Hospital$1,287$407316%~$1,25415
Providence St Peter Hospital$1,293$401322%—12
Swedish Medical Center / Cherry Hill$1,348$404334%—11
Swedish Medical Center$1,418$404351%—14
Quincy Valley Medical Center$1,435$356403%—9
Highline Medical Center$1,603$405396%~$1,32014
Tri-State Memorial Hospital$1,624$356456%—18
St Elizabeth Hospital$1,628$356457%—15
Virginia Mason Medical Center$1,630$405402%~$90010
Samaritan Hospital ● actual$1,836$389472%~$81156
Astria Sunnyside Hospital ● actual$1,883$356528%—14
Cascade Valley Hospital ● actual$1,948$397490%~$1,16211
Jefferson Healthcare ● actual$2,021$356567%—13
Providence Centralia Hospital$2,307$404571%—8
Arbor Health Morton Hospital$2,353$356660%—17
Snoqualmie Valley Hospital$2,437$356684%—10
Peacehealth St Joseph Medical Center ● actual$2,522$389649%~$1,0075
Lake Chelan Community Hospital$2,576$356723%—11
Mason General Hospital & Family Of Clinics ● actual$2,590$356727%—4
Confluence Health Hospital ● actual$2,646$401659%~$1,30830
Othello Community Hospital$3,050$356856%—24
Newport Community Hospital$3,056$356857%—12
Skyline Hospital$3,221$356904%—10
Pullman Regional Hospital ● actual$3,272$356918%—25
Evergreenhealth Monroe ● actual$3,518$397885%~$2,02524
Whidbeyhealth Medical Center ● actual$3,746$3561051%—5
Lincoln Hospital$3,777$3561060%—19
Whitman Hospital And Medical Center ● actual$3,906$3561096%—10
Olympic Medical Center⚠ data flag$3,940$3891013%~$1,80512
Ocean Beach Hospital$4,102$3561151%—4
Summit Pacific Medical Center$4,198$3561178%—8
St Michael Medical Center$4,320$4021075%~$1,13415
Skagit Valley Hospital ● actual$4,415$3891136%~$1,55811
Prosser Memorial Hospital$4,645$3561303%—15
Kittitas Valley Community Hospital ● actual$4,879$3561369%—7
Forks Community Hospital ● actual$5,475$3561536%—7

*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 →