CT abdomen and pelvis with contrastCPT 74177Imaging

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 21.4× price range across 75 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
$708
$1,063
$1,099
$1,112
$1,134
$1,287
$1,287
$1,628
$2,111
$2,184
$2,556
$3,462

The part you don’t feel

St Michael Medical Center $9,144vsMid Valley Hospital & Clinic $427 what you pay what your plan pays
Deductible not metearly in the plan year
St Michael Medical Center
Mid Valley Hospital & Clinic
$8,717you feel all of it
Deductible met20% coinsurance
St Michael Medical Center
Mid Valley Hospital & Clinic
$1,743$6,974 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
St Michael Medical Center
Mid Valley Hospital & Clinic
$0the market goes blind

The gap is $8,717 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
Dayton General Hospital⚠ data flag$176$35649%—1
Mid Valley Hospital & Clinic$427$356120%—16
Columbia Basin Hospital$436$356122%—7
Multicare Valley Hospital$651$389168%~$99727
Deaconess Medical Center$656$389169%~$79228
Harborview Medical Center$677$404167%—2
Island Hospital$708$389182%~$1,76822
Confluence Health Hospital ● actual$792$401197%~$53260
Peacehealth Southwest Medical Cente ● actual$847$389218%~$78913
Quincy Valley Medical Center ● actual$930$356261%—9
Capital Medical Center$982$404243%~$2,24830
Providence Regional Medical Center Everett$1,010$397254%—10
Yakima Valley Memorial ● actual$1,024$389263%~$1,27231
Evergreenhealth Medical Center ● actual$1,025$405253%~$1,07427
Prov Sacred Hrt Med Ctr & Childs Hosp.$1,032$389265%—10
Legacy Salmon Creek Medical Center$1,052$389271%—10
Valley Medical Center ● actual$1,063$405262%~$57460
Kadlec Regional Medical Center$1,073$389276%—7
Overlake Hospital Medical Center & Clinics$1,089$405269%—13
Trios Health ● actual$1,099$389283%~$1,8758
Swedish Issaquah$1,112$405275%—10
Skyline Hospital ● actual$1,134$356318%—10
Swedish Edmonds Hospital$1,146$397288%—11
Providence St Mary Medical Center$1,148$389295%—6
Providence Holy Family Hospital$1,197$389308%—9
University Of Washington Medical Ctr$1,241$404307%—11
Peacehealth St John Medical Center ● actual$1,259$389323%~$78911
Multicare Auburn Medical Center$1,263$405312%~$1,31831
Multicare Good Samaritan Hospital$1,263$407310%~$95831
Tacoma General Allenmore Hospital$1,263$407310%~$1,25731
Multicare Covington Medical Center$1,263$405312%~$1,50031
Kaiser Permanente Central Hospital$1,280$405316%~$1,1701
St Clare Hospital$1,287$407316%~$2,52715
St Joseph Medical Center$1,287$407316%~$2,76915
St Francis Community Hospital$1,287$405318%~$2,68015
St Anthony Hospital$1,287$407316%~$2,65415
Providence St Peter Hospital$1,293$401322%—12
Swedish Medical Center / Cherry Hill$1,348$404334%—11
Tri-State Memorial Hospital$1,362$356382%—18
Grays Harbor Community Hospital ● actual$1,365$389351%~$1,44612
Swedish Medical Center$1,418$404351%—14
Cascade Valley Hospital ● actual$1,459$397367%~$1,15911
Cascade Medical Center$1,534$356430%—9
Highline Medical Center$1,603$405396%~$2,79414
St Elizabeth Hospital$1,628$356457%—15
Lourdes Medical Center ● actual$1,628$356457%—20
Garfield County Public Hospital #1$1,808$356507%—10
Lake Chelan Community Hospital ● actual$1,829$356513%—11
Virginia Mason Medical Center$1,918$405473%~$1,14910
Samaritan Hospital ● actual$2,111$389543%~$93256
Snoqualmie Valley Hospital ● actual$2,147$356602%—10
Jefferson Healthcare ● actual$2,184$356613%—13
Pullman Regional Hospital ● actual$2,232$356626%—25
Whitman Hospital And Medical Center ● actual$2,236$356627%—10
Newport Community Hospital$2,275$356638%—12
Providence Centralia Hospital$2,307$404571%—8
Peacehealth St Joseph Medical Center ● actual$2,522$389649%~$6639
Lincoln Hospital ● actual$2,556$356717%—19
Peacehealth United General Medical Center ● actual$2,646$356742%—8
Mason General Hospital & Family Of Clinics ● actual$2,843$356798%—5
Arbor Health Morton Hospital ● actual$2,851$356800%—17
Olympic Medical Center⚠ data flag$2,950$389759%~$1,35112
Othello Community Hospital ● actual$3,035$356852%—24
Astria Toppenish Hospital$3,075$389791%~$3,53012
Peacehealth Peace Island Medical Center ● actual$3,461$356971%—3
Coulee Medical Center$3,462$356971%—19
Evergreenhealth Monroe ● actual$3,694$397930%~$2,12624
Forks Community Hospital$3,748$3561052%—7
Astria Sunnyside Hospital ● actual$3,982$3561117%—14
Ocean Beach Hospital$3,995$3561121%—4
Willapa Harbor Hospital ● actual$4,136$3561160%—2
Skagit Valley Hospital ● actual$4,139$3891065%~$1,46111
Whidbeyhealth Medical Center ● actual$4,491$3561260%—5
Prosser Memorial Hospital$4,623$3561297%—15
Summit Pacific Medical Center ● actual$4,948$3561388%—8
Kittitas Valley Community Hospital ● actual$5,448$3561529%—7
St Michael Medical Center ● actual$9,144$4022276%~$2,40015

*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 →