Family psychotherapy, with patientCPT 90847Mental health

Median commercial negotiated rate by hospital, from each hospital's own disclosure file. The same procedure spans a 8.1× price range across 42 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
$190
$294
$537

The part you don’t feel

Providence Centralia Hospital $879vsColumbia Basin Hospital $108 what you pay what your plan pays
Deductible not metearly in the plan year
Providence Centralia Hospital
Columbia Basin Hospital
$771you feel all of it
Deductible met20% coinsurance
Providence Centralia Hospital
Columbia Basin Hospital
$154$616 invisible to you
Out-of-pocket max reacheda bad year, or a big surgery
Providence Centralia Hospital
Columbia Basin Hospital
$0the market goes blind

The gap is $771 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$70$18139%—1
Astria Sunnyside Hospital⚠ data flag$77$18143%—13
Ocean Beach Hospital⚠ data flag$87$18148%—4
Columbia Basin Hospital$108$18160%—4
Lake Chelan Community Hospital$116$18164%—9
Lourdes Medical Center$116$18164%—1
Virginia Mason Medical Center⚠ data flag$118$20657%$5010
Forks Community Hospital$132$18173%—10
Mid Valley Hospital & Clinic$138$18176%—16
Tri-State Memorial Hospital$157$18187%—18
Astria Toppenish Hospital$163$19883%$9410
Skagit Valley Hospital$171$19886%$5111
Confluence Health Hospital$181$20489%$8924
Pullman Regional Hospital$183$181101%—24
Island Hospital$190$19896%$9922
Deaconess Medical Center$239$198121%—16
Dayton General Hospital$242$181133%—18
Summit Pacific Medical Center$264$181146%—8
Multicare Valley Hospital$292$198148%—16
Skyline Hospital$294$181162%—9
Whidbeyhealth Medical Center ● actual$298$181164%—5
Prosser Memorial Hospital$314$181173%—15
Cascade Medical Center$346$181191%—9
Evergreenhealth Medical Center$403$206195%$10219
Providence Regional Medical Center Everett$403$202199%—7
Capital Medical Center$407$206198%$8324
Yakima Valley Memorial$419$198212%$11126
Harborview Medical Center$438$206213%—1
Kadlec Regional Medical Center$439$198222%—6
Valley Medical Center$441$206214%$3740
Tacoma General Allenmore Hospital$443$207214%$10226
Legacy Salmon Creek Medical Center$457$198231%—4
Providence St Mary Medical Center$478$198241%—5
Multicare Auburn Medical Center$483$206234%$10726
Multicare Good Samaritan Hospital$483$207233%$7826
Multicare Covington Medical Center$483$206234%$12126
Prov Sacred Hrt Med Ctr & Childs Hosp.$486$198246%—8
Overlake Hospital Medical Center & Clinics$516$206250%—10
Providence Holy Family Hospital$519$198263%—7
Providence St Peter Hospital$522$204256%—10
University Of Washington Medical Ctr$534$206260%—9
Swedish Issaquah$537$206261%—8
Swedish Edmonds Hospital$552$202273%—8
Swedish Medical Center$570$206277%—13
Swedish Medical Center / Cherry Hill$584$206284%—10
Providence Centralia Hospital$879$206428%—6

*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 →