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Social Intelligence Labs · Price Transparency

What a hospital actually charges

Federal rules make every U.S. hospital post its prices: the cash rate and the rate each insurer negotiated. Pick a procedure, type your ZIP, and see who is cheapest near you and how far the price moves across town.

CPT 70551 · Outpatient
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Showing 8 hospitals near 80202 (Denver, CO). Nearest is 1 mi away.
Brain MRI (no contrast) · nearest hospitals
3.0×
price spread
$175
UNM Hospital
cheapest near you
+$350
$525
UCHealth Anschutz
most expensive

What each price means

median across sampled hospitals
GROSSchargemaster sticker
$1,525
CASHself-pay · 46% of gross
$700
NEGOTIATEDtypical commercial · 50% of gross
$763
MEDICAREMedicare FFS
$325

Almost nobody pays the gross charge. Brain MRI (no contrast) lands at the cash or negotiated rate, both a fraction of the sticker. Medicare sits below either.

Price distribution

best price per hospital (8 shown)

The amber bar is the cheapest band. Most hospitals sit above the floor, and the few on the right are why the same procedure can cost a multiple more a short drive away.

Every hospital, nearest first

cash price vs negotiated vs sticker
HospitalMilesCashBest insuredGross chargevs floor
Denver HealthDenver Health · Denver, CO1$325$250Medicare$1,025$250
Saint JosephIntermountain · Denver, CO1$725$300Medicare$1,400$300
Rose MedicalHealthONE · Denver, CO3$1,325$475Medicare$2,325$475
Swedish MedicalHealthONE · Englewood, CO6$1,000$450Medicare$1,800$450
UCHealth AnschutzUCHealth · Aurora, CO8$1,125$525Medicare$2,100$525
Cheyenne RegionalCheyenne Regional · Cheyenne, WY97$650$275Medicare$1,150$275
Presbyterian ABQPresbyterian Healthcare · Albuquerque, NM334$750$350Medicare$1,400$350
UNM HospitalUNM Health · Albuquerque, NM334$250$175Medicare$800$175

Biggest price spreads by procedure

cheapest vs priciest, all sampled hospitals

Cash vs insured

median self-pay price vs typical negotiated rate
MRI brain — without contrast
CASH$700
INSURED$763
cash beats insurance at 41% of these hospitals
MRI knee — without contrast
CASH$650
INSURED$675
cash beats insurance at 38% of these hospitals
MRI lumbar spine — without contrast
CASH$725
INSURED$738
cash beats insurance at 41% of these hospitals
CT head — without contrast
CASH$530
INSURED$548
cash beats insurance at 41% of these hospitals
CT abdomen & pelvis — with contrast
CASH$900
INSURED$938
cash beats insurance at 43% of these hospitals
X-ray chest — 2 views
CASH$145
INSURED$150
cash beats insurance at 40% of these hospitals
Mammogram — screening
CASH$185
INSURED$185
cash beats insurance at 41% of these hospitals
Ultrasound — abdomen, complete
CASH$270
INSURED$275
cash beats insurance at 39% of these hospitals
EKG — 12-lead with interpretation
CASH$105
INSURED$105
cash beats insurance at 39% of these hospitals
Colonoscopy — diagnostic
CASH$1,350
INSURED$1,400
cash beats insurance at 41% of these hospitals
Sleep study — in-lab polysomnography
CASH$1,450
INSURED$1,463
cash beats insurance at 40% of these hospitals
Physical therapy — therapeutic exercise (per visit)
CASH$85
INSURED$93
cash beats insurance at 45% of these hospitals
Cataract surgery — one eye, with lens
CASH$2,400
INSURED$2,438
cash beats insurance at 34% of these hospitals
Knee replacement — total
CASH$22,150
INSURED$22,075
cash beats insurance at 40% of these hospitals
Hip replacement — total
CASH$22,150
INSURED$22,825
cash beats insurance at 39% of these hospitals
Childbirth — vaginal delivery
CASH$4,925
INSURED$5,100
cash beats insurance at 43% of these hospitals
Childbirth — cesarean section
CASH$7,550
INSURED$7,925
cash beats insurance at 44% of these hospitals
Appendectomy — laparoscopic
CASH$10,150
INSURED$10,450
cash beats insurance at 43% of these hospitals

How this works

read before you trust a number
01

Coverage

181 real hospitals across 74 metros in 51 states and DC. Any 5-digit U.S. ZIP resolves through its 3-digit region to a coordinate, then we rank the closest hospitals by distance. A valid ZIP never returns nothing.

02

The four prices

Each line carries a gross (chargemaster) charge, a discounted cash price, payer-specific negotiated rates, and Medicare. Cash and negotiated rates discount off the gross independently, which is why a hospital's cash price can land below some insurance rates.

03

Where the numbers come from

Prices are generated inside the public ranges these procedures show in real machine-readable files, scaled by each hospital's ownership and a stable per-site factor. They are a realistic sample, not a live feed. Confirm with the hospital before you act.

04

Swapping in live data

The loader returns a typed dataset. A real pipeline reads normalized files (or CMS Medicare provider-charge data) at request time on the server and returns the same shape, with no change to this page.

Source: CMS Hospital Price Transparency SAMPLE

This is a curated sample, not live machine-readable files. It covers 18 shoppable procedures at 181 real hospitals across 74 metros in 51 states and DC. Hospital names and locations are real; prices are generated inside the ranges these procedures actually show in published files, so treat the figures as illustrative and confirm with the hospital before you rely on them. The loader is typed so a real file normalizer drops in without touching this page.