Exc tr-ext b9 + marg 2.1 to 3.0 (CPT 11403)
11403 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
113 of 309 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Halifax Health Medical Center | Daytona Beach, FL | $0.01 | $0.01 | $739.49 | 0.0× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $0.01 | $0.01 | $739.49 | 0.0× |
| Foothills Hospital | Boulder, CO | $151.50 | $303 | $755.29 | 0.2× |
| East Morgan County Hospital | Brush, CO | $153.92 | $306 | $747 | 0.2× |
| Northwest Florida Community Hospital | Chipley, FL | $154 | $192.50 | $739.49 | 0.2× |
| Doctors Memorial Hospital | Bonifay, FL | $156.15 | $347 | $739.49 | 0.2× |
| Washakie Medical Center | Worland, WY | $183.29 | $306 | $723.47 | 0.3× |
| Memorial Hospital of Converse County | Douglas, WY | $192.94 | $338.50 | $723.47 | 0.3× |
| Johnson County Healthcare Center | Buffalo, WY | $204.09 | $204.09 | $723.47 | 0.3× |
| Memorial Hospital of Carbon County | Rawlins, WY | $223.50 | $298 | $723.47 | 0.3× |
| Prowers Medical Center | Lamar, CO | $256.80 | $428 | $747 | 0.3× |
| Baptist Hospital | Pensacola, FL | $271.35 | $1,809 | $739.49 | 0.4× |
| Rio Grande Hospital | Del Norte, CO | $312.15 | $416.20 | $747 | 0.4× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $315 | $350 | $747 | 0.4× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $327.50 | $327.50 | $723.47 | 0.5× |
| Crook County Medical Services District | Sundance, WY | $328.65 | $438.20 | $723.47 | 0.5× |
| Madison County Memorial Hospital | Madison, FL | $339.90 | $679.80 | $739.49 | 0.5× |
| South Lincoln Medical Center | Kemmerer, WY | $344.39 | $459.18 | $723.47 | 0.5× |
| Star Valley Medical Center | Afton, WY | $353.50 | $505 | $723.47 | 0.5× |
| Weisbrod Memorial County Hospital | Eads, CO | $370.80 | $618 | $747 | 0.5× |
| Niobrara County Hospital District | Lusk, WY | $376.80 | $471 | $723.47 | 0.5× |
| Estes Park Medical Center | Estes Park, CO | $384.75 | $513 | $747 | 0.5× |
| Southwest Memorial Hospital | Cortez, CO | $407 | $814 | $747 | 0.5× |
| Calhoun-Liberty Hospital | Blountstown, FL | $435.38 | $621.97 | $739.49 | 0.6× |
| Powell Valley Healthcare | Powell, WY | $443.02 | $521.20 | $723.47 | 0.6× |
| Montrose Regional Health | Montrose, CO | $454.12 | $605.50 | $747 | 0.6× |
| Jackson Hospital | Marianna, FL | $461 | $310 | $739.49 | 0.6× |
| Sheridan Memorial Hospital | Sheridan, WY | $471.20 | $589 | $723.47 | 0.7× |
| Lake Butler Hospital | Lake Butler, FL | $494.08 | $494.08 | $739.49 | 0.7× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $511 | $511 | $747 | 0.7× |
| Denver Health Medical Center | Denver, CO | $560.75 | $1,602.14 | $747 | 0.8× |
| Doctors Memorial Hospital | Perry, FL | $566.40 | $1,416 | $739.49 | 0.8× |
| San Luis Valley Health Regional Medical Center | Alamosa, CO | $605.55 | $1,101 | $747 | 0.8× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $623.90 | $734 | $747 | 0.8× |
| St. John's Medical Center | Jackson, WY | $630 | $630 | $723.47 | 0.9× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $634.90 | $907 | $739.49 | 0.9× |
| Larkin Community Hospital | South Miami, FL | $634.90 | $907 | $739.49 | 0.9× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $647 | $647 | $747 | 0.9× |
| Aspen Valley Hospital | Aspen, CO | $673.50 | $673.50 | $747 | 0.9× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $692 | $692 | $723.47‡ | 1.0× |
| Rangely District Hospital | Rangely, CO | $692.55 | $1,065.46 | $747 | 0.9× |
| Cody Regional Health | Cody, WY | $702.95 | $827 | $723.47 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $706.25 | — | $739.49 | 1.0× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $723.71 | $723.71 | $739.49 | 1.0× |
| Sublette County Health | Pinedale, WY | $726.30 | $807 | $723.47 | 1.0× |
| Wellington Regional Medical Center | Wellington, FL | $727.50 | $970 | $739.49 | 1.0× |
| Community Hospital Grand Junction | Grand Junction, CO | $756 | $1,350 | $747 | 1.0× |
| Family Health West Hospital | Fruita, CO | $780.50 | $1,115 | $747 | 1.0× |
| Sarasota Memorial Hospital | Sarasota, FL | $788.80 | $1,972 | $739.49 | 1.1× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $788.80 | $1,972 | $739.49 | 1.1× |
| Gunnison Valley Hospital | Gunnison, CO | $801.55 | $943 | $747 | 1.1× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $811.42 | $1,352.38 | $711.36 | 1.1× |
| UCHealth University of Colorado Hospital | Aurora, CO | $826.70 | $2,362 | $747 | 1.1× |
| Hendry Regional Medical Center | Clewiston, FL | $902.28 | $902.28 | $739.49 | 1.2× |
| Melissa Memorial Hospital | Holyoke, CO | $972.80 | $1,216 | $747 | 1.3× |
| Boca Raton Regional Hospital | Boca Raton, FL | $973.70 | $1,498 | $739.49 | 1.3× |
| Jackson Memorial Hospital | Miami, FL | $1,079 | $942 | $739.49 | 1.5× |
| Bethesda Hospital East | Boynton Beach, FL | $1,086.15 | $1,671 | $739.49 | 1.5× |
| Baptist Hospital of Miami | Miami, FL | $1,086.15 | $1,671 | $739.49 | 1.5× |
| South Miami Hospital | South Miami, FL | $1,086.15 | $1,671 | $739.49 | 1.5× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $1,086.80 | $1,672 | $739.49 | 1.5× |
| Desoto Memorial Hospital | Arcadia, FL | $1,090.50 | $2,181 | $739.49 | 1.5× |
| UF Health Leesburg Hospital | Leesburg, FL | $1,213.85 | $2,207 | $739.49 | 1.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $1,240.65 | $2,757 | $747 | 1.7× |
| MedStar Washington Hospital Center | Washington, DC | $1,270.04 | $1,953.90 | $753.99 | 1.7× |
| Flagler Hospital | Saint Augustine, FL | $1,342 | $2,440 | $739.49 | 1.8× |
| UF Health Shands Hospital | Gainesville, FL | $1,342 | $2,440 | $739.49 | 1.8× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $1,342 | $2,440 | $739.49 | 1.8× |
| Grand River Medical Center | Rifle, CO | $1,378 | $2,756 | $747 | 1.8× |
| UF Health Jacksonville | Jacksonville, FL | $1,379.81 | $2,508.74 | $739.49 | 1.9× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,466.01 | $2,443.35 | $711.36 | 2.1× |
| George Washington University Hospital | Washington, DC | $1,680 | $4,200 | $753.99 | 2.2× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $1,680 | $4,200 | $753.99 | 2.2× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $1,715.35 | $2,639 | $739.49 | 2.3× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $1,715.35 | $2,639 | $739.49 | 2.3× |
| Cleveland Clinic Hospital | Weston, FL | $1,715.35 | $2,639 | $739.49 | 2.3× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $1,719.58 | $4,647.50 | $739.49 | 2.3× |
| Middle Park Medical Center | Kremmling, CO | $1,820.22 | $2,275.26 | $747 | 2.4× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $2,101 | $4,202 | $711.36 | 3.0× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $2,190.80 | $5,477 | $739.49 | 3.0× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $2,190.80 | $5,477 | $739.49 | 3.0× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $2,190.80 | $5,477 | $739.49 | 3.0× |
| Orlando Health South Lake Hospital | Clermont, FL | $2,190.80 | $5,477 | $739.49 | 3.0× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $2,190.80 | $5,477 | $739.49 | 3.0× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $2,190.80 | $5,477 | $739.49 | 3.0× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $2,190.80 | $5,477 | $739.49 | 3.0× |
| Broward Health Medical Center | Fort Lauderdale, FL | $2,225.27 | $2,225.27 | $739.49 | 3.0× |
| Broward Health North | Pompano Beach, FL | $2,225.27 | $2,225.27 | $739.49 | 3.0× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $2,225.27 | $2,225.27 | $739.49 | 3.0× |
| Broward Health Coral Springs | Coral Springs, FL | $2,225.27 | $2,225.27 | $739.49 | 3.0× |
| Tampa General Hospital | Tampa, FL | $2,454.02 | $7,011.50 | $739.49 | 3.3× |
| AdventHealth Porter | Denver, CO | $3,540.13 | $3,540.13 | $747 | 4.7× |
| AdventHealth Avista | Louisville, CO | $3,540.13 | $3,540.13 | $755.29 | 4.7× |
| AdventHealth Littleton | Littleton, CO | $3,540.13 | $3,540.13 | $747 | 4.7× |
| AdventHealth Parker | Parker, CO | $3,540.13 | $3,540.13 | $747 | 4.7× |
| AdventHealth Castle Rock | Castle Rock, CO | $3,540.13 | $3,540.13 | $747 | 4.7× |
| AdventHealth Orlando | Orlando, FL | $3,570 | $3,570 | $739.49 | 4.8× |
| Cape Coral Hospital | Cape Coral, FL | $4,361.83 | $21,809.15 | $739.49 | 5.9× |
| Parkland Memorial Hospital | Dallas, TX | $4,628.51 | $11,571.27 | $711.36 | 6.5× |
| Gulf Coast Medical Center | Fort Myers, FL | $4,762.22 | $23,811.08 | $739.49 | 6.4× |
| Lee Memorial Hospital | Fort Myers, FL | $4,822.95 | $24,114.76 | $739.49 | 6.5× |
| Santa Rosa Medical Center | Milton, FL | $6,548.22 | $43,654.77 | $739.49 | 8.9× |
| AdventHealth Carrollwood | Tampa, FL | $7,165.65 | $7,165.65 | $739.49 | 9.7× |
| AdventHealth Tampa | Tampa, FL | $7,165.65 | $7,165.65 | $739.49 | 9.7× |
| AdventHealth Riverview | Riverview, FL | $7,165.65 | $7,165.65 | $739.49 | 9.7× |
| AdventHealth North Pinellas | Tarpon Springs, FL | $8,218.86 | $8,218.86 | $739.49 | 11.1× |
| North Okaloosa Medical Center | Crestview, FL | $8,561.02 | $47,561.24 | $739.49 | 11.6× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $9,254.26 | $44,067.91 | $739.49 | 12.5× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $14,285.33 | $20,407.62 | $739.49 | 19.3× |
| Holy Cross Hospital | Fort Lauderdale, FL | $31,307.95 | — | $739.49 | 42.3× |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $2,277.70 | $747 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $2,277.70 | $755.29 | — |
| North Walton Doctors Hospital | Defuniak Springs, FL | — | $33,127.18 | $739.49 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.