Impression & Preparation Oral Surgical Splint (CPT 21085)
21085 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.
232 of 4255 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 | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $213.84 | 0.3× |
| Madison Memorial Hospital | Rexburg, ID | $63.75 | $85 | $233.99 | 0.3× |
| University of Michigan Health | Ann Arbor, MI | $111.60 | $279 | $236 | 0.5× |
| Essentia Health-St. Mary's Medical Center | Duluth, MN | $188.10 | $285 | $245.22 | 0.8× |
| Essentia Health-Duluth | Duluth, MN | $188.10 | $285 | $244.45 | 0.8× |
| University Hospital – UMMC | Jackson, MS | $204 | $510 | $213.84 | 1.0× |
| UMMC Madison | Canton, MS | $204 | $510 | $213.84 | 1.0× |
| Children's Hospital of The King's Daughters | Norfolk, VA | $204.07 | $226.74 | $231.09 | 0.9× |
| Harris Health range across 2 matching MRF lines |
Houston, TX | $230.17–$2,008 | $2,008 | $237.93 | varies |
| Lakeside Medical Center | Belle Glade, FL | $233.10 | — | $247.34 | 0.9× |
| Dallas Medical Center | Dallas, TX | $236 | $1,058 | $237.93 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $241.98 | — | $295.66 | 0.8× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $254.99 | — | $215.09 | 1.2× |
| Lima Memorial Health System | Lima, OH | $265.50 | $295 | $226.15 | 1.2× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $269.28 | $880 | $252.90 | 1.1× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $274.80 | $715.98 | $295.66 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $274.80 | $2,539.44 | $295.66 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $274.80 | $715.98 | $295.66 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $274.80 | $715.98 | $295.66 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $274.80 | $715.98 | $295.66 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $274.80 | $2,539.44 | $295.66 | 0.9× |
| Bellevue Hospital Center | New York, NY | $274.80 | $2,539.44 | $295.66 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $274.80 | $2,539.44 | $295.66 | 0.9× |
| Harlem Hospital Center | New York, NY | $274.80 | $715.98 | $295.66 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $274.80 | $2,539.44 | $295.66 | 0.9× |
| Griffin Hospital | Derby, CT | $277.61 | — | $283.94 | 1.0× |
| Highland Hospital | Rochester, NY | $281.14 | — | $295.66 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $281.14 | — | $295.66 | 1.0× |
| Summit Medical Center, LLC | Edmond, OK | $282.74 | — | $227.80 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $290.65 | — | $252.74 | 1.1× |
| Nebraska Medical Center range across 3 matching MRF lines |
Omaha, NE | $293.80–$3,469.05 | $452–$5,337 | $245.94 | varies |
| Bellevue Medical Center range across 3 matching MRF lines |
Bellevue, NE | $293.80–$3,469.05 | $452–$5,337 | $245.94 | varies |
| Ellis Hospital range across 3 matching MRF lines |
Schenectady, NY | $294–$932.50 | $588–$1,865 | $295.66 | varies |
| Nyack Hospital | Nyack, NY | $295.66 | — | $295.66 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $295.66 | — | $295.66 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $296.14 | — | $227.23 | 1.3× |
| UNM Hospital | Albuquerque, NM | $297.10 | $540.18 | $234.47 | 1.3× |
| Legent Orthopedic Hospital | Carrollton, TX | $297.90 | $6,763.20 | $238.32 | 1.3× |
| Wetzel County Hospital | New Martinsville, WV | $298 | $596 | $227.20 | 1.3× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $302.72 | $1,376 | $295.66 | 1.0× |
| Touro | New Orleans, LA | $312.76 | $2,234 | $222.32 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $325.68 | — | $236 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $325.68 | $586 | $236 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $325.68 | — | $236 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $325.68 | $586 | $236 | 1.4× |
| United Hospital Center | Bridgeport, WV | $326 | $652 | $229.10 | 1.4× |
| Camden Clark Medical Center | Parkersburg, WV | $326 | $652 | $227.20 | 1.4× |
| Stanford Health Care | Stanford, CA | $346.40 | $866 | $348.37 | 1.0× |
| University of Illinois Hospital and Clinics | Chicago, IL | $347.40 | $1,158 | $253.81 | 1.4× |
| Unity Health - White County Medical Center | Searcy, AR | $371 | $1,484 | $215.66 | 1.7× |
| Unity Health - Jacksonville | Jacksonville, AR | $371 | $1,484 | $222.54 | 1.7× |
| Unity Health - Newport | Newport, AR | $371 | $1,484 | $215.66 | 1.7× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $373.88 | $1,745 | $241.98 | 1.5× |
| West Jefferson Medical Center | Marrero, LA | $375.68 | $2,348 | $222.32 | 1.7× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $382 | $1,272 | $237.93 | 1.6× |
| Memorial Sloan Kettering Cancer Center | New York, NY | $389 | $389 | $295.66 | 1.3× |
| Reynolds Memorial Hospital | Glen Dale, WV | $394.50 | $789 | $227.20 | 1.7× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $404 | $808 | $229.10 | 1.8× |
| Duke University Hospital | Durham, NC | $429.57 | $1,591 | $235.68 | 1.8× |
| Ochsner Rush Medical Center | Meridian, MS | $468.30 | $1,338 | $209.15 | 2.2× |
| Duncan Regional Hospital, Inc | Duncan, OK | $473.44 | — | $227.80 | 2.1× |
| Vandalia Health Mon Medical Center | Morgantown, WV | $510.30 | $1,020.59 | $229.10 | 2.2× |
| Vandalia Health Mon Marion Neighborhood Hospital | White Hall, WV | $510.30 | $1,020.59 | $227.20 | 2.2× |
| Yale New Haven Hospital | New Haven, CT | $510.76 | $865.69 | $283.94 | 1.8× |
| Same Day Surgery Center LLC | Rapid City, SD | $510.89 | $638.61 | $241.98 | 2.1× |
| Contra Costa Regional Medical Center range across 2 matching MRF lines |
Martinez, CA | $525–$683 | $525–$683 | $334.45 | varies |
| St. Clare Hospital | Lakewood, WA | $531.52 | $1,844 | $276.42 | 1.9× |
| University Medical Center New Orleans | New Orleans, LA | $545.82 | $2,481 | $214.47 | 2.5× |
| Manning Family Children's | New Orleans, LA | $557.01 | $2,063 | $222.32 | 2.5× |
| Long Island Community Hospital | Patchogue, NY | $560.12 | $2,947.99 | $295.66 | 1.9× |
| NYU Langone Hospitals | New York, NY | $560.12 | $2,947.99 | $295.66 | 1.9× |
| St. Anthony Hospital | Gig Harbor, WA | $560.86 | $1,844 | $276.42 | 2.0× |
| St. Anne Hospital | Burien, WA | $563.08 | $1,844 | $275.04 | 2.0× |
| Concord Hospital | Concord, NH | $566.10 | $1,887 | $252.90 | 2.2× |
| Concord Hospital – Laconia | Laconia, NH | $566.10 | $1,887 | $252.90 | 2.2× |
| Concord Hospital – Franklin | Franklin, NH | $566.10 | $1,887 | $252.90 | 2.2× |
| Children's Hospital Colorado | Aurora, CO | $566.15 | $871 | $249.85 | 2.3× |
| East Carroll Parish Hospital | Lake Providence, LA | $576 | $768 | $215.64 | 2.7× |
| St. Francis Hospital | Federal Way, WA | $578.69 | $1,844 | $275.04 | 2.1× |
| Boston Medical Center | Boston, MA | $601.20 | $1,336 | $283.85 | 2.1× |
| St. Joseph Medical Center | Tacoma, WA | $610.73 | $1,844 | $276.42 | 2.2× |
| Valley View Hospital | Glenwood Springs, CO | $616.25 | $725 | $249.85 | 2.5× |
| Hurley Medical Center range across 2 matching MRF lines |
Flint, MI | $643.50–$1,003 | $643.50–$1,003 | $236 | varies |
| St. Elizabeth Hospital | Enumclaw, WA | $651.61 | $1,844 | $275.04 | 2.4× |
| Cedar-sinai Marina Del Rey Hospital range across 10 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $304.63 | varies |
| Northwest Surgical Hospital | Oklahoma City, OK | $683.40 | — | $227.80 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $683.40 | — | $227.80 | 3.0× |
| Boca Raton Regional Hospital | Boca Raton, FL | $685.10 | $1,054 | $247.34 | 2.8× |
| Cleveland Clinic | Cleveland, OH | $694.20 | $1,068 | $224.08 | 3.1× |
| Baptist Hospital of Miami | Miami, FL | $704.60 | $1,084 | $247.34 | 2.8× |
| Artesia General Hospital | Artesia, NM | $712.20 | $1,187 | $234.47 | 3.0× |
| Community Hospital of Huntington Park | Huntington Park, CA | $748.65 | $748.65 | $304.63 | 2.5× |
| Memorial Hospital of Gardena | Gardena, CA | $748.65 | $748.65 | $304.63 | 2.5× |
| East Los Angeles Doctors Hospital | Los Angeles, CA | $748.65 | $748.65 | $304.63 | 2.5× |
| Coast Plaza Hospital | Norwalk, CA | $748.65 | $748.65 | $304.63 | 2.5× |
| Riverside University Health System-medical Center | Moreno Valley, CA | $761.30 | $761.30 | $304.63 | 2.5× |
| St. Michael Medical Center | Silverdale, WA | $813.85 | $1,844 | $272.75 | 3.0× |
| Ochsner Laird Hospital | Union, MS | $816.18 | $1,338 | $204.20 | 4.0× |
| University Medical Center | Las Vegas, NV | $822.30 | $2,741 | $258.89 | 3.2× |
| John H Stroger Jr Hospital | Chicago, IL | $837.90 | $1,197 | $253.81 | 3.3× |
| Provident Hospital of Chicago | Chicago, IL | $837.90 | $1,197 | $253.81 | 3.3× |
| Ochsner Scott Regional | Morton, MS | $842.94 | $1,338 | $213.84 | 3.9× |
| Hennepin County Medical Center range across 2 matching MRF lines |
Minneapolis, MN | $858.15–$1,037.25 | $1,907–$2,305 | $248.06 | varies |
| Bayside Community Hospital | Anahuac, TX | $859 | $859 | $237.93 | 3.6× |
| MetroHealth System range across 2 matching MRF lines |
Cleveland, OH | $874.71–$1,354.84 | $2,499.17–$3,870.98 | $224.08 | varies |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $885.08 | $3,052 | $226.17 | 3.9× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $885.08 | $3,052 | $224.85 | 3.9× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $885.08 | $3,052 | $227.23 | 3.9× |
| Ochsner Watkins Hospital | Quitman, MS | $896.46 | $1,338 | $204.20 | 4.4× |
| Ochsner Stennis Hospital | De Kalb, MS | $923.22 | $1,338 | $204.20 | 4.5× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $304.63 | varies |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $946.40 | $1,352 | $227.69 | 4.2× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $946.40 | $1,352 | $227.69 | 4.2× |
| Erie County Medical Center | Buffalo, NY | $954 | $2,146 | $295.66 | 3.2× |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $1,010.75 | $1,555 | $241.98 | 4.2× |
| Ochsner Choctaw General | Butler, AL | $1,016.88 | $1,338 | $204.13 | 5.0× |
| Harborview Medical Center | Seattle, WA | $1,019.66 | $1,456.66 | $274.27 | 3.7× |
| Arkansas Children's Hospital range across 3 matching MRF lines |
Little Rock, AR | $1,047.11–$12,917.99 | $1,163.46–$14,353.32 | $222.54 | varies |
| UF Health Jacksonville | Jacksonville, FL | $1,050.11 | $1,909.29 | $247.34 | 4.2× |
| Southwest Medical Center | Liberal, KS | $1,061.20 | $1,326.50 | $217.82 | 4.9× |
| University Medical Center | Lubbock, TX | $1,067 | $1,067 | $237.93 | 4.5× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $1,071 | $1,785 | $237.93 | 4.5× |
| Santa Clara Valley Medical Center | San Jose, CA | $1,082.90 | $1,547 | $348.37 | 3.1× |
| Regional Medical Center of San Jose | San Jose, CA | $1,082.90 | $1,547 | $348.37 | 3.1× |
| Huntington Hospital range across 9 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $304.63 | varies |
| Washington Regional Medical Center | Fayetteville, AR | $1,194.75 | $1,593 | $223.29 | 5.4× |
| DeSoto Regional Health System | Mansfield, LA | $1,225 | $1,750 | $214.47 | 5.7× |
| Sidney Health Center | Sidney, MT | $1,242.74 | $2,007 | $241.98 | 5.1× |
| Prairie Ridge Health | Columbus, WI | $1,268.85 | $2,307 | $230.06 | 5.5× |
| Granville Medical Center | Oxford, NC | $1,271.20 | $1,589 | $235.81 | 5.4× |
| Connecticut Children's Medical Center | Hartford, CT | $1,279.20 | $2,132 | $283.94 | 4.5× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $1,314 | $1,460 | $249.85 | 5.3× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $1,361.61 | $1,945.15 | $253.81 | 5.4× |
| Holy Cross Hospital | Chicago, IL | $1,361.61 | $1,945.15 | $253.81 | 5.4× |
| PeaceHealth St. Joseph Medical Center | Bellingham, WA | $1,370.20 | $2,108 | $263.93 | 5.2× |
| BronxCare Hospital Center | Bronx, NY | $1,374 | $1,374 | $295.66 | 4.6× |
| Waverly Health Center | Waverly, IA | $1,402.96 | $2,698 | $227.69 | 6.2× |
| Lallie Kemp Regional Medical Center | Independence, LA | $1,418.83 | $2,364.72 | $214.47 | 6.6× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $1,432.65 | $2,387.75 | $237.93 | 6.0× |
| Scott & White Hospital-round Rock | Round Rock, TX | $1,432.65 | $2,387.75 | $237.93 | 6.0× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $1,432.65 | $2,387.75 | $237.93 | 6.0× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $1,432.65 | $2,387.75 | $237.93 | 6.0× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $1,432.65 | $2,387.75 | $237.93 | 6.0× |
| Baylor Scott and White Surgical Hospital Fortworth | Fort Worth, TX | $1,450.80 | $2,418 | $238.32 | 6.1× |
| MedStar Washington Hospital Center | Washington, DC | $1,511.44 | $2,325.29 | $279.80 | 5.4× |
| Titus Regional Medical Center | Mount Pleasant, TX | $1,565.40 | $2,609 | $237.93 | 6.6× |
| Charleston Area Medical Center | Charleston, WV | $1,579 | $1,579 | $227.20 | 6.9× |
| Torrance Memorial Medical Center range across 7 matching MRF lines |
Torrance, CA | $1,589.98–$31,644.62 | $1,939–$38,591 | $304.63 | varies |
| Vanderbilt University Hospital | Nashville, TN | $1,648.08 | $3,052 | $232.50 | 7.1× |
| Akron Children's Hospital | Akron, OH | $1,654.50 | $2,206 | $224.08 | 7.4× |
| Albany Medical Center Hospital range across 2 matching MRF lines |
Albany, NY | $1,658.34–$2,365 | $3,316.68–$4,730 | $295.66 | varies |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $1,675.80 | $2,793 | $237.93 | 7.0× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $1,681.53 | $7,311 | $214.47 | 7.8× |
| Loma Linda University Medical Center-murrieta | Murrieta, CA | $1,694.70 | $3,766 | $304.63 | 5.6× |
| Kaleida Health | Buffalo, NY | $1,711 | $1,711 | $295.66 | 5.8× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $1,727 | $1,727 | $227.20 | 7.6× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $1,736.03 | $2,893.38 | $237.93 | 7.3× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $1,736.03 | $2,893.38 | $237.93 | 7.3× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $1,736.03 | $2,893.38 | $237.93 | 7.3× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $1,736.03 | $2,893.38 | $237.93 | 7.3× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $1,736.03 | $2,893.38 | $237.93 | 7.3× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $1,798.77 | $3,527 | $230.82 | 7.8× |
| Mercyhealth Fhn Hospital | Freeport, IL | $1,820 | $2,275 | $253.81 | 7.2× |
| Ochsner LSU Health - Academic Medical Center range across 2 matching MRF lines |
Shreveport, LA | $1,900.86–$2,266.41 | $7,311 | $228.51 | varies |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $1,927.73–$22,351.37 | $3,304.68–$38,316.63 | $222.32 | varies |
| Summit Surgical, LLC | Hutchinson, KS | $2,019.42 | $2,524.28 | $217.82 | 9.3× |
| Mount Sinai Hospital | New York, NY | $2,043 | $2,270 | $295.66 | 6.9× |
| Mount Sinai West | New York, NY | $2,043 | $2,270 | $295.66 | 6.9× |
| Mount Sinai Brooklyn | Brooklyn, NY | $2,043 | $2,270 | $295.66 | 6.9× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $2,047.08 | $7,311 | $214.47 | 9.5× |
| Maimonides Medical Center | Brooklyn, NY | $2,063 | $2,063 | $295.66 | 7.0× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $2,091 | $2,091 | $237.93 | 8.8× |
| Treasure Valley Hospital | Boise, ID | $2,187.16 | — | $239.31 | 9.1× |
| University of Cincinnati Medical Center, LLC | Cincinnati, OH | $2,262.60 | $3,771 | $234.82 | 9.6× |
| West Chester Hospital | West Chester, OH | $2,262.60 | $3,771 | $230.82 | 9.8× |
| Northwest Hills Surgical Hospital | Austin, TX | $2,519.28 | $6,998 | $237.93 | 10.6× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $2,536.80 | $4,530 | $343.90 | 7.4× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $2,536.80 | $4,530 | $342.36 | 7.4× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $2,536.80 | $4,530 | $336.29 | 7.5× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $2,536.80 | $4,530 | $347.97 | 7.3× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $2,536.80 | $4,530 | $346.47 | 7.3× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $2,536.80 | $4,530 | $342.36 | 7.4× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $2,536.80 | $4,530 | $336.29 | 7.5× |
| Kaiser Foundation Hospital | San Rafael, CA | $2,536.80 | $4,530 | $335.95 | 7.6× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $2,536.80 | $4,530 | $342.36 | 7.4× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $2,536.80 | $4,530 | $343.90 | 7.4× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $2,536.80 | $4,530 | $348.37 | 7.3× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $2,536.80 | $4,530 | $336.29 | 7.5× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $2,536.80 | $4,530 | $325.70 | 7.8× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $2,536.80 | $4,530 | $304.63 | 8.3× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $2,536.80 | $4,530 | $331.89 | 7.6× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $2,536.80 | $4,530 | $334.45 | 7.6× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $2,536.80 | $4,530 | $347.97 | 7.3× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $2,536.80 | $4,530 | $307.39 | 8.3× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $2,536.80 | $4,530 | $342.41 | 7.4× |
| Baylor Medical Center at Trophy Club | Trophy Club, TX | $2,658 | $4,430 | $237.93 | 11.2× |
| Children's Mercy Hospital Kansas range across 2 matching MRF lines |
Overland Park, KS | $2,724–$3,783.36 | $5,675–$7,882 | $224.24 | varies |
| Children’s Mercy Adele Hall range across 2 matching MRF lines |
Kansas City, MO | $2,724–$3,783.36 | $5,675–$7,882 | $237.23 | varies |
| MedStar Georgetown University Hospital | Washington, DC | $2,936.06 | $4,517.02 | $279.80 | 10.5× |
| Providence St. Vincent Medical Center | Portland, OR | $3,115.50 | $4,154 | $263.26 | 11.8× |
| Providence Newberg Medical Center | Newberg, OR | $3,115.50 | $4,154 | $263.26 | 11.8× |
| Providence Willamette Falls Medical Center | Oregon City, OR | $3,115.50 | $4,154 | $263.26 | 11.8× |
| Providence Portland Medical Center | Portland, OR | $3,115.50 | $4,154 | $263.26 | 11.8× |
| Providence Milwaukie Hospital | Milwaukie, OR | $3,115.50 | $4,154 | $263.26 | 11.8× |
| Massachusetts General Hospital | Boston, MA | $3,263.25 | $4,351 | $283.85 | 11.5× |
| Hilton Head Medical Center | Hilton Head Island, SC | $3,289.03 | — | $220.29 | 14.9× |
| East Cooper Medical Center | Mount Pleasant, SC | $3,289.03 | — | $220.29 | 14.9× |
| Coastal Carolina Medical Center | Hardeeville, SC | $3,289.03 | — | $220.29 | 14.9× |
| Loma Linda University Medical Center | Loma Linda, CA | $3,293.55 | $7,319 | $304.63 | 10.8× |
| Loma Linda University Children's Hospital | Loma Linda, CA | $3,388.50 | $7,530 | $304.63 | 11.1× |
| MUSC Health University Medical Center | Charleston, SC | $3,701 | $7,402 | $220.29 | 16.8× |
| Alaska Native Medical Center | Anchorage, AK | $4,020 | $4,020 | $262.86 | 15.3× |
| New York-Presbyterian/Queens | Flushing, NY | $4,091 | — | $295.66 | 13.8× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $4,595.92 | $4,595.92 | $295.66 | 15.5× |
| Montefiore Medical Center range across 2 matching MRF lines |
Bronx, NY | $5,683.26–$6,337.50 | $8,690–$9,750 | $295.66 | varies |
| New York-Presbyterian Hospital | New York, NY | $6,685 | — | $295.66 | 22.6× |
| Brooklyn Hospital Center - Downtown Campus | Brooklyn, NY | $7,918.61 | $7,918.61 | $295.66 | 26.8× |
| Lahey Hospital & Medical Center | Burlington, MA | $10,686 | $10,686 | $283.85 | 37.6× |
| University of Kansas Hospital | Kansas City, KS | $18,618.52 | $93,092.60 | $221.13 | 84.2× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $35,006.04 | $159,118.37 | $219.45 | 159.5× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $35,006.04 | $159,118.37 | $219.45 | 159.5× |
| Parkland Memorial Hospital | Dallas, TX | $48,938.27 | $122,345.67 | $237.93 | 205.7× |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego, CA | $64,798.45 | $117,815.36 | $304.63 | 212.7× |
| Seattle Children's Hospital | Seattle, WA | $133,132.67 | — | $275.04 | 484.0× |
| Upstate University Hospital | Syracuse, NY | — | $400 | $295.66 | — |
| St. Barnabas Hospital | Bronx, NY | — | $616 | $295.66 | — |
| Graham Hospital Association | Canton, IL | — | $1,477.88 | $253.81 | — |
| Brookdale Hospital Medical Center | Brooklyn, NY | — | $1,524 | $295.66 | — |
| Ohio State University Hospitals | Columbus, OH | — | $1,862 | $233.37 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $1,862 | $228.38 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $5,595 | $237.93 | — |
| UAB Hospital | Birmingham, AL | — | $12,348 | $216.64 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"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.