Opn tx orbit fx combined (CPT 21387)
21387 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.
169 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 likely a partial charge, not the full procedure |
Chatom, AL | $54.17 | — | $5,344.78 | 0.0× |
| Adventist Health Lodi Memorial likely a partial charge, not the full procedure |
Lodi, CA | $186.83 | $2,669 | $7,808.03 | 0.0× |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $377.25 | $1,509 | $5,390.14 | 0.1× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $377.25 | $1,509 | $5,562.15 | 0.1× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $377.25 | $1,509 | $5,390.14 | 0.1× |
| Adventist Health Bakersfield likely a partial charge, not the full procedure |
Bakersfield, CA | $400.35 | $2,669 | $7,613.89 | 0.1× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $432 | $1,439 | $5,946.81 | 0.1× |
| Adventist Health Sonora likely a partial charge, not the full procedure |
Sonora, CA | $453.73 | $2,669 | $7,613.89 | 0.1× |
| Westfield Memorial Hospital, Inc likely a partial charge, not the full procedure |
Westfield, NY | $472.34 | $2,147 | $7,389.63 | 0.1× |
| Adventist Health Hanford likely a partial charge, not the full procedure |
Hanford, CA | $507.11 | $2,669 | $7,613.89 | 0.1× |
| Adventist Health Reedley likely a partial charge, not the full procedure |
Reedley, CA | $507.11 | $2,669 | $7,613.89 | 0.1× |
| Adventist Health Tulare likely a partial charge, not the full procedure |
Tulare, CA | $507.11 | $2,669 | $7,613.89 | 0.1× |
| Adventist Health Ukiah Valley likely a partial charge, not the full procedure |
Ukiah, CA | $533.80 | $2,669 | $7,613.89 | 0.1× |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $538.50 | $718 | $5,389.78 | 0.1× |
| Kingman Regional Medical Center range across 3 matching MRF lines |
Kingman, AZ | $623.70–$820.40 | $1,782–$2,344 | $6,316.95 | varies |
| Concord Hospital likely a partial charge, not the full procedure |
Concord, NH | $637.20 | $2,124 | $6,320.94 | 0.1× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $637.20 | $2,124 | $6,320.94 | 0.1× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $637.20 | $2,124 | $6,320.94 | 0.1× |
| 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 | $7,613.89 | varies |
| O'connor Hospital likely a partial charge, not the full procedure |
Delhi, NY | $666.36 | $2,468 | $7,389.63 | 0.1× |
| Little Falls Hospital likely a partial charge, not the full procedure |
Little Falls, NY | $666.36 | $2,468 | $7,389.63 | 0.1× |
| Cobleskill Regional Hospital likely a partial charge, not the full procedure |
Cobleskill, NY | $666.36 | $2,468 | $7,389.63 | 0.1× |
| Northwest Health-la Porte likely a partial charge, not the full procedure |
La Porte, IN | $684.75 | $2,075 | $6,276.67 | 0.1× |
| Adventist Health Tehachapi Valley likely a partial charge, not the full procedure |
Tehachapi, CA | $720.63 | $2,669 | $7,613.89 | 0.1× |
| Bayside Community Hospital likely a partial charge, not the full procedure |
Anahuac, TX | $771 | $771 | $5,946.81 | 0.1× |
| Adventist Health Howard Memorial likely a partial charge, not the full procedure |
Willits, CA | $800.70 | $2,669 | $7,613.89 | 0.1× |
| Vanderbilt Bedford Hospital likely a partial charge, not the full procedure |
Shelbyville, TN | $866.52 | $2,988 | $5,652.87 | 0.2× |
| Vanderbilt Tullahoma-Harton Hospital likely a partial charge, not the full procedure |
Tullahoma, TN | $866.52 | $2,988 | $5,619.85 | 0.2× |
| Vanderbilt Wilson County Hospital likely a partial charge, not the full procedure |
Lebanon, TN | $866.52 | $2,988 | $5,679.36 | 0.2× |
| Artesia General Hospital likely a partial charge, not the full procedure |
Artesia, NM | $874.80 | $1,458 | $5,860.44 | 0.1× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $7,613.89 | varies |
| Highland Hills Medical Center likely a partial charge, not the full procedure |
Senatobia, MS | $976 | $1,952 | $5,484.86 | 0.2× |
| Mercy Medical Center - Cedar Rapids likely a partial charge, not the full procedure |
Cedar Rapids, IA | $1,114.80 | $1,858 | $5,724 | 0.2× |
| Huntington Hospital range across 9 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $7,613.89 | varies |
| MetroHealth System likely a partial charge, not the full procedure |
Cleveland, OH | $1,207.90 | $3,451.13 | $5,600.62 | 0.2× |
| Washington Regional Medical Center likely a partial charge, not the full procedure |
Fayetteville, AR | $1,254.75 | $1,673 | $5,581.02 | 0.2× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $1,282.50 | $1,425 | $6,244.73 | 0.2× |
| Contra Costa Regional Medical Center likely a partial charge, not the full procedure |
Martinez, CA | $1,286 | $1,286 | $8,359.25 | 0.2× |
| Baylor Scott and White Surgical Hospital Las Colin likely a partial charge, not the full procedure |
Irving, TX | $1,293.60 | $2,156 | $5,946.81 | 0.2× |
| Nebraska Medical Center likely a partial charge, not the full procedure |
Omaha, NE | $1,305.66 | $2,008.70 | $6,147.12 | 0.2× |
| Bellevue Medical Center likely a partial charge, not the full procedure |
Bellevue, NE | $1,305.66 | $2,008.70 | $6,147.12 | 0.2× |
| DeSoto Regional Health System likely a partial charge, not the full procedure |
Mansfield, LA | $1,316 | $1,880 | $5,360.39 | 0.2× |
| Iowa Specialty Hospital - Belmond likely a partial charge, not the full procedure |
Belmond, IA | $1,329 | $2,215 | $5,690.97 | 0.2× |
| Sidney Health Center likely a partial charge, not the full procedure |
Sidney, MT | $1,331.90 | $2,151 | $6,048.05 | 0.2× |
| Tops Surgical Specialty Hospital likely a partial charge, not the full procedure |
Houston, TX | $1,343.30 | $3,838 | $5,946.81 | 0.2× |
| Kittitas Valley Healthcare range across 2 matching MRF lines |
Ellensburg, WA | $1,371.05–$1,466.25 | $1,613–$1,725 | $6,596.73 | varies |
| Altru Hospital range across 3 matching MRF lines |
Grand Forks, ND | $1,371.28–$4,329.78 | $2,248–$7,098 | $6,048.05 | varies |
| John H Stroger Jr Hospital likely a partial charge, not the full procedure |
Chicago, IL | $1,374.10 | $1,963 | $6,343.80 | 0.2× |
| Provident Hospital of Chicago likely a partial charge, not the full procedure |
Chicago, IL | $1,374.10 | $1,963 | $6,343.80 | 0.2× |
| UNM Hospital likely a partial charge, not the full procedure |
Albuquerque, NM | $1,401.40 | $2,548 | $5,860.44 | 0.2× |
| Conway Medical Center likely a partial charge, not the full procedure |
Conway, SC | $1,432.96 | $1,432.96 | $5,505.90 | 0.3× |
| Blessing Hospital likely a partial charge, not the full procedure |
Quincy, IL | $1,433.24 | $2,388.73 | $6,343.80 | 0.2× |
| Hurley Medical Center likely a partial charge, not the full procedure |
Flint, MI | $1,445 | $1,445 | $5,898.54 | 0.2× |
| Baylor Scott and White Surgical Hospital Fortworth likely a partial charge, not the full procedure |
Fort Worth, TX | $1,450.80 | $2,418 | $5,956.60 | 0.2× |
| Titus Regional Medical Center likely a partial charge, not the full procedure |
Mount Pleasant, TX | $1,465.80 | $2,443 | $5,946.81 | 0.2× |
| Waverly Health Center likely a partial charge, not the full procedure |
Waverly, IA | $1,517.36 | $2,918 | $5,690.97 | 0.3× |
| Torrance Memorial Medical Center range across 7 matching MRF lines |
Torrance, CA | $1,589.98–$31,644.62 | $1,939–$38,591 | $7,613.89 | varies |
| North Central Kansas Medical Center likely a partial charge, not the full procedure |
Concordia, KS | $1,598.94 | $2,284.20 | $5,444.21 | 0.3× |
| Vanderbilt University Hospital likely a partial charge, not the full procedure |
Nashville, TN | $1,613.52 | $2,988 | $5,811.09 | 0.3× |
| Jefferson Regional unusually low: confirm this is the full procedure |
Pine Bluff, AR | $1,656 | $1,656 | $5,508.44 | 0.3× |
| Montefiore Medical Center likely a partial charge, not the full procedure |
Bronx, NY | $1,725.66 | $2,638.62 | $7,389.63 | 0.2× |
| Mt Sinai Hospital Medical Center likely a partial charge, not the full procedure |
Chicago, IL | $1,728.99 | $2,469.99 | $6,343.80 | 0.3× |
| Holy Cross Hospital likely a partial charge, not the full procedure |
Chicago, IL | $1,728.99 | $2,469.99 | $6,343.80 | 0.3× |
| Adventist Health Mendocino Coast likely a partial charge, not the full procedure |
Fort Bragg, CA | $1,761.54 | $2,669 | $7,613.89 | 0.2× |
| North Central Surgical Center Llp unusually low: confirm this is the full procedure |
Dallas, TX | $1,894.20 | $3,157 | $5,946.81‡ | 0.3× |
| Charleston Area Medical Center unusually low: confirm this is the full procedure |
Charleston, WV | $1,914 | $1,914 | $5,678.64 | 0.3× |
| Baylor Scott and White Medical Center Uptown unusually low: confirm this is the full procedure |
Dallas, TX | $2,078.40 | $3,464 | $5,946.81 | 0.3× |
| CAMC Greenbrier Valley Medical Center unusually low: confirm this is the full procedure |
Ronceverte, WV | $2,129 | $2,129 | $5,678.64 | 0.4× |
| Memorial Hermann Surgical Hospital Kingwood unusually low: confirm this is the full procedure |
Kingwood, TX | $2,276.05 | $6,503 | $5,946.81 | 0.4× |
| Memorial Hospital unusually low: confirm this is the full procedure |
Abilene, KS | $2,284.20 | $2,284.20 | $5,444.21 | 0.4× |
| Northbay Medical Center likely a partial charge, not the full procedure |
Fairfield, CA | $2,350.13 | $2,350.13 | $8,697.10 | 0.3× |
| Texas Scottish Rite Hospital For Children unusually low: confirm this is the full procedure |
Dallas, TX | $2,521 | $2,521 | $5,946.81 | 0.4× |
| Baylor Medical Center at Trophy Club unusually low: confirm this is the full procedure |
Trophy Club, TX | $2,658 | $4,430 | $5,946.81 | 0.4× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $3,107.43 | $6,093 | $5,768.99 | 0.5× |
| Billings Clinic Hospital | Billings, MT | $3,555 | $3,555 | $6,048.05 | 0.6× |
| Black Hills Surgical Hospital LLC | Rapid City, SD | $4,612.02 | $7,686.70 | $6,048.05 | 0.8× |
| Park Place Surgical Hospital | Lafayette, LA | $5,256.97 | $13,550.33 | $5,360.39 | 1.0× |
| Mercyhealth Fhn Hospital | Freeport, IL | $5,700 | $7,125 | $6,343.80 | 0.9× |
| Northwest Hills Surgical Hospital | Austin, TX | $5,796.72 | $16,102 | $5,946.81 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $5,938.02 | — | $6,181.95 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $6,048.05 | — | $7,389.63 | 0.8× |
| Lima Memorial Health System | Lima, OH | $6,382.80 | $7,092 | $5,652.51 | 1.1× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Scott & White Hospital-round Rock | Round Rock, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $6,493.99 | $10,823.31 | $5,946.81 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $6,495.68 | — | $5,375.99 | 1.2× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $6,517.76 | $24,734 | $5,946.81 | 1.1× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Bellevue Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Harlem Hospital Center | New York, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $7,000.36 | — | $7,389.63 | 0.9× |
| Highland Hospital | Rochester, NY | $7,026.75 | — | $7,389.63 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $7,026.75 | — | $7,389.63 | 1.0× |
| Erie County Medical Center | Buffalo, NY | $7,053 | — | $7,389.63 | 1.0× |
| Alaska Native Medical Center | Anchorage, AK | $7,065 | $7,065 | $6,569.88 | 1.1× |
| Griffin Hospital | Derby, CT | $7,072.05 | — | $7,096.78 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $7,264.49 | — | $6,316.95 | 1.1× |
| Nyack Hospital | Nyack, NY | $7,389.63 | — | $7,389.63 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $7,389.63 | — | $7,389.63 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $7,401.56 | — | $5,679.36 | 1.3× |
| Madison Memorial Hospital | Rexburg, ID | $7,584.75 | $10,113 | $5,848.46 | 1.3× |
| Treasure Valley Hospital | Boise, ID | $8,017.53 | $1,908 | $5,981.28 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $8,139.99 | — | $5,898.54 | 1.4× |
| Hilton Head Medical Center | Hilton Head Island, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| East Cooper Medical Center | Mount Pleasant, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| Coastal Carolina Medical Center | Hardeeville, SC | $8,912.72 | — | $5,505.90 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $8,963.81 | — | $6,048.05 | 1.5× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $9,422.15 | $9,422.15 | $5,946.81 | 1.6× |
| Oakleaf Surgical Hospital | Altoona, WI | $9,468.74 | $10,520.82 | $5,892.37 | 1.6× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $9,505.34–$22,351.37 | $16,294.86–$38,316.63 | $5,556.71 | varies |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $9,579.05 | $14,737 | $6,048.05 | 1.6× |
| Community Hospital East | Indianapolis, IN | $9,630 | $16,050 | $6,263.24 | 1.5× |
| Ohio Valley Surgical Hospital | Springfield, OH | $10,111.20 | $16,852 | $5,832.86 | 1.7× |
| ThedaCare Regional Medical Center - Neenah Inc range across 3 matching MRF lines |
Neenah, WI | $10,126.37–$13,312.32 | $18,082.80–$23,772 | $5,750.12 | varies |
| ThedaCare Regional Medical Center - Appleton Inc range across 3 matching MRF lines |
Appleton, WI | $10,126.37–$13,312.32 | $18,082.80–$23,772 | $5,799.48 | varies |
| ThedaCare Medical Center - Wild Rose Inc range across 3 matching MRF lines |
Wild Rose, WI | $10,126.37–$13,312.32 | $18,082.80–$23,772 | $5,750.12 | varies |
| ThedaCare Medical Center New London range across 3 matching MRF lines |
New London, WI | $10,126.37–$13,312.32 | $18,082.80–$23,772 | $5,780.61 | varies |
| ThedaCare Medical Center - Waupaca Inc range across 3 matching MRF lines |
Waupaca, WI | $10,126.37–$13,312.32 | $18,082.80–$23,772 | $5,750.12 | varies |
| ThedaCare Medical Center - Shawano Inc range across 3 matching MRF lines |
Shawano, WI | $10,126.37–$13,312.32 | $18,082.80–$23,772 | $5,750.12 | varies |
| ThedaCare Medical Center - Berlin Inc range across 3 matching MRF lines |
Berlin, WI | $10,126.37–$13,312.32 | $18,082.80–$23,772 | $5,750.12 | varies |
| Same Day Surgery Center LLC | Rapid City, SD | $10,283.13 | $12,853.91 | $6,048.05 | 1.7× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $11,933.60 | $21,310 | $8,595.49 | 1.4× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $11,933.60 | $21,310 | $8,697.10 | 1.4× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $11,933.60 | $21,310 | $8,659.72 | 1.4× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital | San Rafael, CA | $11,933.60 | $21,310 | $8,396.63 | 1.4× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $11,933.60 | $21,310 | $8,557.02 | 1.4× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $11,933.60 | $21,310 | $8,595.49 | 1.4× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $11,933.60 | $21,310 | $8,707.26 | 1.4× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $11,933.60 | $21,310 | $8,405.34 | 1.4× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $11,933.60 | $21,310 | $8,140.43 | 1.5× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $11,933.60 | $21,310 | $7,613.89 | 1.6× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $11,933.60 | $21,310 | $8,295.38 | 1.4× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $11,933.60 | $21,310 | $8,359.25 | 1.4× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $11,933.60 | $21,310 | $8,697.10 | 1.4× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $11,933.60 | $21,310 | $7,682.84 | 1.6× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $11,933.60 | $21,310 | $8,558.11 | 1.4× |
| Duncan Regional Hospital, Inc | Duncan, OK | $12,060.84 | — | $5,693.51 | 2.1× |
| St. Luke's Boise Medical Center | Boise, ID | $12,747 | $12,747 | $6,392.06 | 2.0× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $12,747 | $12,747 | $5,848.46 | 2.2× |
| Sioux Falls Specialty Hospital LLP | Sioux Falls, SD | $14,433.07 | $19,244.09 | $6,048.05 | 2.4× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $15,519 | $15,519 | $6,171.07 | 2.5× |
| St. Luke's Nampa Medical Center | Nampa, ID | $15,519 | $15,519 | $5,981.28 | 2.6× |
| St. Luke's Jerome Medical Center | Jerome, ID | $15,519 | $15,519 | $5,874.23 | 2.6× |
| St. Luke's McCall Medical Center | McCall, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $15,519 | $15,519 | $5,848.46 | 2.7× |
| Northwest Surgical Hospital | Oklahoma City, OK | $17,080.53 | — | $5,693.51 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $17,080.53 | — | $5,693.51 | 3.0× |
| Trinity Health Oakland Hospital | Pontiac, MI | $27,622.95 | — | $5,898.54 | 4.7× |
| Graham Hospital Association | Canton, IL | — | $1,589.50 | $6,343.80 | — |
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.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.