Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (CPT 21421)
21421 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.
200 of 2110 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 |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $2,857.43 | 0.0× |
| Unity Health - White County Medical Center | Searcy, AR | $340.75 | $1,363 | $3,018.80 | 0.1× |
| Unity Health - Jacksonville | Jacksonville, AR | $340.75 | $1,363 | $3,115.14 | 0.1× |
| Unity Health - Newport | Newport, AR | $340.75 | $1,363 | $3,018.80 | 0.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $380 | $1,268 | $3,330.57 | 0.1× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $383.45 | $3,834.53 | $3,188.71 | 0.1× |
| UK St. Claire Regional Medical Center | Morehead, KY | $477.75 | $637 | $3,209.44 | 0.1× |
| Memorial Medical Center | Port Lavaca, TX | $513.57 | $733.67 | $3,330.57 | 0.2× |
| East Carroll Parish Hospital | Lake Providence, LA | $625.50 | $834 | $3,018.60 | 0.2× |
| University Medical Center of El Paso | El Paso, TX | $645.41 | $3,227.05 | $3,330.57 | 0.2× |
| East Jefferson General Hospital | Metairie, LA | $647.36 | $4,624 | $3,112.09 | 0.2× |
| West Jefferson Medical Center | Marrero, LA | $739.84 | $4,624 | $3,112.09 | 0.2× |
| Baylor Medical Center at Trophy Club | Trophy Club, TX | $808.20 | $1,347 | $3,330.57 | 0.2× |
| University Health System | San Antonio, TX | $818.75 | $3,275 | $3,330.57 | 0.2× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $861.01 | $2,969 | $3,165.95 | 0.3× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $861.01 | $2,969 | $3,147.45 | 0.3× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $861.01 | $2,969 | $3,180.78 | 0.3× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $978.30 | $1,087 | $3,497.42 | 0.3× |
| Duke University Hospital | Durham, NC | $1,187.73 | $4,399 | $3,299.07 | 0.4× |
| New Orleans East Hospital | New Orleans, LA | $1,189.76 | $7,436 | $3,112.09 | 0.4× |
| DeSoto Regional Health System | Mansfield, LA | $1,225 | $1,750 | $3,002.14 | 0.4× |
| Nebraska Medical Center | Omaha, NE | $1,261.98 | $1,941.50 | $3,442.75 | 0.4× |
| Bellevue Medical Center | Bellevue, NE | $1,261.98 | $1,941.50 | $3,442.75 | 0.4× |
| North Central Kansas Medical Center | Concordia, KS | $1,376.62 | $1,966.60 | $3,049.08 | 0.5× |
| WakeMed Raleigh Campus | Raleigh, NC | $1,397.64 | $3,678 | $3,359.63 | 0.4× |
| WakeMed Cary Hospital | Cary, NC | $1,397.64 | $3,678 | $3,359.63 | 0.4× |
| Mizell Memorial Hospital | Opp, AL | $1,471.28 | $1,634.75 | $2,857.43 | 0.5× |
| Mercy Hospital Carthage | Carthage, MO | $1,473.55 | $2,267 | $3,320.81 | 0.4× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $1,477.50 | $1,477.50 | $3,537.87 | 0.4× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $1,477.50 | $1,477.50 | $3,537.87 | 0.4× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $1,477.50 | $1,477.50 | $3,537.87 | 0.4× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $1,477.50 | $1,477.50 | $3,537.87 | 0.4× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $1,477.50 | $1,477.50 | $3,537.87 | 0.4× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $1,477.50 | $1,477.50 | $3,537.87 | 0.4× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $1,477.50 | $1,477.50 | $3,537.87 | 0.4× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $1,477.50 | $1,477.50 | $3,537.87 | 0.4× |
| UT Medical Center | Knoxville, TN | $1,592.50 | $6,370 | $3,008.03 | 0.5× |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $1,600.56 | $6,156 | $3,128.75 | 0.5× |
| Vanderbilt University Hospital | Nashville, TN | $1,603.26 | $2,969 | $3,254.56 | 0.5× |
| Northwest Texas Hospital | Amarillo, TX | $1,605.60 | $4,014 | $3,330.57 | 0.5× |
| Mercy Hospital St. Louis | St. Louis, MO | $1,632.48 | $2,511.50 | $3,320.81 | 0.5× |
| Titus Regional Medical Center | Mount Pleasant, TX | $1,723.80 | $2,873 | $3,330.57 | 0.5× |
| Manning Family Children's | New Orleans, LA | $1,854.90 | $6,870 | $3,112.09 | 0.6× |
| Memorial Hospital | Abilene, KS | $1,966.60 | $1,966.60 | $3,049.08 | 0.6× |
| CHI Health Plainview | Plainview, NE | $2,015.58 | $2,399.50 | $3,442.75 | 0.6× |
| CHI Health Schuyler | Schuyler, NE | $2,039.58 | $2,399.50 | $3,442.75 | 0.6× |
| St. Mary's Regional Medical Center | Enid, OK | $2,043.60 | $5,109 | $3,188.71 | 0.6× |
| CHI Health St. Mary's | Nebraska City, NE | $2,129.36 | $2,565.50 | $3,442.75 | 0.6× |
| Newman Regional Health | Emporia, KS | $2,232 | $2,790 | $3,049.08 | 0.7× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $2,235 | $2,235 | $3,330.57 | 0.7× |
| UCHealth University of Colorado Hospital | Aurora, CO | $2,599.10 | $7,426 | $3,497.42 | 0.7× |
| University Hospital – UMMC | Jackson, MS | $2,600 | $6,500 | $2,993.40 | 0.9× |
| UMMC Madison | Canton, MS | $2,600 | $6,500 | $2,993.40 | 0.9× |
| University Medical Center New Orleans | New Orleans, LA | $2,608.54 | $11,857 | $3,002.14 | 0.9× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $2,756.78 | $10,603 | $3,198.67 | 0.9× |
| Aiken Regional Medical Centers | Aiken, SC | $2,776.80 | $6,942 | $3,083.64 | 0.9× |
| Denver Health Medical Center | Denver, CO | $2,779.66 | $7,941.88 | $3,497.42 | 0.8× |
| Summit Surgical, LLC | Hutchinson, KS | $2,868.08 | $3,585.10 | $3,049.08 | 0.9× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $2,938.56 | $9,183 | $3,002.14 | 1.0× |
| Park Place Surgical Hospital | Lafayette, LA | $2,944.22 | $7,317.19 | $3,002.14 | 1.0× |
| Harris Health | Houston, TX | $2,947 | $2,947 | $3,330.57 | 0.9× |
| Riverview Regional Medical Center | Gadsden, AL | $2,959 | $18,650.20 | $2,973.68 | 1.0× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $2,968.84 | $10,603 | $3,002.14 | 1.0× |
| Memorial Hermann Hospital System | Houston, TX | $3,015.84 | $9,424.50 | $3,330.57 | 0.9× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $3,015.84 | $9,424.50 | $3,330.57 | 0.9× |
| Memorial Hermann Northeast Hospital | Humble, TX | $3,015.84 | $9,424.50 | $3,330.57 | 0.9× |
| Memorial Hermann Katy Hospital | Katy, TX | $3,015.84 | $9,424.50 | $3,330.57 | 0.9× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $3,015.84 | $9,424.50 | $3,330.57 | 0.9× |
| Fort Duncan Medical Center | Eagle Pass, TX | $3,057.20 | $7,643 | $3,330.57 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $3,255.33 | — | $3,462.26 | 0.9× |
| Dallas Medical Center | Dallas, TX | $3,314 | $14,722.40 | $3,330.57 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $3,314 | $18,650.20 | $3,330.57 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $3,561.05 | — | $3,010.88 | 1.2× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $3,573.15 | $18,551 | $3,330.57 | 1.1× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $3,610.62 | $9,258 | $3,262.48 | 1.1× |
| Wellstar Spalding Medical Center | Griffin, GA | $3,610.62 | $9,258 | $3,325.49 | 1.1× |
| Wellstar MCG Health Medical Center | Augusta, GA | $3,610.62 | $9,258 | $2,905.40 | 1.2× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $3,610.62 | $9,258 | $3,367.56 | 1.1× |
| Wellstar Paulding Medical Center | Hiram, GA | $3,610.62 | $9,258 | $3,367.56 | 1.1× |
| Wellstar Cobb Medical Center | Austell, GA | $3,610.62 | $9,258 | $3,367.56 | 1.1× |
| Wellstar Douglas Medical Center | Douglasville, GA | $3,610.62 | $9,258 | $3,337.27 | 1.1× |
| Wellstar North Fulton Medical Center | Roswell, GA | $3,610.62 | $9,258 | $3,367.56 | 1.1× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $3,610.62 | $9,258 | $3,325.49 | 1.1× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $3,613.68 | $8,604 | $3,442.75 | 1.0× |
| CHI Health Immanuel | Omaha, NE | $3,613.68 | $8,604 | $3,442.75 | 1.0× |
| CHI Health Midlands | Papillion, NE | $3,613.68 | $8,604 | $3,442.75 | 1.0× |
| CHI Health Lakeside | Omaha, NE | $3,613.68 | $8,604 | $3,442.75 | 1.0× |
| Memorial Hermann Texas Medical Center | Houston, TX | $3,686.16 | $11,519.25 | $3,330.57 | 1.1× |
| Summit Medical Center, LLC | Edmond, OK | $3,726.86 | — | $3,188.71 | 1.2× |
| Covenant Hospital Levelland | Levelland, TX | $3,783.78 | $9,009 | $3,330.57 | 1.1× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $3,817.72 | $6,362.86 | $3,330.57 | 1.1× |
| Scott & White Hospital-round Rock | Round Rock, TX | $3,817.72 | $6,362.86 | $3,330.57 | 1.1× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $3,817.72 | $6,362.86 | $3,330.57 | 1.1× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $3,817.72 | $6,362.86 | $3,330.57 | 1.1× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $3,817.72 | $6,362.86 | $3,330.57 | 1.1× |
| UF Health Leesburg Hospital | Leesburg, FL | $3,840.10 | $6,982 | $3,462.26 | 1.1× |
| Flagler Hospital | Saint Augustine, FL | $3,840.10 | $6,982 | $3,462.26 | 1.1× |
| UF Health Shands Hospital | Gainesville, FL | $3,840.10 | $6,982 | $3,462.26 | 1.1× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $3,840.10 | $6,982 | $3,462.26 | 1.1× |
| Griffin Hospital | Derby, CT | $3,877.03 | — | $3,974.62 | 1.0× |
| Bryan Medical Center | Lincoln, NE | $4,036.20 | $6,727 | $3,442.75 | 1.2× |
| Kearney Regional Medical Center | Kearney, NE | $4,036.20 | $6,727 | $3,442.75 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $4,068.55 | — | $3,537.87 | 1.1× |
| Covenant Medical Center | Lubbock, TX | $4,122.30 | $9,815 | $3,330.57 | 1.2× |
| Covenant Childrens Hospital | Lubbock, TX | $4,122.30 | $9,815 | $3,330.57 | 1.2× |
| Covenant Hospital Plainview | Plainview, TX | $4,134.48 | $9,844 | $3,330.57 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $4,145.32 | — | $3,180.78 | 1.3× |
| Legent Orthopedic Hospital | Carrollton, TX | $4,170.07 | $6,484.20 | $3,336.05 | 1.3× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $4,199.49 | $6,999.15 | $3,330.57 | 1.3× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $4,199.49 | $6,999.15 | $3,330.57 | 1.3× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $4,199.49 | $6,999.15 | $3,330.57 | 1.3× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $4,199.49 | $6,999.15 | $3,330.57 | 1.3× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $4,199.49 | $6,999.15 | $3,330.57 | 1.3× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $4,209.40 | $6,476 | $3,537.87 | 1.2× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $4,377.24 | $7,295.40 | $3,336.05 | 1.3× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Regional Medical Center at Plano | Plano, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| The Heart Hospital Baylor Denton | Denton, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $4,377.24 | $7,295.40 | $3,330.57 | 1.3× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $4,384.80 | $9,744 | $3,497.42 | 1.3× |
| University Hospital | Columbia, MO | $4,462.80 | $7,438 | $3,320.81 | 1.3× |
| AnMed Cannon | Pickens, SC | $4,500 | $9,000 | $3,167.77 | 1.4× |
| AnMed Medical Center | Anderson, SC | $4,500 | $9,000 | $3,083.64 | 1.5× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $5,018.40 | $12,546 | $3,462.26 | 1.4× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $5,018.40 | $12,546 | $3,462.26 | 1.4× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $5,018.40 | $12,546 | $3,462.26 | 1.4× |
| Orlando Health South Lake Hospital | Clermont, FL | $5,018.40 | $12,546 | $3,462.26 | 1.4× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $5,018.40 | $12,546 | $3,462.26 | 1.4× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $5,018.40 | $12,546 | $3,462.26 | 1.4× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $5,018.40 | $12,546 | $3,462.26 | 1.4× |
| Hilton Head Medical Center | Hilton Head Island, SC | $5,269.42 | — | $3,083.64 | 1.7× |
| East Cooper Medical Center | Mount Pleasant, SC | $5,269.42 | — | $3,083.64 | 1.7× |
| Coastal Carolina Medical Center | Hardeeville, SC | $5,269.42 | — | $3,083.64 | 1.7× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $5,347.74 | $13,369.35 | $3,188.71 | 1.7× |
| Saint Francis Hospital, Inc | Tulsa, OK | $5,347.74 | $13,369.35 | $3,188.71 | 1.7× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $5,347.74 | $13,369.35 | $3,188.71 | 1.7× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $5,347.74 | $13,369.35 | $3,188.71 | 1.7× |
| Yale New Haven Hospital | New Haven, CT | $5,428 | $9,200 | $3,974.62 | 1.4× |
| JPS Health Network | Fort Worth, TX | $5,614.20 | $9,357 | $3,330.57 | 1.7× |
| UF Health Jacksonville | Jacksonville, FL | $5,744.22 | $10,444.04 | $3,462.26 | 1.7× |
| UConn John Dempsey Hospital | Farmington, CT | $5,764.20 | $9,607 | $3,974.62 | 1.5× |
| MUSC Health Black River Medical Center | Cades, SC | $5,919.50 | $11,839 | $3,083.64 | 1.9× |
| Connecticut Children's Medical Center | Hartford, CT | $6,115.20 | $10,192 | $3,974.62 | 1.5× |
| UCHealth Greeley Hospital | Greeley, CO | $6,248.40 | $10,414 | $3,502.10 | 1.8× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $6,612 | $8,816 | $3,330.57 | 2.0× |
| Childrens Medical Center Plano | Plano, TX | $6,612 | $8,816 | $3,330.57 | 2.0× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $7,131.78 | $7,131.78 | $3,330.57 | 2.1× |
| Northwest Hills Surgical Hospital | Austin, TX | $7,208.64 | $20,024 | $3,330.57 | 2.2× |
| Poudre Valley Hospital | Fort Collins, CO | $7,289.80 | $10,414 | $3,497.42 | 2.1× |
| Medical Center of the Rockies | Loveland, CO | $7,289.80 | $10,414 | $3,497.42 | 2.1× |
| Houston Methodist Baytown Hospital | Baytown, TX | $7,464 | $14,928 | $3,330.57 | 2.2× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $7,464 | $14,928 | $3,330.57 | 2.2× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $7,464 | $14,928 | $3,330.57 | 2.2× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $7,464 | $14,928 | $3,330.57 | 2.2× |
| Houston Methodist West Hospital | Houston, TX | $7,464 | $14,928 | $3,330.57 | 2.2× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $7,464 | $14,928 | $3,330.57 | 2.2× |
| Houston Methodist Cypress Hospital | Cypress, TX | $7,464 | $14,928 | $3,330.57 | 2.2× |
| Parkland Memorial Hospital | Dallas, TX | $7,968.40 | $19,921 | $3,330.57 | 2.4× |
| MUSC Health University Medical Center | Charleston, SC | $8,036.50 | $16,073 | $3,083.64 | 2.6× |
| McLeod Health Dillon | Dillon, SC | $8,125.24 | $11,444 | $3,083.64 | 2.6× |
| McLeod Regional Medical Center | Florence, SC | $8,125.24 | $11,444 | $3,083.64 | 2.6× |
| McLeod Health Loris | Loris, SC | $8,125.24 | $11,444 | $3,083.64 | 2.6× |
| McLeod Health Cheraw | Cheraw, SC | $8,125.24 | $11,444 | $3,083.64 | 2.6× |
| McLeod Health Clarendon | Manning, SC | $8,125.24 | $11,444 | $3,161.47 | 2.6× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $8,221.40 | $14,948 | $3,188.71 | 2.6× |
| AdventHealth Porter | Denver, CO | $8,292.12 | $8,292.12 | $3,497.42 | 2.4× |
| AdventHealth Avista | Louisville, CO | $8,292.12 | $8,292.12 | $3,536.24 | 2.3× |
| AdventHealth Littleton | Littleton, CO | $8,292.12 | $8,292.12 | $3,497.42 | 2.4× |
| AdventHealth Parker | Parker, CO | $8,292.12 | $8,292.12 | $3,497.42 | 2.4× |
| AdventHealth Castle Rock | Castle Rock, CO | $8,292.12 | $8,292.12 | $3,497.42 | 2.4× |
| Grady Memorial Hospital | Atlanta, GA | $9,532 | $9,532 | $3,367.56 | 2.8× |
| Northwest Surgical Hospital | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $9,566.13 | — | $3,188.71 | 3.0× |
| Freeman Hospital West | Joplin, MO | $9,598.95 | $15,998.25 | $3,320.81 | 2.9× |
| AdventHealth Orlando | Orlando, FL | $10,326 | $10,326 | $3,462.26 | 3.0× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $12,121.20 | $18,648 | $3,462.26 | 3.5× |
| Cleveland Clinic Hospital | Weston, FL | $12,121.20 | $18,648 | $3,462.26 | 3.5× |
| Omega Hospital | Metairie, LA | $13,808.91 | $23,672.42 | $3,112.09 | 4.4× |
| Texoma Medical Center | Denison, TX | $15,210.75 | $20,281 | $3,330.57 | 4.6× |
| Texas Health Hospital Mansfield | Mansfield, TX | $16,435.01 | $16,435.01 | $3,330.57 | 4.9× |
| Northwest Medical Center | Tucson, AZ | $20,715.25 | $86,313.56 | $3,537.87 | 5.9× |
| Regional Medical Center | Memphis, TN | $27,416.93 | $21,439.77 | $3,071.85 | 8.9× |
| AdventHealth Carrollwood | Tampa, FL | $33,427.05 | $33,427.05 | $3,462.26 | 9.7× |
| Mount San Rafael Hospital | Trinidad, CO | — | $2,360.50 | $3,497.42 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $9,547.05 | $3,497.42 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $9,570.95 | $3,497.42 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $9,663 | $3,497.42 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $9,663 | $3,497.42 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $9,663 | $3,536.24 | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $10,474 | $3,330.57 | — |
"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.