Cltx tarsal dislc oth/thn talotarsal w/o anes (CPT 28540)
28540 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.
431 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $28.09 | $280.86 | $237.24 | 0.1× |
| University Medical Center of El Paso | El Paso, TX | $36.65 | $183.23 | $247.79 | 0.1× |
| NEA Baptist Memorial Hospital | Jonesboro, AR | $47.50 | $250 | $231.29 | 0.2× |
| Baptist Memorial Hospital-Union City | Union City, TN | $48 | $240 | $223.79 | 0.2× |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $48.65 | $278 | $247.79 | 0.2× |
| Burleson St. Joseph Health Center | Caldwell, TX | $48.65 | $278 | $247.79 | 0.2× |
| Madison St. Joseph Health Center | Madisonville, TX | $48.65 | $278 | $247.79 | 0.2× |
| Grimes St. Joseph Health Center | Navasota, TX | $48.65 | $278 | $247.79 | 0.2× |
| Jeff Davis Hospital | Hazlehurst, GA | $50.75 | $145 | $216.16 | 0.2× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $53.10 | $354 | $228.54 | 0.2× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $212.59 | 0.3× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $57.50 | $250 | $223.79 | 0.3× |
| Baptist Memorial Hospital-Union County | New Albany, MS | $60 | $250 | $212.67 | 0.3× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $60 | $250 | $212.67 | 0.3× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $62.50 | $250 | $222.01 | 0.3× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $66.99 | $203 | $223.36 | 0.3× |
| Bsa Hospital | Amarillo, TX | $70.40 | $704 | $247.79 | 0.3× |
| Baptist Memorial Hospital-DeSoto | Southaven, MS | $70.80 | $354 | $228.54 | 0.3× |
| Seton Medical Center Harker Heights | Harker Heights, TX | $72 | $720 | $247.79 | 0.3× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $74.34 | $354 | $223.79 | 0.3× |
| St. Luke's Patients Medical Center | Pasadena, TX | $79.07 | $225.90 | $247.79 | 0.3× |
| Chi St. Luke's Health Baylor College of Medicine Me | Houston, TX | $80.15 | $229 | $247.79 | 0.3× |
| St. Luke's The Woodlands Hospital | The Woodlands, TX | $80.15 | $229 | $247.79 | 0.3× |
| St. Luke's Sugar Land Hospital | Sugar Land, TX | $80.15 | $229 | $247.79 | 0.3× |
| St. Lukes Lakeside Hospital | The Woodlands, TX | $80.15 | $229 | $247.79 | 0.3× |
| St. Luke's Hospital at The Vintage | Houston, TX | $80.15 | $229 | $247.79 | 0.3× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $82.80 | $360 | $222.56 | 0.4× |
| Baptist Memorial Hospital-Tipton | Covington, TN | $84.96 | $354 | $228.54 | 0.4× |
| Unity Health - White County Medical Center | Searcy, AR | $86.50 | $346 | $224.60 | 0.4× |
| Unity Health - Jacksonville | Jacksonville, AR | $86.50 | $346 | $231.76 | 0.4× |
| Unity Health - Newport | Newport, AR | $86.50 | $346 | $224.60 | 0.4× |
| Marion General Hospital | Columbia, MS | $91 | $454.96 | $212.67 | 0.4× |
| Highland Community Hospital | Picayune, MS | $91 | $454.96 | $218.06 | 0.4× |
| Dorminy Medical Center | Fitzgerald, GA | $92.50 | $185 | $216.16 | 0.4× |
| Freeman Hospital West | Joplin, MO | $99.30 | $165.50 | $247.07 | 0.4× |
| Touro | New Orleans, LA | $104.86 | $749 | $231.54 | 0.5× |
| Archbold Memorial | Thomasville, GA | $108.60 | $181 | $237.63 | 0.5× |
| Archbold Mitchell | Camilla, GA | $108.60 | $181 | $216.16 | 0.5× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $110 | $366 | $247.79 | 0.4× |
| West Jefferson Medical Center | Marrero, LA | $112 | $700 | $231.54 | 0.5× |
| Randolph Health | Asheboro, NC | $117 | $585 | $235.77 | 0.5× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $120.64 | $464 | $223.36 | 0.5× |
| Sweeny Community Hospital | Sweeny, TX | $127.26 | $212.10 | $247.79 | 0.5× |
| Forrest General Hospital | Hattiesburg, MS | $127.39 | $454.96 | $213.69 | 0.6× |
| Walthall General Hospital | Tylertown, MS | $127.39 | $454.96 | $212.67 | 0.6× |
| Tanner Medical Center/Carrollton | Carrollton, GA | $127.40 | $318.50 | $247.41 | 0.5× |
| Higgins General Hospital | Bremen, GA | $127.40 | $318.50 | $250.54 | 0.5× |
| Jefferson County Hospital | Waurika, OK | $128.46 | $366 | $237.24 | 0.5× |
| Methodist Hospital | Omaha, NE | $129.24 | $359 | $256.14 | 0.5× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $130.72 | $326.80 | $237.24 | 0.6× |
| Saint Francis Hospital, Inc | Tulsa, OK | $130.72 | $326.80 | $237.24 | 0.6× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $130.72 | $326.80 | $237.24 | 0.6× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $130.72 | $326.80 | $237.24 | 0.6× |
| Baptist Hospital | Pensacola, FL | $137.10 | $914 | $257.59 | 0.5× |
| Fayette Medical Center | Fayette, AL | $138.88 | $277.75 | $222.01 | 0.6× |
| DCH Regional Medical Center | Tuscaloosa, AL | $138.88 | $277.75 | $245.95 | 0.6× |
| Baptist Memorial Hospital-Yazoo | Yazoo City, MS | $139.40 | $340 | $222.71 | 0.6× |
| Magee General Hospital | Magee, MS | $140.88 | $406 | $222.71 | 0.6× |
| Mississippi Baptist Medical Center | Jackson, MS | $142.80 | $680 | $222.71 | 0.6× |
| Methodist Fremont Health | Fremont, NE | $143.19 | $387 | $256.14 | 0.6× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $144.54 | $657 | $228.54 | 0.6× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $144.54 | $657 | $228.54 | 0.6× |
| Duke University Hospital | Durham, NC | $144.99 | $537 | $245.45 | 0.6× |
| East Carroll Parish Hospital | Lake Providence, LA | $145.50 | $194 | $224.58 | 0.6× |
| Jennie Stuart Health | Hopkinsville, KY | $146.28 | $471.85 | $231.45 | 0.6× |
| Jackson Hospital | Marianna, FL | $146.50 | $293 | $257.59 | 0.6× |
| Baptist Memorial Hospital-Attala | Kosciusko, MS | $149.60 | $340 | $212.67 | 0.7× |
| Baptist Memorial Hospital-Leake | Carthage, MS | $153 | $340 | $212.67 | 0.7× |
| Livingston Hospital | Salem, KY | $153.08 | $255.12 | $231.45 | 0.7× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $153.80 | $769 | $233.53 | 0.7× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $153.80 | $769 | $235.62 | 0.7× |
| CHI Health St. Elizabeth | Lincoln, NE | $154 | $308 | $256.14 | 0.6× |
| Memorial Medical Center | Port Lavaca, TX | $158.48 | $226.40 | $247.79 | 0.6× |
| Jefferson Davis Community Hospital | Prentiss, MS | $159.24 | $454.96 | $212.67 | 0.7× |
| Ochsner Rush Medical Center | Meridian, MS | $159.60 | $456 | $217.82 | 0.7× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $161.51 | $521 | $235.35 | 0.7× |
| Lane Regional Medical Center | Zachary, LA | $162 | $462 | $223.36 | 0.7× |
| Perry County General Hospital | Richton, MS | $163.79 | $454.96 | $212.67 | 0.8× |
| University of Kansas Hospital | Kansas City, KS | $166.20 | $831 | $230.30 | 0.7× |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $170.30 | $655 | $232.78 | 0.7× |
| OCH Regional Medical Center | Starkville, MS | $174.40 | $272.50 | $212.67 | 0.8× |
| Denver Health Medical Center | Denver, CO | $175.67 | $501.90 | $260.21 | 0.7× |
| Ascension St. John Medical Center | Tulsa, OK | $180.52 | $487.88 | $237.24 | 0.8× |
| Ascension St. John Nowata | Nowata, OK | $180.52 | $487.88 | $237.24 | 0.8× |
| Ascension St. John Sapulpa | Sapulpa, OK | $180.52 | $487.88 | $237.24 | 0.8× |
| DeSoto Regional Health System | Mansfield, LA | $181.30 | $259 | $223.36 | 0.8× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $181.50 | $363 | $247.07 | 0.7× |
| University Medical Center New Orleans | New Orleans, LA | $182.82 | $831 | $223.36 | 0.8× |
| Evergreen Medical Center | Evergreen, AL | $185.90 | $286 | $212.59 | 0.9× |
| Manning Family Children's | New Orleans, LA | $186.57 | $691 | $231.54 | 0.8× |
| CHI Health Good Samaritan | Kearney, NE | $187.88 | $308 | $256.14 | 0.7× |
| Vail Health Hospital | Vail, CO | $188.25 | $251 | $260.21 | 0.7× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $188.50 | $377 | $235.77 | 0.8× |
| Naples Community Hospital | Naples, FL | $188.80 | $472 | $257.59 | 0.7× |
| Granville Medical Center | Oxford, NC | $188.80 | $236 | $245.58 | 0.8× |
| Lallie Kemp Regional Medical Center | Independence, LA | $192.64 | $321.06 | $223.36 | 0.9× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $193.20 | $460 | $256.14 | 0.8× |
| CHI Health Immanuel | Omaha, NE | $193.20 | $460 | $256.14 | 0.8× |
| CHI Health Midlands | Papillion, NE | $193.20 | $460 | $256.14 | 0.8× |
| CHI Health Lakeside | Omaha, NE | $193.20 | $460 | $256.14 | 0.8× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $193.60 | $968 | $247.79 | 0.8× |
| Medical Center Hospital | Odessa, TX | $194 | $194 | $247.79 | 0.8× |
| St. Joseph Medical Center | Houston, TX | $198.51 | $509 | $247.79 | 0.8× |
| Ascension St. John Jane Phillips | Bartlesville, OK | $198.60 | $536.75 | $237.24 | 0.8× |
| Ascension St. John Owasso | Owasso, OK | $198.60 | $536.75 | $237.24 | 0.8× |
| Ascension St. John Broken Arrow | Broken Arrow, OK | $198.60 | $536.75 | $237.24 | 0.8× |
| Summit Surgical, LLC | Hutchinson, KS | $207.24 | $259.05 | $226.85 | 0.9× |
| Newman Regional Health | Emporia, KS | $215.20 | $269 | $226.85 | 0.9× |
| Murray-Calloway County Hospital | Murray, KY | $216.45 | $333 | $231.45 | 0.9× |
| Park Place Surgical Hospital | Lafayette, LA | $219.05 | $702.81 | $223.36 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $220 | $549.87 | $221.24 | 1.0× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $222.64 | $1,113.20 | $247.79 | 0.9× |
| UConn Health Waterbury Hospital | Waterbury, CT | $223.78 | $447.56 | $295.71 | 0.8× |
| J. Paul Jones Rural Emergency Hospital | Camden, AL | $228.80 | $228.80 | $212.59 | 1.1× |
| West Calcasieu Cameron Hospital | Sulphur, LA | $230.25 | $307 | $223.36 | 1.0× |
| Providence Medical Center | Kansas City, KS | $232 | $1,262.31 | $233.53 | 1.0× |
| Kingman Regional Medical Center | Kingman, AZ | $237.30 | $678 | $263.21 | 0.9× |
| Cheyenne County Hospital | St. Francis, KS | $238 | $280 | $226.85 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $240.79 | — | $257.59 | 0.9× |
| Erlanger Bledsoe Hospital | Pikeville, TN | $242.62 | $839.50 | $223.79 | 1.1× |
| Mission Regional Medical Center | Mission, TX | $246 | $1,125.45 | $247.79 | 1.0× |
| Dallas Medical Center | Dallas, TX | $246 | $647.01 | $247.79 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $246 | $549.87 | $247.79 | 1.0× |
| Jackson Hospital | Montgomery, AL | $246.05 | $1,295 | $221.24 | 1.1× |
| St. Luke's Hospital | Chesterfield, MO | $248.88 | $414.80 | $247.07 | 1.0× |
| Bon Secours St. Francis Hospital | Charleston, SC | $248.95 | $383 | $229.42 | 1.1× |
| Roper Hospital | Charleston, SC | $248.95 | $383 | $229.42 | 1.1× |
| Roper St. Francis Mount Pleasant Hospital | Mount Pleasant, SC | $248.95 | $383 | $229.42 | 1.1× |
| Roper St. Francis Berkeley Hospital | Summerville, SC | $248.95 | $383 | $229.42 | 1.1× |
| MUSC Health Black River Medical Center | Cades, SC | $250 | $500 | $229.42 | 1.1× |
| CommonSpirit Saint Joseph Hospital - London | London, KY | $250.86 | $703 | $231.45 | 1.1× |
| Atrium Health Navicent Peach | Byron, GA | $254 | $508 | $216.16 | 1.2× |
| UConn John Dempsey Hospital | Farmington, CT | $254.40 | $424 | $295.71 | 0.9× |
| CommonSpirit Saint Joseph Hospital - Berea | Berea, KY | $255.49 | $530 | $231.45 | 1.1× |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $257.27 | $702 | $238.78 | 1.1× |
| AnMed Cannon | Pickens, SC | $259.50 | $519 | $235.68 | 1.1× |
| AnMed Medical Center | Anderson, SC | $259.50 | $519 | $229.42 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $263.40 | — | $224.01 | 1.2× |
| Holton Community Hospital | Holton, KS | $266.06 | $354.75 | $226.85 | 1.2× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $266.51 | $919 | $235.54 | 1.1× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $266.51 | $919 | $234.17 | 1.1× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $266.51 | $919 | $236.65 | 1.1× |
| Harris Health | Houston, TX | $269.11 | $316 | $247.79 | 1.1× |
| Beebe Medical Center | Lewes, DE | $269.45 | $317 | $259.96 | 1.0× |
| Summit Medical Center, LLC | Edmond, OK | $272.98 | — | $237.24 | 1.2× |
| Claiborne County Medical Center | Port Gibson, MS | $273.56 | $303.96 | $212.67 | 1.3× |
| Covenant Hospital Levelland | Levelland, TX | $275.52 | $656 | $247.79 | 1.1× |
| Covenant Hospital Plainview | Plainview, TX | $275.94 | $657 | $247.79 | 1.1× |
| Beaufort Memorial | Beaufort, SC | $276 | $460 | $229.42 | 1.2× |
| Ochsner Laird Hospital | Union, MS | $278.16 | $456 | $212.67 | 1.3× |
| Mercy Hospital St. Louis | St. Louis, MO | $284.38 | $437.50 | $247.07 | 1.2× |
| Tift Regional Medical Center | Tifton, GA | $285 | $570 | $223.39 | 1.3× |
| Stephens County Hospital | Toccoa, GA | $286.58 | $477.62 | $216.16 | 1.3× |
| Griffin Hospital | Derby, CT | $286.77 | — | $295.71 | 1.0× |
| Sibley Memorial Hospital | Washington, DC | $287 | $287 | $291.40 | 1.0× |
| Ochsner Scott Regional | Morton, MS | $287.28 | $456 | $222.71 | 1.3× |
| Covenant Medical Center | Lubbock, TX | $291.90 | $695 | $247.79 | 1.2× |
| Covenant Childrens Hospital | Lubbock, TX | $291.90 | $695 | $247.79 | 1.2× |
| Golden Valley Memorial Healthcare | Clinton, MO | $298.03 | $496.72 | $247.07 | 1.2× |
| Mercy Hospital Columbus | Columbus, KS | $298.35 | $459 | $226.85 | 1.3× |
| Foothills Hospital | Boulder, CO | $299.50 | $599 | $263.09 | 1.1× |
| Mcbride Orthopedic Hospital | Oklahoma City, OK | $300 | $300 | $237.24 | 1.3× |
| Valleywise Health Medical Center | Phoenix, AZ | $302.70 | $350 | $263.21 | 1.2× |
| Hilton Head Medical Center | Hilton Head Island, SC | $304.78 | — | $229.42 | 1.3× |
| East Cooper Medical Center | Mount Pleasant, SC | $304.78 | — | $229.42 | 1.3× |
| Coastal Carolina Medical Center | Hardeeville, SC | $304.78 | — | $229.42 | 1.3× |
| Ochsner Watkins Hospital | Quitman, MS | $305.52 | $456 | $212.67 | 1.4× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $308.41 | — | $236.65 | 1.3× |
| Legent Orthopedic Hospital | Carrollton, TX | $310.25 | $1,050 | $248.20 | 1.3× |
| Opelousas General Health System | Opelousas, LA | $312 | $624 | $223.36 | 1.4× |
| Southwell Medical | Adel, GA | $312.29 | $624.57 | $216.16 | 1.4× |
| CHI Health Plainview | Plainview, NE | $313.32 | $373 | $256.14 | 1.2× |
| Ochsner Stennis Hospital | De Kalb, MS | $314.64 | $456 | $212.67 | 1.5× |
| Bryan Medical Center | Lincoln, NE | $316.20 | $527 | $256.14 | 1.2× |
| Kearney Regional Medical Center | Kearney, NE | $316.20 | $527 | $256.14 | 1.2× |
| CHI Health Schuyler | Schuyler, NE | $317.05 | $373 | $256.14 | 1.2× |
| CHI Health St. Mary's | Nebraska City, NE | $318.30 | $383.50 | $256.14 | 1.2× |
| Conway Medical Center | Conway, SC | $324 | $324 | $229.42 | 1.4× |
| Grisell Memorial Hospital | Ransom, KS | $326.56 | $343.74 | $226.85 | 1.4× |
| Southwest Memorial Hospital | Cortez, CO | $327 | $653.50 | $260.21 | 1.3× |
| Mease Dunedin Hospital | Dunedin, FL | $331.80 | $553 | $257.59 | 1.3× |
| Winter Haven Hospital | Winter Haven, FL | $331.80 | $553 | $257.59 | 1.3× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $331.80 | $553 | $257.59 | 1.3× |
| St. Anthony's Hospital | Saint Petersburg, FL | $331.80 | $553 | $257.59 | 1.3× |
| St. Joseph's Hospital | Tampa, FL | $331.80 | $553 | $257.59 | 1.3× |
| Bartow Regional Medical Center | Bartow, FL | $331.80 | $553 | $257.59 | 1.3× |
| Morton Plant Hospital | Clearwater, FL | $331.80 | $553 | $257.59 | 1.3× |
| South Florida Baptist Hospital | Plant City, FL | $331.80 | $553 | $257.59 | 1.3× |
| Mease Countryside Hospital | Safety Harbor, FL | $331.80 | $553 | $257.59 | 1.3× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $331.80 | $553 | $257.59 | 1.3× |
| Nebraska Medical Center | Omaha, NE | $331.82 | $510.50 | $256.14 | 1.3× |
| Bellevue Medical Center | Bellevue, NE | $331.82 | $510.50 | $256.14 | 1.3× |
| Community Hospital Grand Junction | Grand Junction, CO | $334.32 | $597 | $260.21 | 1.3× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $338.65 | $521 | $235.68 | 1.4× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $338.65 | $521 | $235.68 | 1.4× |
| Prisma Health Richland Hospital | Columbia, SC | $338.65 | $521 | $237.81 | 1.4× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $338.65 | $521 | $236.27 | 1.4× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $338.65 | $521 | $236.27 | 1.4× |
| Prisma Health Laurens County Hospital | Clinton, SC | $338.65 | $521 | $235.01 | 1.4× |
| Prisma Health Tuomey Hospital | Sumter, SC | $338.65 | $521 | $240.46 | 1.4× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $338.65 | $521 | $235.01 | 1.4× |
| Prisma Health Baptist Hospital | Columbia, SC | $338.65 | $521 | $238.43 | 1.4× |
| Prisma Health Patewood Hospital | Greenville, SC | $338.65 | $521 | $236.27 | 1.4× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $338.65 | $521 | $238.43 | 1.4× |
| Pawnee County Memorial Hospital | Pawnee City, NE | $344 | $430 | $256.14 | 1.3× |
| MUSC Health University Medical Center | Charleston, SC | $345.50 | $691 | $229.42 | 1.5× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $345.75 | $576.25 | $247.79 | 1.4× |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $345.75 | $576.25 | $248.20 | 1.4× |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $345.75 | $576.25 | $247.79 | 1.4× |
| Texas Health Harris Methodist Hospital Stephenvill | Stephenville, TX | $345.75 | $576.25 | $247.79 | 1.4× |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $345.75 | $576.25 | $248.20 | 1.4× |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $345.75 | $576.25 | $247.79 | 1.4× |
| Texas Health HEB | Bedford, TX | $345.75 | $576.25 | $248.20 | 1.4× |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $345.75 | $576.25 | $247.79 | 1.4× |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $345.75 | $576.25 | $247.79 | 1.4× |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $345.75 | $576.25 | $247.79 | 1.4× |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $345.75 | $576.25 | $248.20 | 1.4× |
| Ochsner Choctaw General | Butler, AL | $346.56 | $456 | $212.59 | 1.6× |
| Memorial Hospital of Texas County Authority | Guymon, OK | $353.60 | $442 | $237.24 | 1.5× |
| Salina Regional Health Center | Salina, KS | $353.71 | $505.30 | $226.85 | 1.6× |
| Lindsborg Community Hospital | Lindsborg, KS | $353.71 | $505.30 | $226.85 | 1.6× |
| Jefferson Regional | Pine Bluff, AR | $354 | $354 | $229.53 | 1.5× |
| North Central Kansas Medical Center | Concordia, KS | $355.88 | $508.40 | $226.85 | 1.6× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $358.65 | $398.50 | $260.21 | 1.4× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $360.10 | $554 | $263.21 | 1.4× |
| Rio Grande Hospital | Del Norte, CO | $362.09 | $482.78 | $260.21 | 1.4× |
| LMH Health | Lawrence, KS | $364.06 | $1,456.25 | $231.96 | 1.6× |
| Manatee Memorial Hospital | Bradenton, FL | $364.80 | $912 | $257.59 | 1.4× |
| Lakewood Ranch Medical Center | Bradenton, FL | $364.80 | $912 | $257.59 | 1.4× |
| Monroe Regional Hospital | Aberdeen, MS | $388.12 | $388.12 | $212.67 | 1.8× |
| Atrium Health Navicent The Medical Center | Macon, GA | $389 | $778 | $242.73 | 1.6× |
| Mcpherson Hospital Inc | Mcpherson, KS | $390.72 | $528 | $226.85 | 1.7× |
| Atrium Health Cabarrus | Concord, NC | $393.63 | $787.25 | $239.70 | 1.6× |
| Atrium Health Cleveland | Shelby, NC | $393.63 | $787.25 | $237.81 | 1.7× |
| Atrium Health Anson | Wadesboro, NC | $393.63 | $787.25 | $239.70 | 1.6× |
| Atrium Health Pineville | Charlotte, NC | $393.63 | $787.25 | $239.70 | 1.6× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $393.63 | $787.25 | $239.70 | 1.6× |
| Atrium Health Stanly | Albemarle, NC | $393.63 | $787.25 | $239.70 | 1.6× |
| Atrium Health Union | Monroe, NC | $393.63 | $787.25 | $239.70 | 1.6× |
| Atrium Health Lincoln | Lincolnton, NC | $393.63 | $787.25 | $239.70 | 1.6× |
| Atrium Health University City | Charlotte, NC | $393.63 | $787.25 | $239.70 | 1.6× |
| T.J. Samson Community Hospital | Glasgow, KY | $393.90 | $606 | $234.17 | 1.7× |
| Atrium Health Navicent Baldwin | Milledgeville, GA | $394.50 | $789 | $242.73 | 1.6× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $395.14 | $859 | $242.73 | 1.6× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $395.14 | $859 | $216.16 | 1.8× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $395.14 | $859 | $247.41 | 1.6× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $395.14 | $859 | $255.94 | 1.5× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Scott & White Hospital-round Rock | Round Rock, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $396.30 | $660.50 | $247.79 | 1.6× |
| Titus Regional Medical Center | Mount Pleasant, TX | $396.60 | $661 | $247.79 | 1.6× |
| Memorial Hospital | Seward, NE | $413 | $413 | $256.14 | 1.6× |
| Kit Carson County Memorial Hospital | Burlington, CO | $413.68 | $486.68 | $260.21 | 1.6× |
| Dundy County Hospital | Benkelman, NE | $421 | $468 | $256.14 | 1.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $426.60 | $948 | $260.21 | 1.6× |
| Edwards County Medical Center | Kinsley, KS | $430.80 | $538.50 | $226.85 | 1.9× |
| Jackson Medical Center | Jackson, AL | $433 | $433 | $212.59 | 2.0× |
| Gunnison Valley Hospital | Gunnison, CO | $433.92 | $510.50 | $260.21 | 1.7× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $435.60 | $726 | $248.20 | 1.8× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Regional Medical Center at Plano | Plano, TX | $435.60 | $726 | $247.79 | 1.8× |
| The Heart Hospital Baylor Denton | Denton, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $435.60 | $726 | $247.79 | 1.8× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $435.60 | $726 | $247.79 | 1.8× |
| Doctors Hospital of Laredo | Laredo, TX | $436 | $1,090 | $247.79 | 1.8× |
| MedStar Georgetown University Hospital | Washington, DC | $447.62 | $688.64 | $291.40 | 1.5× |
| UF Health Leesburg Hospital | Leesburg, FL | $450.72 | $819.50 | $257.59 | 1.7× |
| Ivinson Memorial Hospital | Laramie, WY | $457 | $457 | $252.01 | 1.8× |
| Susan B Allen Memorial Hospital | El Dorado, KS | $460.85 | $709 | $227.30 | 2.0× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $461 | $461 | $263.21 | 1.8× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $461 | $461 | $263.21 | 1.8× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $461 | $461 | $263.21 | 1.8× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $461 | $461 | $263.21 | 1.8× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $461 | $461 | $263.21 | 1.8× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $461 | $461 | $263.21 | 1.8× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $461 | $461 | $263.21 | 1.8× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $461 | $461 | $263.21 | 1.8× |
| Connecticut Children's Medical Center | Hartford, CT | $462.60 | $771 | $295.71 | 1.6× |
| Sublette County Health | Pinedale, WY | $468 | $520 | $252.01 | 1.9× |
| Patterson Health Center | Anthony, KS | $468.40 | $585.50 | $226.85 | 2.1× |
| W J Mangold Memorial Hospital | Lockney, TX | $469 | $469 | $247.79 | 1.9× |
| Campbell County Health | Gillette, WY | $474.75 | $527.50 | $252.01 | 1.9× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $479.60 | $872 | $247.07 | 1.9× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $479.60 | $872 | $247.07 | 1.9× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $479.60 | $872 | $247.07 | 1.9× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $479.60 | $872 | $247.07 | 1.9× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $479.60 | $872 | $247.07 | 1.9× |
| Cogdell Memorial Hospital | Snyder, TX | $482 | $482 | $247.79 | 1.9× |
| UCHealth Greeley Hospital | Greeley, CO | $488.40 | $814 | $260.55 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $489.06 | $366 | $237.24 | 2.1× |
| McLeod Health Dillon | Dillon, SC | $489.90 | $690 | $229.42 | 2.1× |
| McLeod Regional Medical Center | Florence, SC | $489.90 | $690 | $229.42 | 2.1× |
| McLeod Health Loris | Loris, SC | $489.90 | $690 | $229.42 | 2.1× |
| McLeod Health Cheraw | Cheraw, SC | $489.90 | $690 | $229.42 | 2.1× |
| McLeod Health Clarendon | Manning, SC | $489.90 | $690 | $235.21 | 2.1× |
| MedStar Washington Hospital Center | Washington, DC | $491.41 | $756.01 | $291.40 | 1.7× |
| UAMS Medical Center | Little Rock, AR | $496.20 | $827 | $231.76 | 2.1× |
| Vanderbilt University Hospital | Nashville, TN | $496.26 | $919 | $242.14 | 2.0× |
| Salem Memorial District Hospital | Salem, MO | $505.50 | $674 | $247.07 | 2.0× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $505.75 | $595 | $260.21 | 1.9× |
| USA Health Providence Hospital | Mobile, AL | $508 | $508 | $222.71 | 2.3× |
| Memorial Hospital | Abilene, KS | $508.40 | $508.40 | $226.85 | 2.2× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $510.62 | $2,321 | $231.54 | 2.2× |
| Baylor Scott and White Medical Center Sunnyvale | Sunnyvale, TX | $513.60 | $856 | $247.79 | 2.1× |
| Community Hospital of Stokes | Danbury, NC | $518.62 | $762.67 | $239.23 | 2.2× |
| Memorial Hospital of Carbon County | Rawlins, WY | $526.50 | $702 | $252.01 | 2.1× |
| Montrose Regional Health | Montrose, CO | $531 | $708 | $260.21 | 2.0× |
| Fort Duncan Medical Center | Eagle Pass, TX | $532.40 | $1,331 | $247.79 | 2.1× |
| Aiken Regional Medical Centers | Aiken, SC | $537.20 | $1,343 | $229.42 | 2.3× |
| Erlanger Baroness Hospital | Chattanooga, TN | $554.93 | $1,051 | $227.59 | 2.4× |
| Southwest Medical Center | Liberal, KS | $556 | $695 | $226.85 | 2.5× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $562.50 | $625 | $260.21 | 2.2× |
| Baylor Scott & White Emergency Hospital | Aubrey, TX | $563.75 | $939.58 | $247.79 | 2.3× |
| Baylor Scott and White Emergency Hospital | Burleson, TX | $563.75 | $939.58 | $248.20 | 2.3× |
| South Texas Health System Behavioral | Edinburg, TX | $567.20 | $1,418 | $247.79 | 2.3× |
| Poudre Valley Hospital | Fort Collins, CO | $569.80 | $814 | $260.21 | 2.2× |
| Medical Center of the Rockies | Loveland, CO | $569.80 | $814 | $260.21 | 2.2× |
| Little Colorado Medical Center | Winslow, AZ | $575.98 | $959.96 | $263.21 | 2.2× |
| Harris Regional Hospital | Sylva, NC | $581.95 | $1,454.88 | $235.77 | 2.5× |
| Bridgeport Hospital | Bridgeport, CT | $599.98 | $1,153.81 | $295.71 | 2.0× |
| Flagler Hospital | Saint Augustine, FL | $606.10 | $1,102 | $257.59 | 2.4× |
| UF Health Shands Hospital | Gainesville, FL | $606.10 | $1,102 | $257.59 | 2.4× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $606.10 | $1,102 | $257.59 | 2.4× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $620 | $620 | $247.79 | 2.5× |
| George Washington University Hospital | Washington, DC | $624 | $1,560 | $291.40 | 2.1× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $624 | $1,560 | $291.40 | 2.1× |
| The Hospitals of Providence Horizon City Campus | Horizon City, TX | $658.85 | $823.56 | $247.79 | 2.7× |
| Brodstone Healthcare | Superior, NE | $666 | $701 | $256.14 | 2.6× |
| Sharon Hospital | Sharon, CT | $668 | $668 | $295.71 | 2.3× |
| UF Health Jacksonville | Jacksonville, FL | $676.25 | $1,229.55 | $257.59 | 2.6× |
| INTEGRIS Community Hospital - Council Crossing | Oklahoma City, OK | $690.72 | $874.33 | $237.24 | 2.9× |
| Crescent Medical Center Lancaster | Lancaster, TX | $699 | $1,075 | $247.79 | 2.8× |
| Stamford Hospital | Stamford, CT | $704.60 | $704.60 | $295.71 | 2.4× |
| Northwest Surgical Hospital | Oklahoma City, OK | $711.72 | $708 | $237.24 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $711.72 | $708 | $237.24 | 3.0× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $731.04 | $731.04 | $257.59 | 2.8× |
| AdventHealth Palm Coast | Palm Coast, FL | $731.04 | $731.04 | $257.59 | 2.8× |
| St. Mary's Regional Medical Center | Enid, OK | $734 | $1,835 | $237.24 | 3.1× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $735.20 | $1,838 | $257.59 | 2.9× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $735.20 | $1,838 | $257.59 | 2.9× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $735.20 | $1,838 | $257.59 | 2.9× |
| Orlando Health South Lake Hospital | Clermont, FL | $735.20 | $1,838 | $257.59 | 2.9× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $735.20 | $1,838 | $257.59 | 2.9× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $735.20 | $1,838 | $257.59 | 2.9× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $735.20 | $1,838 | $257.59 | 2.9× |
| Erlanger Western Carolina Hospital | Murphy, NC | $735.70 | $1,051 | $235.77 | 3.1× |
| Lincoln Health Hospital | Hugo, CO | $743 | $743 | $260.21 | 2.9× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $755.15 | $1,373 | $247.07 | 3.1× |
| AdventHealth Orlando | Orlando, FL | $777 | $777 | $257.59 | 3.0× |
| CaroMont Regional Medical Center | Gastonia, NC | $781 | $781 | $239.70 | 3.3× |
| Wellington Regional Medical Center | Wellington, FL | $805.50 | $1,074 | $257.59 | 3.1× |
| Saint Francis Medical Center | Cape Girardeau, MO | $809 | $809 | $247.07 | 3.3× |
| Emory Hospital Warner Robins | Warner Robins, GA | $858 | $858 | $220.97 | 3.9× |
| Emory Hospital Perry | Perry, GA | $858 | $858 | $217.73 | 3.9× |
| Texoma Medical Center | Denison, TX | $873.75 | $1,165 | $247.79 | 3.5× |
| Shriners Hospitals For Children | Galveston, TX | $885.90 | $885.90 | $247.79 | 3.6× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $896.35 | $1,379 | $257.59 | 3.5× |
| Cleveland Clinic Hospital | Weston, FL | $896.35 | $1,379 | $257.59 | 3.5× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $900.51 | $2,309 | $242.73 | 3.7× |
| Wellstar Spalding Medical Center | Griffin, GA | $900.51 | $2,309 | $247.41 | 3.6× |
| Wellstar MCG Health Medical Center | Augusta, GA | $900.51 | $2,309 | $216.16 | 4.2× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $900.51 | $2,309 | $250.54 | 3.6× |
| Wellstar Paulding Medical Center | Hiram, GA | $900.51 | $2,309 | $250.54 | 3.6× |
| Wellstar Cobb Medical Center | Austell, GA | $900.51 | $2,309 | $250.54 | 3.6× |
| Wellstar Douglas Medical Center | Douglasville, GA | $900.51 | $2,309 | $248.29 | 3.6× |
| Wellstar North Fulton Medical Center | Roswell, GA | $900.51 | $2,309 | $250.54 | 3.6× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $900.51 | $2,309 | $247.41 | 3.6× |
| Norman Regional | Norman, OK | $907.80 | $1,513 | $237.24 | 3.8× |
| University Medical Center | Lubbock, TX | $957 | $957 | $247.79 | 3.9× |
| Greenwood County Hospital | Eureka, KS | $960 | $1,200 | $226.85 | 4.2× |
| Shriners Children’s St. Louis | St. Louis, MO | $976.26 | $976.26 | $247.07 | 4.0× |
| Shriners Children's Greenville | Greenville, SC | $987.44 | $987.44 | $235.68 | 4.2× |
| FirstHealth Moore Regional Hospital | Pinehurst, NC | $1,014.25 | $1,014.25 | $242.57 | 4.2× |
| FirstHealth Montgomery Memorial Hospital | Troy, NC | $1,014.25 | $1,014.25 | $235.77 | 4.3× |
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler, TX | $1,032 | $1,720 | $247.79 | 4.2× |
| Mitchell County Hospital Health Systems | Beloit, KS | $1,092.60 | $1,214 | $226.85 | 4.8× |
| AdventHealth Porter | Denver, CO | $1,241.93 | $1,241.93 | $260.21 | 4.8× |
| AdventHealth Avista | Louisville, CO | $1,241.93 | $1,241.93 | $263.09 | 4.7× |
| AdventHealth Littleton | Littleton, CO | $1,241.93 | $1,241.93 | $260.21 | 4.8× |
| AdventHealth Parker | Parker, CO | $1,241.93 | $1,241.93 | $260.21 | 4.8× |
| AdventHealth Castle Rock | Castle Rock, CO | $1,241.93 | $1,241.93 | $260.21 | 4.8× |
| Northwest Texas Hospital | Amarillo, TX | $1,300.80 | $3,252 | $247.79 | 5.2× |
| Texas Health Hospital Mansfield | Mansfield, TX | $1,320.65 | $1,320.65 | $247.79 | 5.3× |
| AdventHealth Gordon | Calhoun, GA | $1,371.94 | $1,371.94 | $250.54 | 5.5× |
| Children's Mercy Hospital Kansas | Overland Park, KS | $1,399.20 | $2,915 | $233.53 | 6.0× |
| Children’s Mercy Adele Hall | Kansas City, MO | $1,399.20 | $2,915 | $247.07 | 5.7× |
| Danbury Hospital | Danbury, CT | $1,439.50 | $1,439.50 | $295.71 | 4.9× |
| Coral Gables Hospital | Coral Gables, FL | $1,597.94 | $1,597.94 | $257.59 | 6.2× |
| Hialeah Hospital | Hialeah, FL | $1,625.19 | $1,625.19 | $257.59 | 6.3× |
| Norwalk Hospital | Norwalk, CT | $1,654.50 | $1,654.50 | $295.71 | 5.6× |
| Palmetto General Hospital | Hialeah, FL | $1,699.31 | $1,699.31 | $257.59 | 6.6× |
| Baptist Neighborhood Hospital Thousand Oaks | San Antonio, TX | $1,902.73 | $2,378.41 | $247.79 | 7.7× |
| Optim Medical Center-Screven | Sylvania, GA | $1,904.80 | $1,904.80 | $216.16 | 8.8× |
| Optim Medical Center-Tattnall | Reidsville, GA | $1,904.80 | $1,904.80 | $216.16 | 8.8× |
| North Shore Medical Center | Miami, FL | $2,125.50 | $2,125.50 | $257.59 | 8.3× |
| AdventHealth Carrollwood | Tampa, FL | $2,536.71 | $2,536.71 | $257.59 | 9.8× |
| AdventHealth Tampa | Tampa, FL | $2,536.71 | $2,536.71 | $257.59 | 9.8× |
| AdventHealth Riverview | Riverview, FL | $2,536.71 | $2,536.71 | $257.59 | 9.8× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $2,972.66 | $2,972.66 | $247.79 | 12.0× |
| Omega Hospital | Metairie, LA | $12,139.55 | $20,810.66 | $231.54 | 52.4× |
| Cameron Regional Medical Center | Cameron, MO | — | $363 | $247.07 | — |
| OrthoNebraska Hospital | Omaha, NE | — | $395 | $256.14 | — |
| Western Missouri Medical Center | Warrensburg, MO | — | $396.05 | $247.07 | — |
| Children's Nebraska | Omaha, NE | — | $563 | $256.14 | — |
| Oklahoma Surgical Hospital, LLC | Tulsa, OK | — | $733.75 | $237.24 | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $823.20 | $226.85 | — |
| Stormont Vail Hospital | Topeka, KS | — | $845.39 | $231.96 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $961.52 | $260.21 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $963.92 | $260.21 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $973.18 | $260.21 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $973.18 | $260.21 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $973.18 | $263.09 | — |
| Saline Memorial Hospital | Benton, AR | — | $1,043 | $231.76 | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $1,185 | $263.21 | — |
| Central Carolina Hospital | Sanford, NC | — | $2,057.49 | $235.77 | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $2,488 | $247.79 | — |
"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.