Closed Tx Talotarsal Joint Dislocation W/Anes (CPT 28575)
28575 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.
199 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 | — | $2,819.98 | 0.0× |
| Randolph Health | Asheboro, NC | $132.60 | $663 | $3,127.46 | 0.0× |
| Summit Surgical, LLC | Hutchinson, KS | $207.24 | $259.05 | $3,009.12 | 0.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $212 | $707 | $3,286.91 | 0.1× |
| Memorial Medical Center | Port Lavaca, TX | $243 | $347.14 | $3,286.91 | 0.1× |
| Ozarks Healthcare | West Plains, MO | $257.50 | $515 | $3,277.28 | 0.1× |
| East Carroll Parish Hospital | Lake Providence, LA | $270 | $360 | $2,979.03 | 0.1× |
| Livingston Hospital | Salem, KY | $300.15 | $500.25 | $3,070.09 | 0.1× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $323.64 | $1,116 | $3,124.45 | 0.1× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $323.64 | $1,116 | $3,106.19 | 0.1× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $323.64 | $1,116 | $3,139.09 | 0.1× |
| UK St. Claire Regional Medical Center | Morehead, KY | $337.50 | $450 | $3,167.37 | 0.1× |
| Terrebonne General Health System | Houma, LA | $355.34 | $480 | $2,962.79 | 0.1× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $385.50 | $3,855.04 | $3,146.91 | 0.1× |
| UAB Medical West | Bessemer, AL | $453.75 | $605 | $2,992.87 | 0.2× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $498.16 | $1,916 | $3,156.74 | 0.2× |
| York General Health Care Services | York, NE | $503.50 | $503.50 | $3,397.63 | 0.1× |
| Highland Hills Medical Center | Senatobia, MS | $503.50 | $1,007 | $3,031.58 | 0.2× |
| Southwest Medical Center | Liberal, KS | $531.20 | $664 | $3,009.12 | 0.2× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $536.48 | $1,916 | $2,962.79 | 0.2× |
| Nebraska Medical Center | Omaha, NE | $554.19 | $852.60 | $3,397.63 | 0.2× |
| Bellevue Medical Center | Bellevue, NE | $554.19 | $852.60 | $3,397.63 | 0.2× |
| DeSoto Regional Health System | Mansfield, LA | $563.50 | $805 | $2,962.79 | 0.2× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $569.70 | $633 | $3,451.58 | 0.2× |
| Jefferson Regional | Pine Bluff, AR | $575 | $575 | $3,044.62 | 0.2× |
| Ward Memorial Hospital | Monahans, TX | $578 | $825 | $3,286.91 | 0.2× |
| Vanderbilt University Hospital | Nashville, TN | $602.64 | $1,116 | $3,211.90 | 0.2× |
| White River Medical Center | Batesville, AR | $609 | $812 | $2,979.23 | 0.2× |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $684.59 | $1,868 | $3,167.37 | 0.2× |
| North Central Kansas Medical Center | Concordia, KS | $705.32 | $1,007.60 | $3,009.12 | 0.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $723.60 | $1,206 | $3,286.91 | 0.2× |
| Jefferson County Hospital | Waurika, OK | $725.16 | $2,066 | $3,146.91 | 0.2× |
| Sugar Land Surgical Hospital Llp | Sugar Land, TX | $793.20 | $1,322 | $3,286.91 | 0.2× |
| Dorminy Medical Center | Fitzgerald, GA | $832.88 | $1,665.75 | $2,867.31 | 0.3× |
| Columbus Community Hospital | Columbus, TX | $892.50 | $1,190 | $3,286.91 | 0.3× |
| Memorial Hospital of Carbon County | Rawlins, WY | $915.75 | $1,221 | $3,342.87 | 0.3× |
| University Medical Center of El Paso | El Paso, TX | $925.21 | $4,626.04 | $3,286.91 | 0.3× |
| North Central Surgical Center Llp | Dallas, TX | $973.20 | $1,622 | $3,286.91‡ | 0.3× |
| Baylor Scott and White Orthopedic and Spine Hospi | Arlington, TX | $982.80 | $1,638 | $3,292.33 | 0.3× |
| Memorial Hospital | Abilene, KS | $1,007.60 | $1,007.60 | $3,009.12 | 0.3× |
| Texas Scottish Rite Hospital For Children | Dallas, TX | $1,087 | $1,087 | $3,286.91 | 0.3× |
| Estes Park Medical Center | Estes Park, CO | $1,154.25 | $1,539 | $3,451.58 | 0.3× |
| St. John's Medical Center | Jackson, WY | $1,426.50 | $1,426.50 | $3,342.87 | 0.4× |
| Goodland Regional Medical Center | Goodland, KS | $1,433.25 | $1,592.50 | $3,009.12 | 0.5× |
| Mary Lanning Healthcare | Hastings, NE | $1,482.30 | $1,647 | $3,397.63 | 0.4× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $1,533 | $7,665 | $3,097.77 | 0.5× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $1,533 | $7,665 | $3,125.45 | 0.5× |
| Methodist Hospital | Omaha, NE | $1,551.96 | $4,311 | $3,397.63 | 0.5× |
| AnMed Cannon | Pickens, SC | $1,600 | $3,200 | $3,126.25 | 0.5× |
| AnMed Medical Center | Anderson, SC | $1,600 | $3,200 | $3,043.22 | 0.5× |
| University of Kansas Hospital | Kansas City, KS | $1,655.60 | $8,278 | $3,054.85 | 0.5× |
| Singing River Gulfport | Gulfport, MS | $1,660 | $8,300 | $2,862.70 | 0.6× |
| Methodist Fremont Health | Fremont, NE | $1,724.57 | $4,661 | $3,397.63 | 0.5× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $1,782.20 | $4,455.50 | $3,146.91 | 0.6× |
| Saint Francis Hospital, Inc | Tulsa, OK | $1,782.20 | $4,455.50 | $3,146.91 | 0.6× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $1,782.20 | $4,455.50 | $3,146.91 | 0.6× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $1,782.20 | $4,455.50 | $3,146.91 | 0.6× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $2,086.57 | $3,477.62 | $3,286.91 | 0.6× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $2,086.57 | $3,477.62 | $3,286.91 | 0.6× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $2,086.57 | $3,477.62 | $3,286.91 | 0.6× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $2,086.57 | $3,477.62 | $3,286.91 | 0.6× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $2,086.57 | $3,477.62 | $3,286.91 | 0.6× |
| Merrick Medical Center | Central City, NE | $2,277.30 | $3,795.50 | $3,397.63 | 0.7× |
| Crete Area Medical Center | Crete, NE | $2,277.30 | $3,795.50 | $3,397.63 | 0.7× |
| Murray-Calloway County Hospital | Murray, KY | $2,337.40 | $3,596 | $3,070.09 | 0.8× |
| Granville Medical Center | Oxford, NC | $2,341.60 | $2,927 | $3,257.63 | 0.7× |
| Golden Valley Memorial Healthcare | Clinton, MO | $2,380.71 | $3,967.85 | $3,277.28 | 0.7× |
| Pascagoula Hospital | Pascagoula, MS | $2,419.50 | $8,065 | $2,932.70 | 0.8× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $2,514.72 | $8,112 | $3,121.84 | 0.8× |
| Kit Carson County Memorial Hospital | Burlington, CO | $2,528.01 | $2,974.13 | $3,451.58 | 0.7× |
| Kingman Regional Medical Center | Kingman, AZ | $2,565.85 | $7,331 | $3,491.49 | 0.7× |
| Monroe Regional Hospital | Aberdeen, MS | $2,676.62 | $2,676.62 | $2,820.98 | 0.9× |
| UAMS Medical Center | Little Rock, AR | $2,748.60 | $4,581 | $3,074.30 | 0.9× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $2,777.50 | $4,629.16 | $3,286.91 | 0.8× |
| Scott & White Hospital-round Rock | Round Rock, TX | $2,777.50 | $4,629.16 | $3,286.91 | 0.8× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $2,777.50 | $4,629.16 | $3,286.91 | 0.8× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $2,777.50 | $4,629.16 | $3,286.91 | 0.8× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $2,777.50 | $4,629.16 | $3,286.91 | 0.8× |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $2,828.28 | $11,313.12 | $3,074.30 | 0.9× |
| Jackson Hospital | Montgomery, AL | $2,864.25 | $15,075 | $2,934.71 | 1.0× |
| Park Place Surgical Hospital | Lafayette, LA | $2,905.62 | $7,647.28 | $2,962.79 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $2,920 | $6,560.90 | $2,934.71 | 1.0× |
| Community Hospital of Stokes | Danbury, NC | $3,147.55 | $4,628.75 | $3,173.39 | 1.0× |
| East Alabama Medical Center | Opelika, AL | $3,170.20 | $5,764 | $2,844.65 | 1.1× |
| Lakeside Medical Center | Belle Glade, FL | $3,256.87 | — | $3,416.88 | 1.0× |
| Dallas Medical Center | Dallas, TX | $3,270 | $2,960.24 | $3,286.91 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $3,270 | $6,560.90 | $3,286.91 | 1.0× |
| Harris Health | Houston, TX | $3,470.58 | $3,891 | $3,286.91 | 1.1× |
| UF Health Jacksonville | Jacksonville, FL | $3,507.61 | $6,377.48 | $3,416.88 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $3,562.74 | — | $2,971.41 | 1.2× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $3,563.60 | $5,939.34 | $3,292.33 | 1.1× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Regional Medical Center at Plano | Plano, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| The Heart Hospital Baylor Denton | Denton, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $3,563.60 | $5,939.34 | $3,286.91 | 1.1× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $3,574.86 | $8,751 | $3,286.91 | 1.1× |
| Mangum Regional Medical Center | Mangum, OK | $3,605.76 | $7,512 | $3,146.91 | 1.1× |
| Bryan Medical Center | Lincoln, NE | $3,664.20 | $6,107 | $3,397.63 | 1.1× |
| Kearney Regional Medical Center | Kearney, NE | $3,664.20 | $6,107 | $3,397.63 | 1.1× |
| Summit Medical Center, LLC | Edmond, OK | $3,746.79 | — | $3,146.91 | 1.2× |
| Griffin Hospital | Derby, CT | $3,878.87 | — | $3,922.52 | 1.0× |
| Covenant Hospital Levelland | Levelland, TX | $3,958.50 | $9,425 | $3,286.91 | 1.2× |
| Covenant Hospital Plainview | Plainview, TX | $3,969 | $9,450 | $3,286.91 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $4,015.22 | $4,500 | $3,491.49 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $4,090.98 | — | $3,139.09 | 1.3× |
| Covenant Medical Center | Lubbock, TX | $4,192.86 | $9,983 | $3,286.91 | 1.3× |
| Covenant Childrens Hospital | Lubbock, TX | $4,192.86 | $9,983 | $3,286.91 | 1.3× |
| Hilton Head Medical Center | Hilton Head Island, SC | $4,229.27 | — | $3,043.22 | 1.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $4,229.27 | — | $3,043.22 | 1.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $4,229.27 | — | $3,043.22 | 1.4× |
| UConn John Dempsey Hospital | Farmington, CT | $4,410.60 | $7,351 | $3,922.52 | 1.1× |
| McLeod Health Dillon | Dillon, SC | $5,222.05 | $7,355 | $3,043.22 | 1.7× |
| McLeod Regional Medical Center | Florence, SC | $5,222.05 | $7,355 | $3,043.22 | 1.7× |
| McLeod Health Loris | Loris, SC | $5,222.05 | $7,355 | $3,043.22 | 1.7× |
| McLeod Health Cheraw | Cheraw, SC | $5,222.05 | $7,355 | $3,043.22 | 1.7× |
| McLeod Health Clarendon | Manning, SC | $5,222.05 | $7,355 | $3,120.03 | 1.7× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $5,272.80 | $8,112 | $3,126.25 | 1.7× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $5,272.80 | $8,112 | $3,126.25 | 1.7× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $5,272.80 | $8,112 | $3,134.07 | 1.7× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $5,272.80 | $8,112 | $3,134.07 | 1.7× |
| Prisma Health Laurens County Hospital | Clinton, SC | $5,272.80 | $8,112 | $3,117.43 | 1.7× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $5,272.80 | $8,112 | $3,117.43 | 1.7× |
| Prisma Health Patewood Hospital | Greenville, SC | $5,272.80 | $8,112 | $3,134.07 | 1.7× |
| SGMC Health Main | Valdosta, GA | $5,362.50 | $7,150 | $2,867.31 | 1.9× |
| SGMC Health Berrien | Nashville, GA | $5,362.50 | $7,150 | $2,867.31 | 1.9× |
| North Oaks Medical Center | Hammond, LA | $6,092.74 | $19,341 | $2,991.67 | 2.0× |
| Tampa General Hospital | Tampa, FL | $6,318.20 | $18,052 | $3,416.88 | 1.8× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,615.10 | $3,137 | $3,146.91 | 2.1× |
| Stillwater Medical Center | Stillwater, OK | $7,142.40 | $8,928 | $3,146.91 | 2.3× |
| Stillwater Medical - Perry | Perry, OK | $7,142.40 | $8,928 | $3,146.91 | 2.3× |
| Stillwater Medical-blackwell | Blackwell, OK | $7,142.40 | $8,928 | $3,146.91 | 2.3× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $7,272 | $18,180 | $3,416.88 | 2.1× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $7,272 | $18,180 | $3,416.88 | 2.1× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $7,272 | $18,180 | $3,416.88 | 2.1× |
| Orlando Health South Lake Hospital | Clermont, FL | $7,272 | $18,180 | $3,416.88 | 2.1× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $7,272 | $18,180 | $3,416.88 | 2.1× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $7,272 | $18,180 | $3,416.88 | 2.1× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $7,272 | $18,180 | $3,416.88 | 2.1× |
| CaroMont Regional Medical Center | Gastonia, NC | $7,559 | $7,559 | $3,179.60 | 2.4× |
| Memorial Hospital | Dumas, TX | $8,271.20 | $10,339 | $3,286.91 | 2.5× |
| UF Health Leesburg Hospital | Leesburg, FL | $8,310.50 | $15,110 | $3,416.88 | 2.4× |
| Flagler Hospital | Saint Augustine, FL | $8,310.50 | $15,110 | $3,416.88 | 2.4× |
| UF Health Shands Hospital | Gainesville, FL | $8,310.50 | $15,110 | $3,416.88 | 2.4× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $8,310.50 | $15,110 | $3,416.88 | 2.4× |
| AdventHealth Porter | Denver, CO | $8,675.77 | $8,675.77 | $3,451.58 | 2.5× |
| AdventHealth Avista | Louisville, CO | $8,675.77 | $8,675.77 | $3,489.89 | 2.5× |
| AdventHealth Littleton | Littleton, CO | $8,675.77 | $8,675.77 | $3,451.58 | 2.5× |
| AdventHealth Parker | Parker, CO | $8,675.77 | $8,675.77 | $3,451.58 | 2.5× |
| AdventHealth Castle Rock | Castle Rock, CO | $8,675.77 | $8,675.77 | $3,451.58 | 2.5× |
| Lincoln Health Hospital | Hugo, CO | $9,422 | $9,422 | $3,451.58 | 2.7× |
| Northwest Surgical Hospital | Oklahoma City, OK | $9,440.73 | — | $3,146.91 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $9,440.73 | — | $3,146.91 | 3.0× |
| Broward Health Medical Center | Fort Lauderdale, FL | $9,733.83 | $9,733.83 | $3,416.88 | 2.8× |
| Broward Health North | Pompano Beach, FL | $9,733.83 | $9,733.83 | $3,416.88 | 2.8× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $9,733.83 | $9,733.83 | $3,416.88 | 2.8× |
| Broward Health Coral Springs | Coral Springs, FL | $9,733.83 | $9,733.83 | $3,416.88 | 2.8× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $9,945 | $25,500 | $3,219.72 | 3.1× |
| Wellstar Spalding Medical Center | Griffin, GA | $9,945 | $25,500 | $3,281.90 | 3.0× |
| Wellstar MCG Health Medical Center | Augusta, GA | $9,945 | $25,500 | $2,867.31 | 3.5× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $9,945 | $25,500 | $3,323.41 | 3.0× |
| Wellstar Paulding Medical Center | Hiram, GA | $9,945 | $25,500 | $3,323.41 | 3.0× |
| Wellstar Cobb Medical Center | Austell, GA | $9,945 | $25,500 | $3,323.41 | 3.0× |
| Wellstar Douglas Medical Center | Douglasville, GA | $9,945 | $25,500 | $3,293.53 | 3.0× |
| Wellstar North Fulton Medical Center | Roswell, GA | $9,945 | $25,500 | $3,323.41 | 3.0× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $9,945 | $25,500 | $3,281.90 | 3.0× |
| AdventHealth Orlando | Orlando, FL | $10,690 | $10,690 | $3,416.88 | 3.1× |
| Optim Medical Center-Screven | Sylvania, GA | $11,628.80 | $11,628.80 | $2,867.31 | 4.1× |
| Optim Medical Center-Tattnall | Reidsville, GA | $11,628.80 | $11,628.80 | $2,867.31 | 4.1× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $12,126.40 | $18,656 | $3,416.88 | 3.5× |
| Cleveland Clinic Hospital | Weston, FL | $12,126.40 | $18,656 | $3,416.88 | 3.5× |
| Parkland Memorial Hospital | Dallas, TX | $12,854.18 | $32,135.45 | $3,286.91 | 3.9× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $13,354 | $13,354 | $3,491.49 | 3.8× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $13,354 | $13,354 | $3,491.49 | 3.8× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $13,354 | $13,354 | $3,491.49 | 3.8× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $13,354 | $13,354 | $3,491.49 | 3.8× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $13,354 | $13,354 | $3,491.49 | 3.8× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $13,354 | $13,354 | $3,491.49 | 3.8× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $13,354 | $13,354 | $3,491.49 | 3.8× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $13,354 | $13,354 | $3,491.49 | 3.8× |
| Omega Hospital | Metairie, LA | $13,827.17 | $23,703.72 | $3,071.30 | 4.5× |
| Texas Health Hospital Mansfield | Mansfield, TX | $16,720.23 | $16,720.23 | $3,286.91 | 5.1× |
| AdventHealth Carrollwood | Tampa, FL | $31,045.79 | $31,045.79 | $3,416.88 | 9.1× |
| Western Missouri Medical Center | Warrensburg, MO | — | $496.50 | $3,277.28 | — |
| Antelope Memorial Hospital | Neligh, NE | — | $901.50 | $3,397.63 | — |
| Oklahoma Surgical Hospital, LLC | Tulsa, OK | — | $8,026.50 | $3,146.91 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $13,197.40 | $3,451.58 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $13,230.48 | $3,451.58 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $13,357.70 | $3,451.58 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $13,357.70 | $3,451.58 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $13,357.70 | $3,489.89 | — |
"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.