Intraoral I&D Tongue/Floor Sublngl Supfc (CPT 41005)
41005 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.
222 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 |
|---|---|---|---|---|---|
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $29.09 | $290.91 | $227.80 | 0.1× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $204.13 | 0.3× |
| East Jefferson General Hospital | Metairie, LA | $80.36 | $574 | $222.32 | 0.4× |
| Highland Community Hospital | Picayune, MS | $85.91 | $429.55 | $209.39 | 0.4× |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $89.78 | $513 | $237.93 | 0.4× |
| Burleson St. Joseph Health Center | Caldwell, TX | $89.78 | $513 | $237.93 | 0.4× |
| Madison St. Joseph Health Center | Madisonville, TX | $89.78 | $513 | $237.93 | 0.4× |
| Grimes St. Joseph Health Center | Navasota, TX | $89.78 | $513 | $237.93 | 0.4× |
| Unity Health - White County Medical Center | Searcy, AR | $109.50 | $438 | $215.66 | 0.5× |
| Unity Health - Jacksonville | Jacksonville, AR | $109.50 | $438 | $222.54 | 0.5× |
| Unity Health - Newport | Newport, AR | $109.50 | $438 | $215.66 | 0.5× |
| Forrest General Hospital | Hattiesburg, MS | $120.28 | $429.55 | $205.19 | 0.6× |
| Walthall General Hospital | Tylertown, MS | $120.28 | $429.55 | $204.20 | 0.6× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $126 | $419 | $237.93 | 0.5× |
| Ozarks Community Hospital | Gravette, AR | $126.80 | $317 | $221.06 | 0.6× |
| Touro | New Orleans, LA | $144.06 | $1,029 | $222.32 | 0.6× |
| Jefferson Davis Community Hospital | Prentiss, MS | $150.35 | $429.55 | $204.20 | 0.7× |
| Memorial Medical Center | Port Lavaca, TX | $154.44 | $220.63 | $237.93 | 0.6× |
| Perry County General Hospital | Richton, MS | $154.64 | $429.55 | $204.20 | 0.8× |
| Northwest Texas Hospital | Amarillo, TX | $163.60 | $409 | $237.93 | 0.7× |
| St. Luke's Hospital | Chesterfield, MO | $163.62 | $272.70 | $237.23 | 0.7× |
| White Mountain Regional Medical Center | Springerville, AZ | $164.46 | $288.53 | $252.74 | 0.7× |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $167.49 | $457 | $229.28 | 0.7× |
| East Carroll Parish Hospital | Lake Providence, LA | $170.25 | $227 | $215.64 | 0.8× |
| UConn Health Waterbury Hospital | Waterbury, CT | $173.25 | $346.49 | $283.94 | 0.6× |
| St. Luke's Patients Medical Center | Pasadena, TX | $180.81 | $516.60 | $237.93 | 0.8× |
| West Jefferson Medical Center | Marrero, LA | $184.32 | $1,152 | $222.32 | 0.8× |
| Sweeny Community Hospital | Sweeny, TX | $187.86 | $313.10 | $237.93 | 0.8× |
| Denver Health Medical Center | Denver, CO | $192.39 | $549.67 | $249.85 | 0.8× |
| South Texas Health System Behavioral | Edinburg, TX | $193.60 | $484 | $237.93 | 0.8× |
| Marion General Hospital | Columbia, MS | $193.60 | $968 | $204.20 | 0.9× |
| Park Place Surgical Hospital | Lafayette, LA | $210.33 | $663.69 | $214.47 | 1.0× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $212.28 | $732 | $226.17 | 0.9× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $212.28 | $732 | $224.85 | 0.9× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $212.28 | $732 | $227.23 | 0.9× |
| Bradley County Medical Center | Warren, AR | $219 | $438 | $215.66 | 1.0× |
| North Central Kansas Medical Center | Concordia, KS | $226.52 | $323.60 | $217.82 | 1.0× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $231.80 | $579.50 | $227.80 | 1.0× |
| Saint Francis Hospital, Inc | Tulsa, OK | $231.80 | $579.50 | $227.80 | 1.0× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $231.80 | $579.50 | $227.80 | 1.0× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $231.80 | $579.50 | $227.80 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $233.10 | — | $247.34 | 0.9× |
| Natchitoches Regional Medical Center | Natchitoches, LA | $238 | $595 | $214.47 | 1.1× |
| University Medical Center New Orleans | New Orleans, LA | $251.68 | $1,144 | $214.47 | 1.2× |
| Leonard J. Chabert Medical Center | Houma, LA | $251.92 | $536 | $220.62 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $254.99 | — | $215.09 | 1.2× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $255.86 | $1,182 | $237.93 | 1.1× |
| Manning Family Children's | New Orleans, LA | $256.77 | $951 | $222.32 | 1.2× |
| Hamilton County Hospital | Syracuse, KS | $258.75 | $258.75 | $217.82 | 1.2× |
| Cheyenne County Hospital | St. Francis, KS | $263.50 | $310 | $217.82 | 1.2× |
| Bryan Medical Center | Lincoln, NE | $274.20 | $457 | $245.94 | 1.1× |
| Kearney Regional Medical Center | Kearney, NE | $274.20 | $457 | $245.94 | 1.1× |
| Covenant Hospital Levelland | Levelland, TX | $276.36 | $658 | $237.93 | 1.2× |
| Griffin Hospital | Derby, CT | $277.61 | — | $283.94 | 1.0× |
| Covenant Hospital Plainview | Plainview, TX | $277.62 | $661 | $237.93 | 1.2× |
| West Calcasieu Cameron Hospital | Sulphur, LA | $278.25 | $371 | $214.47 | 1.3× |
| Aiken Regional Medical Centers | Aiken, SC | $280.80 | $702 | $220.29 | 1.3× |
| Summit Medical Center, LLC | Edmond, OK | $282.74 | — | $227.80 | 1.2× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $284.70 | $730 | $233.07 | 1.2× |
| Wellstar Spalding Medical Center | Griffin, GA | $284.70 | $730 | $237.57 | 1.2× |
| Wellstar MCG Health Medical Center | Augusta, GA | $284.70 | $730 | $207.56 | 1.4× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $284.70 | $730 | $240.57 | 1.2× |
| Wellstar Paulding Medical Center | Hiram, GA | $284.70 | $730 | $240.57 | 1.2× |
| Wellstar Cobb Medical Center | Austell, GA | $284.70 | $730 | $240.57 | 1.2× |
| Wellstar Douglas Medical Center | Douglasville, GA | $284.70 | $730 | $238.41 | 1.2× |
| Wellstar North Fulton Medical Center | Roswell, GA | $284.70 | $730 | $240.57 | 1.2× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $284.70 | $730 | $237.57 | 1.2× |
| Okeene Municipal Hospital | Okeene, OK | $286.40 | $358 | $227.80 | 1.3× |
| Valleywise Health Medical Center | Phoenix, AZ | $290.65 | $340 | $252.74 | 1.1× |
| Oklahoma State University Medical Center | Tulsa, OK | $292 | $730 | $227.80 | 1.3× |
| Covenant Medical Center | Lubbock, TX | $292.74 | $697 | $237.93 | 1.2× |
| Covenant Childrens Hospital | Lubbock, TX | $292.74 | $697 | $237.93 | 1.2× |
| UNC Health Southeastern | Lumberton, NC | $295.80 | $493 | $235.81 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $296.14 | — | $227.23 | 1.3× |
| Big South Fork Medical Center | Oneida, TN | $305.40 | $1,018 | $214.89‡ | 1.4× |
| UF Health Jacksonville | Jacksonville, FL | $315.06 | $572.84 | $247.34 | 1.3× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $321 | $321 | $249.85 | 1.3× |
| Memorial Hospital | Abilene, KS | $323.60 | $323.60 | $217.82 | 1.5× |
| Conway Medical Center | Conway, SC | $330 | $330 | $220.29 | 1.5× |
| Golden Valley Memorial Healthcare | Clinton, MO | $330.74 | $551.23 | $237.23 | 1.4× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $331.50 | $663 | $229.71 | 1.4× |
| Doctors Hospital of Laredo | Laredo, TX | $336.80 | $842 | $237.93 | 1.4× |
| MedStar Washington Hospital Center | Washington, DC | $344.36 | $529.78 | $279.80 | 1.2× |
| University Health Truman Medical Center | Kansas City, MO | $344.85 | $627 | $237.23 | 1.5× |
| University Health Lakewood Medical Center | Kansas City, MO | $344.85 | $627 | $237.23 | 1.5× |
| AnMed Cannon | Pickens, SC | $350 | $700 | $226.30 | 1.5× |
| AnMed Medical Center | Anderson, SC | $350 | $700 | $220.29 | 1.6× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $352.80 | $392 | $249.85 | 1.4× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $353.50 | $707 | $226.39 | 1.6× |
| University Hospital | Columbia, MO | $360 | $600 | $237.23 | 1.5× |
| Mercy Hospital St. Louis | St. Louis, MO | $363.68 | $559.50 | $237.23 | 1.5× |
| Kingman Regional Medical Center | Kingman, AZ | $368.55 | $1,053 | $252.74 | 1.5× |
| Harris Health | Houston, TX | $370.09 | $510 | $237.93 | 1.6× |
| DeSoto Regional Health System | Mansfield, LA | $371 | $530 | $214.47 | 1.7× |
| UConn John Dempsey Hospital | Farmington, CT | $375.60 | $626 | $283.94 | 1.3× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $375.70 | $442 | $249.85 | 1.5× |
| Nebraska Medical Center | Omaha, NE | $376.74 | $579.60 | $245.94 | 1.5× |
| Bellevue Medical Center | Bellevue, NE | $376.74 | $579.60 | $245.94 | 1.5× |
| SGMC Health Main | Valdosta, GA | $384 | $512 | $207.56 | 1.9× |
| SGMC Health Berrien | Nashville, GA | $384 | $512 | $207.56 | 1.9× |
| Vanderbilt University Hospital | Nashville, TN | $395.28 | $732 | $232.50 | 1.7× |
| JPS Health Network | Fort Worth, TX | $402 | $670 | $237.93 | 1.7× |
| Fort Duncan Medical Center | Eagle Pass, TX | $414.80 | $1,037 | $237.93 | 1.7× |
| Labette Health | Parsons, KS | $419.76 | $599.65 | $217.82 | 1.9× |
| St. Mary's Regional Medical Center | Enid, OK | $424 | $1,060 | $227.80 | 1.9× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $432.86 | $941 | $233.07 | 1.9× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $432.86 | $941 | $207.56 | 2.1× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $432.86 | $941 | $237.57 | 1.8× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $432.86 | $941 | $245.75 | 1.8× |
| UCHealth University of Colorado Hospital | Aurora, CO | $444.50 | $1,270 | $249.85 | 1.8× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Scott & White Hospital-round Rock | Round Rock, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $455.56 | $759.27 | $237.93 | 1.9× |
| Memorial Hospital | Seward, NE | $463 | $463 | $245.94 | 1.9× |
| Titus Regional Medical Center | Mount Pleasant, TX | $463.80 | $773 | $237.93 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $473.44 | — | $227.80 | 2.1× |
| Bridgeport Hospital | Bridgeport, CT | $508.44 | $977.76 | $283.94 | 1.8× |
| Campbell County Health | Gillette, WY | $524.70 | $583 | $241.98 | 2.2× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $525.60 | $1,168 | $249.85 | 2.1× |
| George Washington University Hospital | Washington, DC | $526 | $1,315 | $279.80 | 1.9× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $526 | $1,315 | $279.80 | 1.9× |
| MedStar Georgetown University Hospital | Washington, DC | $559.85 | $861.30 | $279.80 | 2.0× |
| Connecticut Children's Medical Center | Hartford, CT | $573 | $955 | $283.94 | 2.0× |
| UK Albert B. Chandler Hospital | Lexington, KY | $575.32 | $1,438.31 | $231.31 | 2.5× |
| Yale New Haven Hospital | New Haven, CT | $576.88 | $977.76 | $283.94 | 2.0× |
| East Valley ER & Hospital | Gilbert, AZ | $596.70 | $1,326 | $252.74 | 2.4× |
| Alexandria Emergency Hospital | Alexandria, LA | $596.70 | $1,326 | $223.40 | 2.7× |
| Hilton Head Medical Center | Hilton Head Island, SC | $630.41 | — | $220.29 | 2.9× |
| East Cooper Medical Center | Mount Pleasant, SC | $630.41 | — | $220.29 | 2.9× |
| Coastal Carolina Medical Center | Hardeeville, SC | $630.41 | — | $220.29 | 2.9× |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $635.70 | $1,059.50 | $237.93 | 2.7× |
| Texas Health Harris Methodist Hospital Stephenvill | Stephenville, TX | $635.70 | $1,059.50 | $237.93 | 2.7× |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $635.70 | $1,059.50 | $238.32 | 2.7× |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $635.70 | $1,059.50 | $237.93 | 2.7× |
| Texas Health Harris Methodist Hospital Southwest F | Fort Worth, TX | $635.70 | $1,059.50 | $238.32 | 2.7× |
| Northwest Hills Surgical Hospital | Austin, TX | $636.84 | $1,769 | $237.93 | 2.7× |
| Comanche County Medical Center | Comanche, TX | $649.35 | $999 | $237.93 | 2.7× |
| Children's Mercy Hospital Kansas | Overland Park, KS | $651.84 | $1,358 | $224.24 | 2.9× |
| Children’s Mercy Adele Hall | Kansas City, MO | $651.84 | $1,358 | $237.23 | 2.7× |
| Valley View Hospital | Glenwood Springs, CO | $660.45 | $777 | $249.85 | 2.6× |
| Monroe Regional Hospital | Aberdeen, MS | $663.55 | $663.55 | $204.20 | 3.2× |
| Northwest Surgical Hospital | Oklahoma City, OK | $683.40 | — | $227.80 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $683.40 | — | $227.80 | 3.0× |
| Sharon Hospital | Sharon, CT | $691 | $691 | $283.94 | 2.4× |
| UCHealth Greeley Hospital | Greeley, CO | $786.60 | $1,311 | $250.18 | 3.1× |
| AdventHealth Orlando | Orlando, FL | $799 | $799 | $247.34 | 3.2× |
| Norwalk Hospital | Norwalk, CT | $823.50 | $823.50 | $283.94 | 2.9× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $867.75 | $1,335 | $247.34 | 3.5× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $867.75 | $1,335 | $247.34 | 3.5× |
| Cleveland Clinic Hospital | Weston, FL | $867.75 | $1,335 | $247.34 | 3.5× |
| Emory Hospital Warner Robins | Warner Robins, GA | $871 | $871 | $212.17 | 4.1× |
| Emory Hospital Perry | Perry, GA | $871 | $871 | $209.07 | 4.2× |
| Community Hospital of Stokes | Danbury, NC | $886.58 | $1,303.79 | $229.71 | 3.9× |
| Poudre Valley Hospital | Fort Collins, CO | $917.70 | $1,311 | $249.85 | 3.7× |
| Medical Center of the Rockies | Loveland, CO | $917.70 | $1,311 | $249.85 | 3.7× |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $919.80 | $1,533 | $237.93 | 3.9× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $926.70 | $1,544.50 | $237.93 | 3.9× |
| Danbury Hospital | Danbury, CT | $942 | $942 | $283.94 | 3.3× |
| Tanner Medical Center/Carrollton | Carrollton, GA | $951.60 | $2,379 | $237.57 | 4.0× |
| Higgins General Hospital | Bremen, GA | $951.60 | $2,379 | $240.57 | 4.0× |
| Saint Francis Medical Center | Cape Girardeau, MO | $1,024 | $1,024 | $237.23 | 4.3× |
| Lakewood Ranch Medical Center | Bradenton, FL | $1,042.40 | $2,606 | $247.34 | 4.2× |
| Bellville Medical Center | Bellville, TX | $1,059 | $1,059 | $237.93 | 4.5× |
| El Campo Memorial Hospital | El Campo, TX | $1,059 | $1,059 | $237.93 | 4.5× |
| Palacios Community Medical Center | Palacios, TX | $1,059 | $1,059 | $237.93 | 4.5× |
| Manatee Memorial Hospital | Bradenton, FL | $1,081.20 | $2,703 | $247.34 | 4.4× |
| Texoma Medical Center | Denison, TX | $1,262.25 | $1,683 | $237.93 | 5.3× |
| AdventHealth Porter | Denver, CO | $1,331.45 | $1,331.45 | $249.85 | 5.3× |
| AdventHealth Avista | Louisville, CO | $1,331.45 | $1,331.45 | $252.62 | 5.3× |
| AdventHealth Littleton | Littleton, CO | $1,331.45 | $1,331.45 | $249.85 | 5.3× |
| AdventHealth Parker | Parker, CO | $1,331.45 | $1,331.45 | $249.85 | 5.3× |
| AdventHealth Castle Rock | Castle Rock, CO | $1,331.45 | $1,331.45 | $249.85 | 5.3× |
| Texas Health Hospital Mansfield | Mansfield, TX | $1,336.80 | $1,336.80 | $237.93 | 5.6× |
| Wellington Regional Medical Center | Wellington, FL | $1,370.25 | $1,827 | $247.34 | 5.5× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $1,576.20 | $2,627 | $238.32 | 6.6× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Regional Medical Center at Plano | Plano, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| The Heart Hospital Baylor Denton | Denton, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $1,576.20 | $2,627 | $237.93 | 6.6× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $2,173 | $2,173 | $252.74 | 8.6× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $2,173 | $2,173 | $252.74 | 8.6× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $2,173 | $2,173 | $252.74 | 8.6× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $2,173 | $2,173 | $252.74 | 8.6× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $2,173 | $2,173 | $252.74 | 8.6× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $2,173 | $2,173 | $252.74 | 8.6× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $2,173 | $2,173 | $252.74 | 8.6× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $2,173 | $2,173 | $252.74 | 8.6× |
| AdventHealth Carrollwood | Tampa, FL | $2,553.81 | $2,553.81 | $247.34 | 10.3× |
| Parkland Memorial Hospital | Dallas, TX | $2,912.80 | $7,282 | $237.93 | 12.2× |
| McLeod Health Dillon | Dillon, SC | $3,649.40 | $5,140 | $220.29 | 16.6× |
| McLeod Regional Medical Center | Florence, SC | $3,649.40 | $5,140 | $220.29 | 16.6× |
| McLeod Health Loris | Loris, SC | $3,649.40 | $5,140 | $220.29 | 16.6× |
| McLeod Health Cheraw | Cheraw, SC | $3,649.40 | $5,140 | $220.29 | 16.6× |
| McLeod Health Clarendon | Manning, SC | $3,649.40 | $5,140 | $225.85 | 16.2× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $4,422.90 | $15,796.08 | $214.47 | 20.6× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $5,350.20 | $5,350.20 | $237.93 | 22.5× |
| Jackson Hospital | Montgomery, AL | $10,085.84 | $53,083.35 | $212.43‡ | 47.5× |
| Omega Hospital | Metairie, LA | $12,139.55 | $20,810.66 | $222.32 | 54.6× |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $724.30 | $249.85 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $726.10 | $249.85 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $733.10 | $249.85 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $733.10 | $249.85 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $733.10 | $252.62 | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $838.59 | $217.82 | — |
| Stormont Vail Hospital | Topeka, KS | — | $861.19 | $222.73 | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $3,075 | $237.93 | — |
"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.