Excision lesion mouth roof (CPT 42104)
42104 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.
207 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 | $68.25 | $273 | $3,018.80 | 0.0× |
| Unity Health - Jacksonville | Jacksonville, AR | $68.25 | $273 | $3,115.14 | 0.0× |
| Unity Health - Newport | Newport, AR | $68.25 | $273 | $3,018.80 | 0.0× |
| Memorial Health | Lawton, OK | $99.74 | $79.79 | $3,188.71 | 0.0× |
| Ozarks Healthcare | West Plains, MO | $103.50 | $207 | $3,320.81 | 0.0× |
| Pawnee Valley Community Hospital | Larned, KS | $120 | $300 | $3,049.08 | 0.0× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $127 | $424 | $3,330.57 | 0.0× |
| North Texas Medical Center | Gainesville, TX | $132 | $529 | $3,330.57 | 0.0× |
| Memorial Medical Center | Port Lavaca, TX | $147.26 | $210.37 | $3,330.57 | 0.0× |
| East Carroll Parish Hospital | Lake Providence, LA | $162.75 | $217 | $3,018.60 | 0.1× |
| Breckinridge Memorial Hospital | Hardinsburg, KY | $169.50 | $339 | $3,110.87 | 0.1× |
| Nemaha County Hospital | Auburn, NE | $193 | $193 | $3,442.75 | 0.1× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $198.50 | $397 | $3,320.81 | 0.1× |
| T.J. Samson Community Hospital | Glasgow, KY | $200.85 | $309 | $3,147.45 | 0.1× |
| Pike County Memorial Hospital | Louisiana, MO | $219.20 | $274 | $3,320.81 | 0.1× |
| Conway Medical Center | Conway, SC | $227 | $227 | $3,083.64 | 0.1× |
| White River Medical Center | Batesville, AR | $251.25 | $335 | $3,018.80 | 0.1× |
| Kingman Regional Medical Center | Kingman, AZ | $252 | $720 | $3,537.87 | 0.1× |
| Community Memorial Healthcare, Inc | Marysville, KS | $260.70 | $260.70 | $3,049.08 | 0.1× |
| Fitzgibbon Hospital | Marshall, MO | $286.71 | $358.39 | $3,320.81 | 0.1× |
| Carroll County Memorial Hospital | Carrollton, MO | $292.50 | $4,425 | $3,320.81 | 0.1× |
| Sublette County Health | Pinedale, WY | $294.30 | $327 | $3,387.27 | 0.1× |
| UAB Medical West | Bessemer, AL | $302.25 | $403 | $3,032.62 | 0.1× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $330.30 | $367 | $3,497.42 | 0.1× |
| Jefferson Regional | Pine Bluff, AR | $332 | $332 | $3,085.06 | 0.1× |
| Pratt Regional Medical Center | Pratt, KS | $345 | $493 | $3,049.08 | 0.1× |
| DeSoto Regional Health System | Mansfield, LA | $350 | $500 | $3,002.14 | 0.1× |
| CarolinaEast Medical Center | New Bern, NC | $357 | $595 | $3,168.99 | 0.1× |
| Sheridan Memorial Hospital | Sheridan, WY | $412 | $515 | $3,387.27 | 0.1× |
| Citizens Memorial Hospital | Bolivar, MO | $421.60 | $527 | $3,320.81 | 0.1× |
| Mizell Memorial Hospital | Opp, AL | $425.70 | $473 | $2,857.43 | 0.1× |
| UNC Health Chatham | Siler City, NC | $431.40 | $719 | $3,299.07 | 0.1× |
| Titus Regional Medical Center | Mount Pleasant, TX | $442.80 | $738 | $3,330.57 | 0.1× |
| Baptist Hospital | Pensacola, FL | $443.70 | $2,958 | $3,462.26 | 0.1× |
| North Central Kansas Medical Center | Concordia, KS | $450.24 | $643.20 | $3,049.08 | 0.1× |
| University Health Truman Medical Center | Kansas City, MO | $479.60 | $872 | $3,320.81 | 0.1× |
| University Health Lakewood Medical Center | Kansas City, MO | $479.60 | $872 | $3,320.81 | 0.1× |
| Hays Medical Center | Hays, KS | $490.05 | $1,485 | $3,323.05 | 0.1× |
| Genoa Community Hospital | Genoa, NE | $540 | $600 | $3,442.75 | 0.2× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $541.02 | $5,410.26 | $3,188.71 | 0.2× |
| St. John's Medical Center | Jackson, WY | $576 | $576 | $3,387.27 | 0.2× |
| Baylor Scott and White Medical Center Uptown | Dallas, TX | $628.20 | $1,047 | $3,330.57 | 0.2× |
| Memorial Hospital | Abilene, KS | $643.20 | $643.20 | $3,049.08 | 0.2× |
| North Central Surgical Center Llp | Dallas, TX | $704.40 | $1,174 | $3,330.57‡ | 0.2× |
| Colquitt Regional Medical Center | Moultrie, GA | $772 | $772 | $3,002.54 | 0.3× |
| Memorial Hermann Surgical Hospital Kingwood | Kingwood, TX | $780.85 | $2,231 | $3,330.57 | 0.2× |
| Tops Surgical Specialty Hospital | Houston, TX | $809.20 | $2,312 | $3,330.57 | 0.2× |
| Animas Surgical Hospital | Durango, CO | $811 | $811 | $3,497.42 | 0.2× |
| Parkland Memorial Hospital | Dallas, TX | $849.56 | $2,123.90 | $3,330.57 | 0.3× |
| Nebraska Medical Center | Omaha, NE | $889.66 | $1,368.70 | $3,442.75 | 0.3× |
| Bellevue Medical Center | Bellevue, NE | $889.66 | $1,368.70 | $3,442.75 | 0.3× |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $919.80 | $1,533 | $3,330.57 | 0.3× |
| Aspen Valley Hospital | Aspen, CO | $920 | $920 | $3,497.42 | 0.3× |
| University of Kansas Hospital | Kansas City, KS | $958 | $4,790 | $3,095.42 | 0.3× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $958 | $4,790 | $3,166.96 | 0.3× |
| Hedrick Medical Center | Chillicothe, MO | $1,089.60 | $1,816 | $3,320.81 | 0.3× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $1,131.02 | $5,655.10 | $3,138.92 | 0.4× |
| Baylor Scott and White Surgical Hospital at Sherma | Sherman, TX | $1,156.80 | $1,928 | $3,341.75 | 0.3× |
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler, TX | $1,252.20 | $2,087 | $3,330.57 | 0.4× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $1,266.98 | $5,759 | $3,112.09 | 0.4× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $1,308.48 | $4,512 | $3,165.95 | 0.4× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1,308.48 | $4,512 | $3,147.45 | 0.4× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $1,308.48 | $4,512 | $3,180.78 | 0.4× |
| East Jefferson General Hospital | Metairie, LA | $1,349.60 | $9,640 | $3,112.09 | 0.4× |
| Baylor Scott and White Surgical Hospital Fortworth | Fort Worth, TX | $1,450.80 | $2,418 | $3,336.05 | 0.4× |
| Anderson County Hospital | Garnett, KS | $1,536 | $2,560 | $3,049.08 | 0.5× |
| Beaufort Memorial | Beaufort, SC | $1,539 | $2,565 | $3,083.64 | 0.5× |
| West Jefferson Medical Center | Marrero, LA | $1,542.40 | $9,640 | $3,112.09 | 0.5× |
| Sugar Land Surgical Hospital Llp | Sugar Land, TX | $1,611 | $2,685 | $3,330.57 | 0.5× |
| Baptist Health Medical Center-North Little Rock | North Little Rock, AR | $1,732.64 | $6,930.56 | $3,115.14 | 0.6× |
| Permian Regional Medical Center Andrews County Ho | Andrews, TX | $1,743.50 | $3,487 | $3,330.57 | 0.5× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $1,751.04 | $5,472 | $3,002.14 | 0.6× |
| Ochsner Acadia General Hospital | Crowley, LA | $1,789.34 | $7,779.72 | $3,002.14 | 0.6× |
| Freeman Neosho Hospital | Neosho, MO | $1,815.90 | $3,026.50 | $3,320.81 | 0.5× |
| CaroMont Regional Medical Center | Gastonia, NC | $1,876 | $1,876 | $3,221.84 | 0.6× |
| Baptist Health Medical Center-Conway | Conway, AR | $1,953.98 | $7,815.91 | $3,115.14 | 0.6× |
| Baptist Health Medical Center-Magnolia | Magnolia, AR | $1,953.98 | $7,815.91 | $3,018.80 | 0.6× |
| Golden Valley Memorial Healthcare | Clinton, MO | $1,979.15 | $3,298.59 | $3,320.81 | 0.6× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $1,982.80 | $3,304.66 | $3,330.57 | 0.6× |
| Scott & White Hospital-round Rock | Round Rock, TX | $1,982.80 | $3,304.66 | $3,330.57 | 0.6× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $1,982.80 | $3,304.66 | $3,330.57 | 0.6× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $1,982.80 | $3,304.66 | $3,330.57 | 0.6× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $1,982.80 | $3,304.66 | $3,330.57 | 0.6× |
| Methodist Fremont Health | Fremont, NE | $2,026.12 | $5,476 | $3,442.75 | 0.6× |
| UCHealth University of Colorado Hospital | Aurora, CO | $2,245.25 | $6,415 | $3,497.42 | 0.6× |
| Iron County Medical Center | Pilot Knob, MO | $2,277 | $2,530 | $3,320.81 | 0.7× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $2,290.13 | $3,816.89 | $3,330.57 | 0.7× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $2,290.13 | $3,816.89 | $3,330.57 | 0.7× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $2,290.13 | $3,816.89 | $3,330.57 | 0.7× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $2,290.13 | $3,816.89 | $3,330.57 | 0.7× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $2,290.13 | $3,816.89 | $3,330.57 | 0.7× |
| Phelps Health Hospital | Rolla, MO | $2,375.86 | $3,394.08 | $3,320.81 | 0.7× |
| Denver Health Medical Center | Denver, CO | $2,436.39 | $6,961.10 | $3,497.42 | 0.7× |
| Vanderbilt University Hospital | Nashville, TN | $2,436.48 | $4,512 | $3,254.56 | 0.7× |
| Jackson Hospital | Montgomery, AL | $2,513.01 | $13,226.38 | $2,973.68 | 0.8× |
| University Medical Center New Orleans | New Orleans, LA | $2,608.54 | $11,857 | $3,002.14 | 0.9× |
| UAMS Medical Center | Little Rock, AR | $2,657.40 | $4,429 | $3,115.14 | 0.9× |
| Pecos County Memorial Hospital | Fort Stockton, TX | $2,659 | $3,545 | $3,330.57 | 0.8× |
| Great Plains Health | North Platte, NE | $2,728 | $4,774 | $3,442.75 | 0.8× |
| Pikeville Medical Center | Pikeville, KY | $2,754.90 | $9,183 | $3,110.87 | 0.9× |
| Mercy Hospital Fort Smith | Fort Smith, AR | $2,851.77 | $4,387.34 | $3,211.27 | 0.9× |
| Lafayette Surgical Specialty Hospital | Lafayette, LA | $2,897 | $2,897 | $3,002.14 | 1.0× |
| Harris Health | Houston, TX | $2,937 | $2,937 | $3,330.57 | 0.9× |
| Park Place Surgical Hospital | Lafayette, LA | $2,944.22 | $7,317.19 | $3,002.14 | 1.0× |
| Troy Regional | Troy, AL | $3,000 | $9,000 | $2,918.40 | 1.0× |
| Northwest Hills Surgical Hospital | Austin, TX | $3,110.40 | $8,640 | $3,330.57 | 0.9× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $3,110.90 | $4,786 | $3,537.87 | 0.9× |
| Trigg County Hospital | Cadiz, KY | $3,144.80 | $357 | $3,254.56 | 1.0× |
| University Hospital | Columbia, MO | $3,165.60 | $5,276 | $3,320.81 | 1.0× |
| East Alabama Medical Center | Opelika, AL | $3,168.55 | $5,761 | $2,882.43 | 1.1× |
| Parkview Medical Center | Pueblo, CO | $3,243.08 | $8,107.68 | $3,497.42 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $3,255.33 | — | $3,462.26 | 0.9× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $3,289.07 | $11,746.67 | $3,002.14 | 1.1× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $3,367.50 | $6,735 | $3,168.99 | 1.1× |
| Laredo Medical Center | Laredo, TX | $3,500.30 | $14,584.60 | $3,330.57 | 1.1× |
| 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 | $5,537 | $3,330.57 | 1.1× |
| Mercy Hospital Oklahoma City, Inc | Oklahoma City, OK | $3,578.41 | $5,505.24 | $3,188.71 | 1.1× |
| Midwest Surgical Hospital LLC | Omaha, NE | $3,599.25 | $4,799 | $3,442.75 | 1.0× |
| Mercy Hospital St. Louis | St. Louis, MO | $3,608.41 | $5,551.40 | $3,320.81 | 1.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $3,669.88 | — | $3,083.64 | 1.2× |
| East Cooper Medical Center | Mount Pleasant, SC | $3,669.88 | — | $3,083.64 | 1.2× |
| Coastal Carolina Medical Center | Hardeeville, SC | $3,669.88 | — | $3,083.64 | 1.2× |
| Summit Medical Center, LLC | Edmond, OK | $3,726.86 | — | $3,188.71 | 1.2× |
| Atrium Health Cabarrus | Concord, NC | $3,728.50 | $7,457 | $3,221.84 | 1.2× |
| Atrium Health Cleveland | Shelby, NC | $3,728.50 | $7,457 | $3,196.43 | 1.2× |
| Atrium Health Anson | Wadesboro, NC | $3,728.50 | $7,457 | $3,221.84 | 1.2× |
| Atrium Health Pineville | Charlotte, NC | $3,728.50 | $7,457 | $3,221.84 | 1.2× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $3,728.50 | $7,457 | $3,221.84 | 1.2× |
| Atrium Health Stanly | Albemarle, NC | $3,728.50 | $7,457 | $3,221.84 | 1.2× |
| Atrium Health Union | Monroe, NC | $3,728.50 | $7,457 | $3,221.84 | 1.2× |
| Atrium Health Lincoln | Lincolnton, NC | $3,728.50 | $7,457 | $3,221.84 | 1.2× |
| Atrium Health University City | Charlotte, NC | $3,728.50 | $7,457 | $3,221.84 | 1.2× |
| Methodist Hospital | Omaha, NE | $3,824.64 | $10,624 | $3,442.75 | 1.1× |
| Griffin Hospital | Derby, CT | $3,877.03 | — | $3,974.62 | 1.0× |
| Charlotte Hungerford Hospital | Torrington, CT | $3,900.21 | $3,900.21 | $3,974.62 | 1.0× |
| Sidney Regional Medical Center | Sidney, NE | $3,963 | $3,963 | $3,442.75 | 1.2× |
| High Point Medical Center | High Point, NC | $3,995 | $7,990 | $3,215.54 | 1.2× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $3,995 | $7,990 | $3,215.54 | 1.2× |
| Ozarks Community Hospital | Gravette, AR | $4,059.60 | $5,253 | $3,094.41 | 1.3× |
| Valleywise Health Medical Center | Phoenix, AZ | $4,068.55 | $5,900 | $3,537.87 | 1.1× |
| Monroe Regional Hospital | Aberdeen, MS | $4,128 | $4,128 | $2,858.45 | 1.4× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $4,145.32 | — | $3,180.78 | 1.3× |
| Legent Orthopedic Hospital | Carrollton, TX | $4,170.07 | $14,270.40 | $3,336.05 | 1.3× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $4,211.35 | $7,657 | $3,188.71 | 1.3× |
| Manhattan Surgical Hospital LLC | Manhattan, KS | $4,222.50 | $8,445 | $3,049.08 | 1.4× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $4,323 | $7,860 | $3,320.81 | 1.3× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $4,337.59 | $6,196.56 | $3,462.26 | 1.3× |
| MedStar Washington Hospital Center | Washington, DC | $4,415.27 | $6,792.72 | $3,916.70 | 1.1× |
| Lee Memorial Hospital | Fort Myers, FL | $4,569.75 | $22,848.74 | $3,462.26 | 1.3× |
| Gulf Coast Medical Center | Fort Myers, FL | $4,569.75 | $22,848.74 | $3,462.26 | 1.3× |
| Cape Coral Hospital | Cape Coral, FL | $4,569.75 | $22,848.74 | $3,462.26 | 1.3× |
| Yale New Haven Hospital | New Haven, CT | $4,749.10 | $8,049.32 | $3,974.62 | 1.2× |
| Regional West Medical Center | Scottsbluff, NE | $4,864.61 | $8,107.68 | $3,442.75 | 1.4× |
| Legent North Houston Surgical Hospital | Tomball, TX | $4,995.85 | $12,905 | $3,330.57 | 1.5× |
| Emory University Hospital | Atlanta, GA | $5,507 | $5,507 | $3,325.49 | 1.7× |
| Emory Decatur Hospital | Decatur, GA | $5,507 | $5,507 | $3,325.49 | 1.7× |
| Emory University Hospital Midtown | Atlanta, GA | $5,507 | $5,507 | $3,367.56 | 1.6× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $5,507 | $5,507 | $3,367.56 | 1.6× |
| Emory Hillandale Hospital | Lithonia, GA | $5,507 | $5,507 | $3,325.49 | 1.7× |
| Emory Johns Creek Hospital | Johns Creek, GA | $5,507 | $5,507 | $3,367.56 | 1.6× |
| Grady Memorial Hospital | Atlanta, GA | $5,537.81 | $5,537.81 | $3,367.56 | 1.6× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $5,570.80 | $13,927 | $3,462.26 | 1.6× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $5,570.80 | $13,927 | $3,462.26 | 1.6× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $5,570.80 | $13,927 | $3,462.26 | 1.6× |
| Orlando Health South Lake Hospital | Clermont, FL | $5,570.80 | $13,927 | $3,462.26 | 1.6× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $5,570.80 | $13,927 | $3,462.26 | 1.6× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $5,570.80 | $13,927 | $3,462.26 | 1.6× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $5,570.80 | $13,927 | $3,462.26 | 1.6× |
| Ascentist Hospital LLC | Leawood, KS | $5,650.06 | $9,439 | $3,138.92 | 1.8× |
| North Oaks Medical Center | Hammond, LA | $5,829.75 | $16,156 | $3,031.40 | 1.9× |
| Mercy Hospital Northwest Arkansas | Rogers, AR | $6,190.12 | $9,523.26 | $3,094.41 | 2.0× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $6,310.48 | $6,310.48 | $3,330.57 | 1.9× |
| Mercy Hospital Perry | Perryville, MO | $6,345.56 | $9,762.40 | $3,320.81 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $6,611.96 | — | $3,188.71 | 2.1× |
| Boca Raton Regional Hospital | Boca Raton, FL | $7,184.78 | $11,053.50 | $3,462.26 | 2.1× |
| Baytown Medical Center Lp | Baytown, TX | $7,257 | $7,257 | $3,330.57 | 2.2× |
| Havasu Regional Medical Center | Lake Havasu City, AZ | $8,057.30 | $13,428.84 | $3,621.80 | 2.2× |
| Baptist Hospital of Miami | Miami, FL | $8,548.80 | $13,152 | $3,462.26 | 2.5× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $9,070.83 | $43,194.44 | $3,462.26 | 2.6× |
| 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× |
| Mercy Hospital Pittsburg, Inc | Pittsburg, KS | $9,665.57 | $14,870.11 | $3,087.50 | 3.1× |
| Glen Rose Medical Center | Glen Rose, TX | $9,667 | $9,667 | $3,330.57 | 2.9× |
| Saint Luke's Hospital of Kansas City | Kansas City, MO | $10,836.60 | $18,061 | $3,320.81 | 3.3× |
| Altus Houston Hospital, Lp | Houston, TX | $11,002 | $11,002 | $3,330.57 | 3.3× |
| Grandview Medical Center | Birmingham, AL | $11,900.30 | $79,335.30 | $3,032.62 | 3.9× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $12,121.20 | $18,648 | $3,462.26 | 3.5× |
| Cleveland Clinic Indian River Hospital | Vero Beach, 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× |
| Mercy Hospital Springfield | Springfield, MO | $12,357 | $19,010.77 | $3,320.81 | 3.7× |
| Faith Community Hospital | Jacksboro, TX | $12,915 | $18,450 | $3,330.57 | 3.9× |
| Saint Francis Medical Center | Cape Girardeau, MO | $13,197 | $13,197 | $3,320.81 | 4.0× |
| Omega Hospital | Metairie, LA | $13,825.12 | $23,700.20 | $3,112.09 | 4.4× |
| Saint Luke's South Hospital | Overland Park, KS | $14,004.42 | $23,340.70 | $3,138.92 | 4.5× |
| Merit Health River Oaks | Flowood, MS | $15,397.62 | $85,542.36 | $2,993.40 | 5.1× |
| Lower Keys Medical Center | Key West, FL | $16,069.58 | $59,516.98 | $3,462.26 | 4.6× |
| Optim Medical Center-Screven | Sylvania, GA | $18,431 | $18,431 | $2,905.40 | 6.3× |
| Optim Medical Center-Tattnall | Reidsville, GA | $18,431 | $18,431 | $2,905.40 | 6.3× |
| Western Missouri Medical Center | Warrensburg, MO | — | $375.95 | $3,320.81 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $1,356 | $3,330.57 | — |
| Cameron Regional Medical Center | Cameron, MO | — | $1,424.50 | $3,320.81 | — |
| Oklahoma Surgical Hospital, LLC | Tulsa, OK | — | $7,760 | $3,188.71 | — |
| Onecore Health | Oklahoma City, OK | — | $8,864.52 | $3,188.71 | — |
| North Walton Doctors Hospital | Defuniak Springs, FL | — | $32,345.46 | $3,462.26 | — |
| Middlesex Hospital | Middletown, CT | — | $999,999,999 | $3,974.62 | — |
"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.