Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (CPT 51500)
51500 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.
176 of 2639 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 likely a partial charge, not the full procedure |
Chatom, AL | $54.17 | — | $5,210.35 | 0.0× |
| Nevada Regional Medical Center likely a partial charge, not the full procedure |
Nevada, MO | $199.80 | $444 | $6,055.29 | 0.0× |
| Unity Health - White County Medical Center likely a partial charge, not the full procedure |
Searcy, AR | $339.50 | $1,358 | $5,504.59 | 0.1× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $339.50 | $1,358 | $5,680.25 | 0.1× |
| Unity Health - Newport likely a partial charge, not the full procedure |
Newport, AR | $339.50 | $1,358 | $5,504.59 | 0.1× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $362 | $1,205 | $6,073.08 | 0.1× |
| Ochsner Lafayette General Medical Center likely a partial charge, not the full procedure |
Lafayette, LA | $398.97 | $1,209 | $5,474.21 | 0.1× |
| Mcpherson Hospital Inc likely a partial charge, not the full procedure |
Mcpherson, KS | $430.68 | $582 | $5,559.81 | 0.1× |
| Memorial Medical Center likely a partial charge, not the full procedure |
Port Lavaca, TX | $434.83 | $621.19 | $6,073.08 | 0.1× |
| East Carroll Parish Hospital likely a partial charge, not the full procedure |
Lake Providence, LA | $486 | $648 | $5,504.22 | 0.1× |
| Ochsner Rush Medical Center likely a partial charge, not the full procedure |
Meridian, MS | $507.15 | $1,449 | $5,338.57 | 0.1× |
| Doctors Memorial Hospital likely a partial charge, not the full procedure |
Bonifay, FL | $609.30 | $1,354 | $6,313.22 | 0.1× |
| UK St. Claire Regional Medical Center likely a partial charge, not the full procedure |
Morehead, KY | $636 | $848 | $5,852.21 | 0.1× |
| Vandalia Health Mon Medical Center likely a partial charge, not the full procedure |
Morgantown, WV | $672.19 | $1,344.38 | $5,847.76 | 0.1× |
| Ste. Genevieve County Memorial Hospital likely a partial charge, not the full procedure |
Ste. Genevieve, MO | $690.50 | $1,381 | $6,055.29 | 0.1× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $696.60 | $2,322 | $6,455.15 | 0.1× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $696.60 | $2,322 | $6,455.15 | 0.1× |
| North Central Kansas Medical Center likely a partial charge, not the full procedure |
Concordia, KS | $798.66 | $1,140.95 | $5,559.81 | 0.1× |
| White River Medical Center likely a partial charge, not the full procedure |
Batesville, AR | $825 | $1,100 | $5,504.59 | 0.1× |
| Winona Health likely a partial charge, not the full procedure |
Winona, MN | $856.80 | $2,448 | $6,239.47 | 0.1× |
| Clearwater Valley Health likely a partial charge, not the full procedure |
Orofino, ID | $876 | $1,168 | $5,972.65 | 0.1× |
| St. Mary's Health likely a partial charge, not the full procedure |
Cottonwood, ID | $876 | $1,168 | $5,972.65 | 0.1× |
| Ochsner Laird Hospital likely a partial charge, not the full procedure |
Union, MS | $883.89 | $1,449 | $5,212.20 | 0.2× |
| St. Bernards Medical Center likely a partial charge, not the full procedure |
Jonesboro, AR | $884 | $1,360 | $5,668.76 | 0.2× |
| Minneola District Hospital Nbr 2 likely a partial charge, not the full procedure |
Minneola, KS | $903 | $1,290 | $5,559.81 | 0.2× |
| Ochsner Scott Regional likely a partial charge, not the full procedure |
Morton, MS | $912.87 | $1,449 | $5,458.27 | 0.2× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $926.10 | $1,029 | $6,377.33 | 0.1× |
| Montgomery General Hospital likely a partial charge, not the full procedure |
Montgomery, WV | $952.30 | $1,269.73 | $5,799.21 | 0.2× |
| Ochsner Watkins Hospital likely a partial charge, not the full procedure |
Quitman, MS | $970.83 | $1,449 | $5,212.20 | 0.2× |
| Bayou Bend Health System likely a partial charge, not the full procedure |
Franklin, LA | $998.90 | $1,427 | $5,474.21 | 0.2× |
| Ochsner Stennis Hospital likely a partial charge, not the full procedure |
De Kalb, MS | $999.81 | $1,449 | $5,212.20 | 0.2× |
| Rockcastle Regional Hospital and Respiratory Care Center likely a partial charge, not the full procedure |
Mount Vernon, KY | $1,021.06 | $1,343.50 | $5,672.47 | 0.2× |
| T.J. Samson Community Hospital likely a partial charge, not the full procedure |
Glasgow, KY | $1,023.75 | $1,575 | $5,739.18 | 0.2× |
| Charleston Area Medical Center likely a partial charge, not the full procedure |
Charleston, WV | $1,053 | $1,053 | $5,799.21 | 0.2× |
| TriState Health likely a partial charge, not the full procedure |
Clarkston, WA | $1,075.14 | $1,086 | $6,736.80 | 0.2× |
| Southwest Medical Center likely a partial charge, not the full procedure |
Liberal, KS | $1,078.80 | $1,348.50 | $5,559.81 | 0.2× |
| Ochsner Choctaw General likely a partial charge, not the full procedure |
Butler, AL | $1,101.24 | $1,449 | $5,210.35 | 0.2× |
| Perham Health likely a partial charge, not the full procedure |
Perham, MN | $1,140.75 | $1,755 | $6,239.47 | 0.2× |
| Memorial Hospital likely a partial charge, not the full procedure |
Abilene, KS | $1,140.95 | $1,140.95 | $5,559.81 | 0.2× |
| Vanderbilt Bedford Hospital likely a partial charge, not the full procedure |
Shelbyville, TN | $1,173.63 | $4,047 | $5,772.90 | 0.2× |
| Vanderbilt Tullahoma-Harton Hospital likely a partial charge, not the full procedure |
Tullahoma, TN | $1,173.63 | $4,047 | $5,739.18 | 0.2× |
| Vanderbilt Wilson County Hospital likely a partial charge, not the full procedure |
Lebanon, TN | $1,173.63 | $4,047 | $5,799.95 | 0.2× |
| DeSoto Regional Health System likely a partial charge, not the full procedure |
Mansfield, LA | $1,256.50 | $1,795 | $5,474.21 | 0.2× |
| Montrose Regional Health likely a partial charge, not the full procedure |
Montrose, CO | $1,324.50 | $1,766 | $6,377.33 | 0.2× |
| Titus Regional Medical Center likely a partial charge, not the full procedure |
Mount Pleasant, TX | $1,338 | $2,230 | $6,073.08 | 0.2× |
| Nebraska Medical Center likely a partial charge, not the full procedure |
Omaha, NE | $1,382.10 | $2,126.30 | $6,277.64 | 0.2× |
| Bellevue Medical Center likely a partial charge, not the full procedure |
Bellevue, NE | $1,382.10 | $2,126.30 | $6,277.64 | 0.2× |
| CAMC Charleston Surgical Hospital likely a partial charge, not the full procedure |
Charleston, WV | $1,442.30 | $1,923.06 | $5,799.21 | 0.2× |
| Citizens Memorial Hospital likely a partial charge, not the full procedure |
Bolivar, MO | $1,496.80 | $1,871 | $6,055.29 | 0.2× |
| CarolinaEast Medical Center likely a partial charge, not the full procedure |
New Bern, NC | $1,570.20 | $2,617 | $5,778.46 | 0.3× |
| Valor Health likely a partial charge, not the full procedure |
Emmett, ID | $1,587.07 | $1,670.60 | $6,108.28 | 0.3× |
| St. John's Medical Center likely a partial charge, not the full procedure |
Jackson, WY | $1,588 | $1,588 | $6,176.47 | 0.3× |
| Baylor Scott and White Surgical Hospital Las Colin likely a partial charge, not the full procedure |
Irving, TX | $1,675.80 | $2,793 | $6,073.08 | 0.3× |
| Chambers Memorial Hospital unusually low: confirm this is the full procedure |
Danville, AR | $1,685.45 | $3,370.90 | $5,504.59 | 0.3× |
| Mid-Valley Hospital likely a partial charge, not the full procedure |
Omak, WA | $1,691.90 | $2,417 | $6,736.80 | 0.3× |
| Perkins County Health Services likely a partial charge, not the full procedure |
Grant, NE | $1,708 | $1,708 | $6,277.64 | 0.3× |
| CAMC Greenbrier Valley Medical Center unusually low: confirm this is the full procedure |
Ronceverte, WV | $1,768 | $1,768 | $5,799.21 | 0.3× |
| Baylor Scott and White Surgical Hospital Fortworth unusually low: confirm this is the full procedure |
Fort Worth, TX | $1,846.80 | $3,078 | $6,083.08 | 0.3× |
| SCK Health unusually low: confirm this is the full procedure |
Arkansas City, KS | $1,930 | $1,930 | $5,559.81 | 0.3× |
| Baylor Scott and White Medical Center Uptown unusually low: confirm this is the full procedure |
Dallas, TX | $1,943.40 | $3,239 | $6,073.08 | 0.3× |
| Baylor Medical Center at Trophy Club unusually low: confirm this is the full procedure |
Trophy Club, TX | $2,017.80 | $3,363 | $6,073.08 | 0.3× |
| University of Kansas Health System Olathe Hospital unusually low: confirm this is the full procedure |
Olathe, KS | $2,032.83 | $10,164.13 | $5,723.61 | 0.4× |
| Touro unusually low: confirm this is the full procedure |
New Orleans, LA | $2,037.98 | $14,557 | $5,674.69 | 0.4× |
| Vanderbilt University Hospital unusually low: confirm this is the full procedure |
Nashville, TN | $2,185.38 | $4,047 | $5,934.48 | 0.4× |
| West Jefferson Medical Center unusually low: confirm this is the full procedure |
Marrero, LA | $2,367.52 | $14,797 | $5,674.69 | 0.4× |
| University of Kansas Hospital unusually low: confirm this is the full procedure |
Kansas City, KS | $2,381.63 | $11,908.13 | $5,644.31 | 0.4× |
| New Orleans East Hospital unusually low: confirm this is the full procedure |
New Orleans, LA | $2,429.12 | $15,182 | $5,674.69 | 0.4× |
| East Jefferson General Hospital unusually low: confirm this is the full procedure |
Metairie, LA | $2,496.06 | $17,829 | $5,674.69 | 0.4× |
| RiverView Health unusually low: confirm this is the full procedure |
Crookston, MN | $2,697.30 | $2,997 | $6,239.47 | 0.4× |
| Colquitt Regional Medical Center | Moultrie, GA | $2,877 | $2,877 | $5,474.95 | 0.5× |
| Incline Village Community Hospital unusually low: confirm this is the full procedure |
Incline Village, NV | $2,923 | $2,923 | $6,380.66 | 0.5× |
| Sheridan Memorial Hospital unusually low: confirm this is the full procedure |
Sheridan, WY | $2,957.60 | $3,697 | $6,176.47 | 0.5× |
| Ochsner St. Anne Hospital | Raceland, LA | $3,570.16 | $8,114 | $5,474.21 | 0.7× |
| Manning Family Children's | New Orleans, LA | $3,757.59 | $13,917 | $5,674.69 | 0.7× |
| Oklahoma Center for Orthopaedic & Multi-Specialty Surgery | Oklahoma City, OK | $3,861 | $14,300 | $5,814.41 | 0.7× |
| Golden Valley Memorial Healthcare | Clinton, MO | $4,039.81 | $6,733.02 | $6,055.29 | 0.7× |
| Treasure Valley Hospital | Boise, ID | $4,109.31 | $4,901 | $6,108.28 | 0.7× |
| Columbus Community Hospital | Columbus, TX | $4,331.25 | $5,775 | $6,073.08 | 0.7× |
| Park Nicollet Methodist Hospital | Saint Louis Park, MN | $4,345.38 | $16,713 | $6,331.75 | 0.7× |
| Arkansas Children's Northwest | Springdale, AR | $4,475.31 | $4,972.57 | $5,642.45 | 0.8× |
| Methodist Hospital | Omaha, NE | $4,652.28 | $12,923 | $6,277.64 | 0.7× |
| Beebe Medical Center | Lewes, DE | $4,662.25 | $5,485 | $6,371.40 | 0.7× |
| Crittenden Community Hospital | Marion, KY | $4,885.44 | $11,632 | $5,672.47 | 0.9× |
| The Hospital at Westlake Medical Center | Austin, TX | $4,893.17 | $29,158.46 | $6,073.08 | 0.8× |
| Concord Hospital | Concord, NH | $5,127.60 | $17,092 | $6,455.15 | 0.8× |
| Mountain View Hospital | Idaho Falls, ID | $5,232 | $5,232 | $5,972.65 | 0.9× |
| Idaho Falls Community Hospital | Idaho Falls, ID | $5,232 | $5,232 | $5,972.65 | 0.9× |
| University Medical Center New Orleans | New Orleans, LA | $5,316.30 | $24,165 | $5,474.21 | 1.0× |
| Park Place Surgical Hospital | Lafayette, LA | $5,368.59 | $13,503.35 | $5,474.21 | 1.0× |
| Republic County Hospital | Belleville, KS | $5,391 | $7,188 | $5,559.81 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $5,395 | $35,346.20 | $5,422.32 | 1.0× |
| Northwest Hills Surgical Hospital | Austin, TX | $5,573.88 | $15,483 | $6,073.08 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $5,856.41 | — | $6,313.22 | 0.9× |
| Children's of Alabama | Birmingham, AL | $5,877.81 | $13,669.32 | $5,529.79 | 1.1× |
| Holyoke Medical Center | Holyoke, MA | $5,975 | $5,975 | $7,245.25 | 0.8× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $6,082.67 | $10,137.78 | $6,073.08 | 1.0× |
| Scott & White Hospital-round Rock | Round Rock, TX | $6,082.67 | $10,137.78 | $6,073.08 | 1.0× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $6,082.67 | $10,137.78 | $6,073.08 | 1.0× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $6,082.67 | $10,137.78 | $6,073.08 | 1.0× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $6,082.67 | $10,137.78 | $6,073.08 | 1.0× |
| Wilson Medical Center | Neodesha, KS | $6,126 | $8,168 | $5,559.81 | 1.1× |
| Mercy Hospital St. Louis | St. Louis, MO | $6,355.93 | $9,778.35 | $6,055.29 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $6,406.40 | — | $5,490.14 | 1.2× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $6,428.19 | $22,852 | $6,073.08 | 1.1× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $6,620.59 | $11,034.31 | $6,073.08 | 1.1× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $6,620.59 | $11,034.31 | $6,073.08 | 1.1× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $6,620.59 | $11,034.31 | $6,073.08 | 1.1× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $6,620.59 | $11,034.31 | $6,073.08 | 1.1× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $6,620.59 | $11,034.31 | $6,073.08 | 1.1× |
| Summit Medical Center, LLC | Edmond, OK | $6,679.03 | — | $5,814.41 | 1.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $6,739.37 | — | $5,622.81 | 1.2× |
| East Cooper Medical Center | Mount Pleasant, SC | $6,739.37 | — | $5,622.81 | 1.2× |
| Coastal Carolina Medical Center | Hardeeville, SC | $6,739.37 | — | $5,622.81 | 1.2× |
| Virginia Mason Medical Center | Seattle, WA | $6,748.83 | $13,233 | $7,020.30 | 1.0× |
| University Medical Center | Las Vegas, NV | $6,770.40 | $22,568 | $6,608.21 | 1.0× |
| Griffin Hospital | Derby, CT | $6,974.86 | — | $7,247.47 | 1.0× |
| Centra Health | Lynchburg, VA | $6,988.41 | $21,177 | $5,910.39 | 1.2× |
| Centra Bedford Memorial Hospital | Bedford, VA | $6,988.41 | $21,177 | $5,898.53 | 1.2× |
| Centra Southside Community Hospital | Farmville, VA | $6,988.41 | $21,177 | $5,898.53 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $7,418.74 | — | $6,451.08 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $7,558.73 | — | $5,799.95 | 1.3× |
| Madison Memorial Hospital | Rexburg, ID | $8,487.75 | $11,317 | $5,972.65 | 1.4× |
| UVA Health Prince William Medical Center | Manassas, VA | $9,504.15 | $19,008.30 | $6,254.66 | 1.5× |
| CentraCare - St. Cloud Hospital | Saint Cloud, MN | $9,671.50 | $16,675 | $6,259.11 | 1.5× |
| Parkland Memorial Hospital | Dallas, TX | $9,751.68 | $24,379.20 | $6,073.08 | 1.6× |
| Kaiser Permanente Moanalua Medical Center | Honolulu, HI | $10,242.75 | $13,657 | $7,141.85 | 1.4× |
| Arkansas Children's Hospital | Little Rock, AR | $10,670.29 | $11,855.88 | $5,680.25 | 1.9× |
| Mercy Hospital Springfield | Springfield, MO | $10,702.50 | $16,465.39 | $6,055.29 | 1.8× |
| Jackson Hospital | Montgomery, AL | $10,729.88 | $56,473.03 | $5,422.32‡ | 2.0× |
| Childress Regional Medical Center | Childress, TX | $10,993.05 | $10,993.05 | $6,136.82 | 1.8× |
| Carson Tahoe Regional Medical Center | Carson City, NV | $11,627.80 | $16,611.14 | $6,624.88 | 1.8× |
| Poplar Bluff Regional Medical Center | Poplar Bluff, MO | $11,812.56 | $56,250.27 | $6,055.29 | 2.0× |
| Duncan Regional Hospital, Inc | Duncan, OK | $11,895.08 | — | $5,814.41 | 2.0× |
| Bellville Medical Center | Bellville, TX | $11,914 | $11,914 | $6,073.08 | 2.0× |
| El Campo Memorial Hospital | El Campo, TX | $11,914 | $11,914 | $6,073.08 | 2.0× |
| Palacios Community Medical Center | Palacios, TX | $11,914 | $11,914 | $6,073.08 | 2.0× |
| Lee Memorial Hospital | Fort Myers, FL | $12,149.01 | $60,745.03 | $6,313.22 | 1.9× |
| Gulf Coast Medical Center | Fort Myers, FL | $12,149.01 | $60,745.03 | $6,313.22 | 1.9× |
| Cape Coral Hospital | Cape Coral, FL | $12,149.01 | $60,745.03 | $6,313.22 | 1.9× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $12,181.42 | $12,181.42 | $6,073.08 | 2.0× |
| UVA Health University Medical Center | Charlottesville, VA | $12,925.49 | $21,542.48 | $6,065.29 | 2.1× |
| Lake Regional Hospital | Osage Beach, MO | $14,576.20 | $48,587.33 | $6,055.29‡ | 2.4× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $15,131 | $15,131 | $6,302.10 | 2.4× |
| St. Luke's Boise Medical Center | Boise, ID | $15,131 | $15,131 | $6,527.79 | 2.3× |
| St. Luke's Nampa Medical Center | Nampa, ID | $15,131 | $15,131 | $6,108.28 | 2.5× |
| St. Luke's Jerome Medical Center | Jerome, ID | $15,131 | $15,131 | $5,998.96 | 2.5× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $15,131 | $15,131 | $5,972.65 | 2.5× |
| St. Luke's McCall Medical Center | McCall, ID | $15,131 | $15,131 | $5,972.65 | 2.5× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $15,131 | $15,131 | $5,972.65 | 2.5× |
| UMMC Greenwood | Greenwood, MS | $15,549.52 | $19,436.90 | $5,212.20‡ | 3.0× |
| Omega Hospital | Metairie, LA | $15,928.36 | $27,305.74 | $5,674.69 | 2.8× |
| Optim Medical Center-Tattnall | Reidsville, GA | $17,443 | $17,443 | $5,297.81 | 3.3× |
| Northwest Surgical Hospital | Oklahoma City, OK | $17,443.23 | — | $5,814.41 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $17,443.23 | — | $5,814.41 | 3.0× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $18,504 | $37,008 | $5,847.76 | 3.2× |
| St. Mary's Hospital | Athens, GA | $20,394.69 | — | $5,948.93 | 3.4× |
| Southwest Mississippi Regional Medical Center | McComb, MS | $31,080.10 | $51,800.16 | $5,212.20‡ | 6.0× |
| Seattle Children's Hospital | Seattle, WA | $35,694.25 | — | $7,020.30 | 5.1× |
| Newman Regional Health | Emporia, KS | $36,562.96 | $45,703.70 | $5,559.81‡ | 6.6× |
| Valley Medical Center | Renton, WA | $79,974.86 | $114,249.80 | $7,020.30 | 11.4× |
| Cameron Regional Medical Center | Cameron, MO | — | $509.50 | $6,055.29 | — |
| Western Missouri Medical Center | Warrensburg, MO | — | $1,241.20 | $6,055.29 | — |
| Scott County Hospital | Scott City, KS | — | $4,786 | $5,559.81 | — |
| Oklahoma Surgical Hospital, LLC | Tulsa, OK | — | $14,350 | $5,814.41 | — |
| Cobre Valley Regional Medical Center | Globe, AZ | — | $19,282 | $6,451.08 | — |
| Delta Health System – The Medical Center | Greenville, MS | — | $38,668.93 | $5,374.89‡ | — |
| Lawrence County Hospital | Monticello, MS | — | $51,800.16 | $5,212.20‡ | — |
| North Alabama Shoals Hospital | Muscle Shoals, AL | — | $79,672.42 | $5,512.01‡ | — |
| Central Carolina Hospital | Sanford, NC | — | $86,555.36 | $5,778.46‡ | — |
| Saline Memorial Hospital | Benton, AR | — | $99,259.50 | $5,680.25‡ | — |
| Canyon Vista Medical Center | Sierra Vista, AZ | — | $105,432.25 | $6,451.08‡ | — |
| Trios Southridge Hospital | Kennewick, WA | — | $108,346.42 | $6,736.80‡ | — |
| North Alabama Medical Center | Florence, AL | — | $121,451 | $5,475.32‡ | — |
| La Paz Regional Hospital | Parker, AZ | — | $174,383.23 | $6,451.08‡ | — |
| Saint Mary's Regional Medical Center | Russellville, AR | — | $181,356.33 | $5,699.52‡ | — |
| National Park Medical Center | Hot Springs, AR | — | $202,243.75 | $5,781.79‡ | — |
"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.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.