Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (CPT 51727)
51727 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.
211 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 |
|---|---|---|---|---|---|
| Coosa Valley Medical Center | Sylacauga, AL | $15 | $61 | $625.42 | 0.0× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $600.97 | 0.1× |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $77 | $440 | $700.47 | 0.1× |
| Burleson St. Joseph Health Center | Caldwell, TX | $77 | $440 | $700.47 | 0.1× |
| Madison St. Joseph Health Center | Madisonville, TX | $77 | $440 | $700.47 | 0.1× |
| Grimes St. Joseph Health Center | Navasota, TX | $77 | $440 | $700.47 | 0.1× |
| Goodall Witcher Hospital | Clifton, TX | $77.70 | $111 | $700.47 | 0.1× |
| Baptist Hospital | Pensacola, FL | $93 | $620 | $728.17 | 0.1× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $118.80 | $540 | $654.52 | 0.2× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $137.94 | $418 | $631.40 | 0.2× |
| Pemiscot Memorial Hospital | Hayti, MO | $141.40 | $202 | $698.42 | 0.2× |
| D.W. McMillan Memorial Hospital | Brewton, AL | $153 | $255 | $628.37 | 0.2× |
| Atmore Community Hospital | Atmore, AL | $153 | $255 | $628.37 | 0.2× |
| Kingman Regional Medical Center | Kingman, AZ | $154.70 | $442 | $744.07 | 0.2× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $164.16 | $513 | $631.40 | 0.3× |
| Columbus Community Hospital | Columbus, TX | $196.88 | $262.50 | $700.47 | 0.3× |
| Memorial Medical Center | Port Lavaca, TX | $205.11 | $293.01 | $700.47 | 0.3× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $217 | $722 | $700.47 | 0.3× |
| Hedrick Medical Center | Chillicothe, MO | $228 | $380 | $698.42 | 0.3× |
| East Carroll Parish Hospital | Lake Providence, LA | $228.75 | $305 | $634.86 | 0.4× |
| Holy Cross Hospital | Fort Lauderdale, FL | $243.10 | $374 | $728.17 | 0.3× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $253.46 | $874 | $665.85 | 0.4× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $253.46 | $874 | $661.96 | 0.4× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $253.46 | $874 | $668.97 | 0.4× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $257.40 | $990 | $631.40 | 0.4× |
| Leonard J. Chabert Medical Center | Houma, LA | $264.14 | $562 | $649.52 | 0.4× |
| CommonSpirit - Memorial Hospital - North Georgia | Ringgold, GA | $271.73 | $918 | $643.37 | 0.4× |
| University Health System | San Antonio, TX | $273 | $1,092 | $700.47 | 0.4× |
| East Jefferson General Hospital | Metairie, LA | $283.92 | $2,028 | $654.52 | 0.4× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $284.28 | $1,236 | $631.40 | 0.5× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $286.22 | $1,431.10 | $700.47 | 0.4× |
| Mississippi Baptist Medical Center | Jackson, MS | $287.49 | $1,369 | $629.56 | 0.5× |
| Duke University Hospital | Durham, NC | $303.48 | $1,124 | $693.85 | 0.4× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $305.40 | $2,036 | $646.06 | 0.5× |
| Chi St. Luke's Health Baylor College of Medicine Me | Houston, TX | $306.25 | $875 | $700.47 | 0.4× |
| St. Luke's The Woodlands Hospital | The Woodlands, TX | $306.25 | $875 | $700.47 | 0.4× |
| St. Luke's Sugar Land Hospital | Sugar Land, TX | $306.25 | $875 | $700.47 | 0.4× |
| St. Lukes Lakeside Hospital | The Woodlands, TX | $306.25 | $875 | $700.47 | 0.4× |
| St. Luke's Hospital at The Vintage | Houston, TX | $306.25 | $875 | $700.47 | 0.4× |
| University Health Truman Medical Center | Kansas City, MO | $309.54 | $562.80 | $698.42 | 0.4× |
| University Health Lakewood Medical Center | Kansas City, MO | $309.54 | $562.80 | $698.42 | 0.4× |
| Ochsner Rush Medical Center | Meridian, MS | $310.52 | $947.50 | $615.76 | 0.5× |
| West Jefferson Medical Center | Marrero, LA | $324.48 | $2,028 | $654.52 | 0.5× |
| Ochsner St. Anne Hospital | Raceland, LA | $326.04 | $741 | $631.40 | 0.5× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $329.15 | $1,645.77 | $700.47 | 0.5× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $331 | $662 | $698.42 | 0.5× |
| University of Kansas Hospital | Kansas City, KS | $334.60 | $1,673 | $651.02 | 0.5× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $334.60 | $1,673 | $660.17 | 0.5× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $334.60 | $1,673 | $666.07 | 0.5× |
| MUSC Health Black River Medical Center | Cades, SC | $345.50 | $691 | $648.54 | 0.5× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $346.08 | $1,236 | $631.40 | 0.5× |
| Foothills Hospital | Boulder, CO | $374 | $748 | $743.73 | 0.5× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $383.16 | $1,236 | $672.73 | 0.6× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $383.67 | $1,421 | $728.17 | 0.5× |
| CommonSpirit - Memorial Hospital - Chattanooga | Chattanooga, TN | $388.32 | $918 | $643.37 | 0.6× |
| Pardee Hospital | Hendersonville, NC | $397.20 | $662 | $666.49 | 0.6× |
| Titus Regional Medical Center | Mount Pleasant, TX | $412.80 | $688 | $700.47 | 0.6× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $427.56 | $2,036 | $632.64 | 0.7× |
| Atrium Health Navicent The Medical Center | Macon, GA | $442 | $884 | $686.16 | 0.6× |
| UK Albert B. Chandler Hospital | Lexington, KY | $468 | $1,170 | $680.98 | 0.7× |
| Vanderbilt University Hospital | Nashville, TN | $471.96 | $874 | $684.49 | 0.7× |
| Lawrence + Memorial Hospital | New London, CT | $474.08 | $1,316.90 | $835.93 | 0.6× |
| MUSC Health University Medical Center | Charleston, SC | $477.50 | $955 | $648.54 | 0.7× |
| University Hospital – UMMC | Jackson, MS | $480 | $1,200 | $629.56 | 0.8× |
| UMMC Madison | Canton, MS | $480 | $1,200 | $629.56 | 0.8× |
| CarolinaEast Medical Center | New Bern, NC | $499.80 | $833 | $666.49 | 0.7× |
| Southwest Medical Center | Liberal, KS | $504.80 | $631 | $641.27 | 0.8× |
| Denver Health Medical Center | Denver, CO | $515.03 | $1,471.51 | $735.57 | 0.7× |
| UCHealth University of Colorado Hospital | Aurora, CO | $515.20 | $1,472 | $735.57 | 0.7× |
| Methodist Rehabilitation Center | Jackson, MS | $548.25 | $1,275 | $629.56 | 0.9× |
| Ascension Seton Williamson | Round Rock, TX | $560.88 | $1,558 | $700.47 | 0.8× |
| Ascension Seton Hays | Kyle, TX | $560.88 | $1,558 | $700.47 | 0.8× |
| Ascension Seton Smithville | Smithville, TX | $560.88 | $1,558 | $700.47 | 0.8× |
| JPS Health Network | Fort Worth, TX | $562.20 | $937 | $700.47 | 0.8× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $563.40 | $626 | $735.57 | 0.8× |
| Harris Health | Houston, TX | $566 | $566 | $700.47 | 0.8× |
| Val Verde Regional Medical Center | Del Rio, TX | $570.43 | $877.59 | $700.47 | 0.8× |
| Woman's Hospital | Baton Rouge, LA | $573 | $573 | $631.40 | 0.9× |
| Memorial Hospital of Converse County | Douglas, WY | $576.27 | $1,011 | $712.40 | 0.8× |
| Scotland County Hospital | Memphis, MO | $577.50 | $825 | $698.42 | 0.8× |
| Ochsner Laird Hospital | Union, MS | $577.98 | $947.50 | $601.18 | 1.0× |
| Ochsner Scott Regional | Morton, MS | $596.92 | $947.50 | $629.56 | 0.9× |
| Conway Medical Center | Conway, SC | $607.83 | $607.83 | $648.54 | 0.9× |
| Nebraska Medical Center | Omaha, NE | $608.01 | $935.40 | $724.07 | 0.8× |
| Bellevue Medical Center | Bellevue, NE | $608.01 | $935.40 | $724.07 | 0.8× |
| Pikeville Medical Center | Pikeville, KY | $628.20 | $2,094 | $654.27 | 1.0× |
| Montrose Regional Health | Montrose, CO | $628.50 | $838 | $735.57 | 0.9× |
| Ochsner Watkins Hospital | Quitman, MS | $634.82 | $947.50 | $601.18 | 1.1× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $637.50 | $1,275 | $728.17 | 0.9× |
| Hilton Head Medical Center | Hilton Head Island, SC | $643.59 | — | $648.54 | 1.0× |
| East Cooper Medical Center | Mount Pleasant, SC | $643.59 | — | $648.54 | 1.0× |
| Coastal Carolina Medical Center | Hardeeville, SC | $643.59 | — | $648.54 | 1.0× |
| Ascension Seton Medical Center Austin | Austin, TX | $651.51 | $1,809.75 | $700.47 | 0.9× |
| Ascension Seton Southwest | Austin, TX | $651.51 | $1,809.75 | $700.47 | 0.9× |
| Ascension Seton Northwest | Austin, TX | $651.51 | $1,809.75 | $700.47 | 0.9× |
| East Alabama Medical Center | Opelika, AL | $652.30 | $1,186 | $606.22 | 1.1× |
| Ochsner Stennis Hospital | De Kalb, MS | $653.78 | $947.50 | $601.18 | 1.1× |
| ChristianaCare | Newark, DE | $669.53 | $669.53 | $753.52 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $669.99 | — | $728.17 | 0.9× |
| University Medical Center New Orleans | New Orleans, LA | $671.22 | $3,051 | $631.40 | 1.1× |
| Mercy Hospital Logan County, Inc | Guthrie, OK | $671.45 | $1,033 | $670.64 | 1.0× |
| Progressive Health of Batesville | Batesville, MS | $672.48 | $1,724.31 | $601.18 | 1.1× |
| Tampa General Hospital | Tampa, FL | $676.20 | $1,932 | $728.17 | 0.9× |
| Neosho Memorial Regional Medical Center | Chanute, KS | $681.28 | $908.37 | $641.27 | 1.1× |
| Bridgeport Hospital | Bridgeport, CT | $684.79 | $1,316.90 | $835.93 | 0.8× |
| Greenwich Hospital | Greenwich, CT | $684.79 | $1,316.90 | $835.93 | 0.8× |
| University Hospital | Columbia, MO | $687.60 | $1,146 | $698.42 | 1.0× |
| Ochsner Choctaw General | Butler, AL | $720.10 | $947.50 | $600.97 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $732.91 | — | $633.24 | 1.2× |
| Methodist Dallas Medical Center | Dallas, TX | $774 | $1,548 | $700.47 | 1.1× |
| Methodist Richardson Medical Center | Richardson, TX | $774 | $1,548 | $700.47 | 1.1× |
| Methodist Charlton Medical Center | Dallas, TX | $774 | $1,548 | $700.47 | 1.1× |
| Methodist Mansfield Medical Center | Mansfield, TX | $774 | $1,548 | $701.63 | 1.1× |
| Methodist Southlake Medical Center | Southlake, TX | $774 | $1,548 | $701.63 | 1.1× |
| Methodist Midlothian Medical Center | Midlothian, TX | $774 | $1,548 | $700.47 | 1.1× |
| Methodist Celina Medical Center | Celina, TX | $774 | $1,548 | $700.47 | 1.1× |
| Yale New Haven Hospital | New Haven, CT | $776.97 | $1,316.90 | $835.93 | 0.9× |
| USA Health University Hospital | Mobile, AL | $793 | $793 | $629.56 | 1.3× |
| USA Health Children's & Women's Hospital | Mobile, AL | $793 | $793 | $629.56 | 1.3× |
| UAMS Medical Center | Little Rock, AR | $795 | $1,325 | $655.17 | 1.2× |
| Andalusia Health | Andalusia, AL | $796.37 | $2,275.35 | $614.64 | 1.3× |
| Griffin Hospital | Derby, CT | $797.95 | — | $835.93 | 1.0× |
| Mercy Hospital St. Louis | St. Louis, MO | $803.40 | $1,236 | $698.42 | 1.2× |
| St. John's Medical Center | Jackson, WY | $807 | $807 | $712.40 | 1.1× |
| Children's National Hospital | Washington, DC | $834.50 | $1,669 | $823.75 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $855.68 | $1,230 | $744.07 | 1.1× |
| Atrium Health Cabarrus | Concord, NC | $857.38 | $1,714.75 | $677.61 | 1.3× |
| Atrium Health Cleveland | Shelby, NC | $857.38 | $1,714.75 | $672.26 | 1.3× |
| Atrium Health Anson | Wadesboro, NC | $857.38 | $1,714.75 | $677.61 | 1.3× |
| Atrium Health Pineville | Charlotte, NC | $857.38 | $1,714.75 | $677.61 | 1.3× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $857.38 | $1,714.75 | $677.61 | 1.3× |
| Atrium Health Stanly | Albemarle, NC | $857.38 | $1,714.75 | $677.61 | 1.3× |
| Atrium Health Union | Monroe, NC | $857.38 | $1,714.75 | $677.61 | 1.3× |
| Atrium Health Lincoln | Lincolnton, NC | $857.38 | $1,714.75 | $677.61 | 1.3× |
| Atrium Health University City | Charlotte, NC | $857.38 | $1,714.75 | $677.61 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $871.83 | — | $668.97 | 1.3× |
| Sheridan Memorial Hospital | Sheridan, WY | $878.40 | $1,098 | $712.40 | 1.2× |
| Perkins County Health Services | Grant, NE | $882 | $882 | $724.07 | 1.2× |
| Colquitt Regional Medical Center | Moultrie, GA | $903 | $903 | $631.49 | 1.4× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $908.59 | $1,514.32 | $700.47 | 1.3× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $908.59 | $1,514.32 | $700.47 | 1.3× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $908.59 | $1,514.32 | $700.47 | 1.3× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $908.59 | $1,514.32 | $700.47 | 1.3× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $908.59 | $1,514.32 | $700.47 | 1.3× |
| McLeod Health Dillon | Dillon, SC | $925.13 | $1,303 | $648.54 | 1.4× |
| McLeod Regional Medical Center | Florence, SC | $925.13 | $1,303 | $648.54 | 1.4× |
| McLeod Health Loris | Loris, SC | $925.13 | $1,303 | $648.54 | 1.4× |
| McLeod Health Cheraw | Cheraw, SC | $925.13 | $1,303 | $648.54 | 1.4× |
| McLeod Health Clarendon | Manning, SC | $925.13 | $1,303 | $664.91 | 1.4× |
| Beaufort Memorial | Beaufort, SC | $939 | $1,565 | $648.54 | 1.4× |
| Mercy Hospital Pittsburg, Inc | Pittsburg, KS | $963.30 | $1,482 | $649.35 | 1.5× |
| MedStar Washington Hospital Center | Washington, DC | $970.48 | $1,493.05 | $823.75 | 1.2× |
| Lee Memorial Hospital | Fort Myers, FL | $975.29 | $4,876.45 | $728.17 | 1.3× |
| Gulf Coast Medical Center | Fort Myers, FL | $975.29 | $4,876.45 | $728.17 | 1.3× |
| Cape Coral Hospital | Cape Coral, FL | $975.29 | $4,876.45 | $728.17 | 1.3× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $981.28 | $1,635.47 | $700.47 | 1.4× |
| Scott & White Hospital-round Rock | Round Rock, TX | $981.28 | $1,635.47 | $700.47 | 1.4× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $981.28 | $1,635.47 | $700.47 | 1.4× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $981.28 | $1,635.47 | $700.47 | 1.4× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $981.28 | $1,635.47 | $700.47 | 1.4× |
| Candler Hospital | Savannah, GA | $996.90 | $3,323 | $611.05 | 1.6× |
| St. Joseph's Hospital | Savannah, GA | $996.90 | $3,323 | $611.05 | 1.6× |
| UConn John Dempsey Hospital | Farmington, CT | $1,072.20 | $1,787 | $835.93 | 1.3× |
| Dell Children's Medical Center | Austin, TX | $1,090.60 | $1,558 | $700.47 | 1.6× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $1,102.75 | $2,005 | $698.42 | 1.6× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $1,102.75 | $2,005 | $698.42 | 1.6× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $1,102.75 | $2,005 | $698.42 | 1.6× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $1,102.75 | $2,005 | $698.42 | 1.6× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $1,102.75 | $2,005 | $698.42 | 1.6× |
| Rapides Regional Medical Center | Alexandria, LA | $1,274.38 | $1,274.38 | $658.03 | 1.9× |
| Northside Hospital Forsyth | Cumming, GA | $1,328.25 | $1,771 | $708.25 | 1.9× |
| Northside Hospital Cherokee | Canton, GA | $1,328.25 | $1,771 | $708.25 | 1.9× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $1,328.25 | $1,771 | $699.41 | 1.9× |
| Northside Hospital Atlanta | Atlanta, GA | $1,328.25 | $1,771 | $708.25 | 1.9× |
| Northside Hospital Duluth | Duluth, GA | $1,328.25 | $1,771 | $699.41 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $1,360.84 | — | $670.64 | 2.0× |
| Children's Hospital Colorado | Aurora, CO | $1,400.75 | $2,155 | $735.57 | 1.9× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $1,400.75 | $2,155 | $735.57 | 1.9× |
| Ranken Jordan Pediatric Bridge Hospital | Maryland Heights, MO | $1,451.12 | $1,813.90 | $698.42 | 2.1× |
| Mercy Hospital Springfield | Springfield, MO | $1,475.46 | $2,269.93 | $698.42 | 2.1× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $1,512.70 | $2,161 | $728.17 | 2.1× |
| Larkin Community Hospital | South Miami, FL | $1,551.20 | $2,216 | $728.17 | 2.1× |
| Copper Queen Community Hospital | Bisbee, AZ | $1,583.20 | $1,979 | $744.07 | 2.1× |
| Connecticut Children's Medical Center | Hartford, CT | $1,657.20 | $2,762 | $835.93 | 2.0× |
| Parkland Memorial Hospital | Dallas, TX | $1,960.96 | $4,902.40 | $700.47 | 2.8× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $1,999.76 | $1,999.76 | $700.47 | 2.9× |
| Northwest Surgical Hospital | Oklahoma City, OK | $2,011.92 | — | $670.64 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $2,011.92 | — | $670.64 | 3.0× |
| Baptist Hospital of Miami | Miami, FL | $2,029.95 | $3,123 | $728.17 | 2.8× |
| St. Charles Parish Hospital | Luling, LA | $2,119.08 | $7,848.46 | $654.52 | 3.2× |
| Arkansas Children's Hospital | Little Rock, AR | $2,128.92 | $2,365.47 | $655.17 | 3.2× |
| Arkansas Children's Northwest | Springdale, AR | $2,128.92 | $2,365.47 | $650.81 | 3.3× |
| AdventHealth Orlando | Orlando, FL | $2,171 | $2,171 | $728.17 | 3.0× |
| HCA Florida Largo Hospital | Largo, FL | $2,410.95 | $2,410.95 | $728.17 | 3.3× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $2,494.70 | $3,838 | $728.17 | 3.4× |
| Cleveland Clinic Hospital | Weston, FL | $2,494.70 | $3,838 | $728.17 | 3.4× |
| Hartford Hospital | Hartford, CT | $2,669 | $2,669 | $835.93 | 3.2× |
| Shriners Hospitals For Children | Galveston, TX | $2,676.14 | $2,676.14 | $700.47 | 3.8× |
| Shriners Children’s St. Louis | St. Louis, MO | $2,949.10 | $2,949.10 | $698.42 | 4.2× |
| Shriners Children's Greenville | Greenville, SC | $2,982.87 | $2,982.87 | $666.24 | 4.5× |
| Texas Health Hospital Mansfield | Mansfield, TX | $3,623.55 | $3,623.55 | $700.47 | 5.2× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $4,925 | $4,925 | $728.17 | 6.8× |
| AdventHealth Carrollwood | Tampa, FL | $6,913.16 | $6,913.16 | $728.17 | 9.5× |
| Omega Hospital | Metairie, LA | $12,452.50 | $21,347.14 | $654.52 | 19.0× |
| Cameron Regional Medical Center | Cameron, MO | — | $160 | $698.42 | — |
| Hunt Regional Healthcare | Greenville, TX | — | $189.30 | $700.47 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $412 | $700.47 | — |
| Western Missouri Medical Center | Warrensburg, MO | — | $1,019.05 | $698.42 | — |
| Children's Nebraska | Omaha, NE | — | $1,062 | $724.07 | — |
| UAB Hospital | Birmingham, AL | — | $1,621 | $637.81 | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $1,740 | $744.07 | — |
"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.