Insertion Uterine Tandem&/Vaginal Ovoids (CPT 57155)
57155 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.
371 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 | — | $4,311.37 | 0.0× |
| UNC Rex Hospital likely a partial charge, not the full procedure |
Raleigh, NC | $193.20 | $322 | $5,069.10 | 0.0× |
| Highland Community Hospital | Picayune, MS | $204.01 | $1,020.03 | $4,422.38 | 0.0× |
| Unity Health - White County Medical Center | Searcy, AR | $216 | $864 | $4,554.85 | 0.0× |
| Unity Health - Jacksonville | Jacksonville, AR | $216 | $864 | $4,700.20 | 0.0× |
| Unity Health - Newport | Newport, AR | $216 | $864 | $4,554.85 | 0.0× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $219 | $729 | $5,025.25 | 0.0× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $228.40 | $2,284 | $4,811.20 | 0.0× |
| CHI Health St. Elizabeth likely a partial charge, not the full procedure |
Lincoln, NE | $284 | $568 | $5,194.51 | 0.1× |
| Memorial Medical Center likely a partial charge, not the full procedure |
Port Lavaca, TX | $286.31 | $409.02 | $5,025.25 | 0.1× |
| Sarasota Memorial Hospital likely a partial charge, not the full procedure |
Sarasota, FL | $316.80 | $792 | $5,223.95 | 0.1× |
| Sarasota Memorial Hospital - Venice likely a partial charge, not the full procedure |
North Venice, FL | $316.80 | $792 | $5,223.95 | 0.1× |
| East Carroll Parish Hospital | Lake Providence, LA | $320.25 | $427 | $4,554.54 | 0.1× |
| Aspire Hospital likely a partial charge, not the full procedure |
Conroe, TX | $345 | $1,121 | $5,025.25 | 0.1× |
| North Sunflower Medical Center | Ruleville, MS | $380 | $760 | $4,312.90 | 0.1× |
| Duke University Hospital | Durham, NC | $389.61 | $1,443 | $4,977.71 | 0.1× |
| Marion General Hospital | Columbia, MS | $427.86 | $2,139.28 | $4,312.90 | 0.1× |
| Banner Boswell Medical Center likely a partial charge, not the full procedure |
Sun City, AZ | $433.79 | $1,501 | $5,338.03 | 0.1× |
| Banner Gateway Medical Center likely a partial charge, not the full procedure |
Gilbert, AZ | $460.81 | $1,501 | $5,338.03 | 0.1× |
| Banner Thunderbird Medical Center likely a partial charge, not the full procedure |
Glendale, AZ | $462.31 | $1,501 | $5,338.03 | 0.1× |
| Southeast Health Medical Center | Dothan, AL | $483.08 | $1,207.71 | $4,819.18 | 0.1× |
| Aiken Regional Medical Centers | Aiken, SC | $517.20 | $1,293 | $4,652.67 | 0.1× |
| Banner Desert Medical Center likely a partial charge, not the full procedure |
Mesa, AZ | $531.35 | $1,501 | $5,338.03 | 0.1× |
| Banner - University Medical Center Phoenix likely a partial charge, not the full procedure |
Phoenix, AZ | $537.36 | $1,501 | $5,338.03 | 0.1× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $585.90 | $651 | $5,277 | 0.1× |
| Forrest General Hospital | Hattiesburg, MS | $599 | $2,139.28 | $4,333.75 | 0.1× |
| Walthall General Hospital | Tylertown, MS | $599 | $2,139.28 | $4,312.90 | 0.1× |
| AnMed Cannon | Pickens, SC | $600 | $1,200 | $4,779.62 | 0.1× |
| AnMed Medical Center | Anderson, SC | $600 | $1,200 | $4,652.67 | 0.1× |
| St. Bernards Medical Center | Jonesboro, AR | $653.25 | $1,005 | $4,690.69 | 0.1× |
| Chi St. Lukes Health Memorial Lufkin likely a partial charge, not the full procedure |
Lufkin, TX | $684.30 | $4,562 | $5,025.25 | 0.1× |
| Chi St. Lukes Health Memorial Livingston likely a partial charge, not the full procedure |
Livingston, TX | $684.30 | $4,562 | $5,025.25 | 0.1× |
| Chi St. Lukes Health Memorial San Augustine likely a partial charge, not the full procedure |
San Augustine, TX | $684.30 | $4,562 | $5,025.25 | 0.1× |
| Jefferson Davis Community Hospital | Prentiss, MS | $748.75 | $2,139.28 | $4,312.90 | 0.2× |
| Titus Regional Medical Center likely a partial charge, not the full procedure |
Mount Pleasant, TX | $750 | $1,250 | $5,025.25 | 0.1× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $766.50 | $1,533 | $4,851.68 | 0.2× |
| Perry County General Hospital | Richton, MS | $770.15 | $2,139.28 | $4,312.90 | 0.2× |
| Memorial Hermann Surgical Hospital Kingwood likely a partial charge, not the full procedure |
Kingwood, TX | $780.50 | $2,230 | $5,025.25 | 0.2× |
| DeSoto Regional Health System | Mansfield, LA | $780.50 | $1,115 | $4,529.70 | 0.2× |
| Cumberland Medical Center | Crossville, TN | $808.79 | $2,609 | $4,538.59 | 0.2× |
| Covenant Health Morristown-Hamblen | Morristown, TN | $808.79 | $2,609 | $4,538.59 | 0.2× |
| Covenant Health Roane | Harriman, TN | $808.79 | $2,609 | $4,538.59 | 0.2× |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $808.79 | $2,609 | $4,538.59 | 0.2× |
| Covenant Health LeConte | Sevierville, TN | $808.79 | $2,609 | $4,538.59 | 0.2× |
| Fort Sanders Regional Medical Center | Knoxville, TN | $808.79 | $2,609 | $4,538.59 | 0.2× |
| Tops Surgical Specialty Hospital likely a partial charge, not the full procedure |
Houston, TX | $809.20 | $2,312 | $5,025.25 | 0.2× |
| Summit Surgical, LLC | Hutchinson, KS | $818.66 | $1,023.33 | $4,600.54 | 0.2× |
| Wellington Regional Medical Center likely a partial charge, not the full procedure |
Wellington, FL | $825 | $1,100 | $5,223.95 | 0.2× |
| Lake Charles Memorial Hospital | Lake Charles, LA | $825.12 | $1,375.20 | $4,644.08 | 0.2× |
| Covenant Health Fort Loudoun | Lenoir City, TN | $834.88 | $2,609 | $4,538.59 | 0.2× |
| Bristol Regional Medical Center | Bristol, TN | $834.90 | $5,566 | $4,745.58 | 0.2× |
| Holston Valley Medical Center | Kingsport, TN | $834.90 | $5,566 | $4,745.58 | 0.2× |
| Sycamore Shoals Hospital | Elizabethton, TN | $834.90 | $5,566 | $4,538.59 | 0.2× |
| Hawkins County Memorial Hospital | Rogersville, TN | $834.90 | $5,566 | $4,538.59 | 0.2× |
| Greeneville Community Hospital | Greeneville, TN | $834.90 | $5,566 | $4,668 | 0.2× |
| Johnson City Medical Center | Johnson City, TN | $834.90 | $5,566 | $4,668 | 0.2× |
| Indian Path Community Hospital | Kingsport, TN | $834.90 | $5,566 | $4,538.59 | 0.2× |
| Franklin Woods Community Hospital | Johnson City, TN | $834.90 | $5,566 | $4,541.97 | 0.2× |
| Norton Hospital | Louisville, KY | $860.20 | $4,301 | $4,959.62 | 0.2× |
| Banner - University Medical Center Tucson likely a partial charge, not the full procedure |
Tucson, AZ | $896.97 | $2,471 | $5,338.03 | 0.2× |
| Erlanger Bledsoe Hospital | Pikeville, TN | $956.01 | $3,308 | $4,538.59 | 0.2× |
| Mary Lanning Healthcare likely a partial charge, not the full procedure |
Hastings, NE | $978.30 | $1,087 | $5,194.51 | 0.2× |
| St. John's Medical Center likely a partial charge, not the full procedure |
Jackson, WY | $1,120 | $1,120 | $5,110.80 | 0.2× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $1,174.58 | $5,339 | $4,695.60 | 0.3× |
| CarolinaEast Medical Center | New Bern, NC | $1,176 | $1,960 | $4,781.46 | 0.2× |
| Mercy Hospital Durango likely a partial charge, not the full procedure |
Durango, CO | $1,207.56 | $3,018.90 | $5,277 | 0.2× |
| Banner Wyoming Medical Center likely a partial charge, not the full procedure |
Casper, WY | $1,215.48 | $2,894 | $5,110.80 | 0.2× |
| UNC Hospitals | Chapel Hill, NC | $1,257.60 | $2,096 | $4,960.85 | 0.3× |
| Baylor Scott and White Surgical Hospital Las Colin likely a partial charge, not the full procedure |
Irving, TX | $1,293.60 | $2,156 | $5,025.25 | 0.3× |
| Banner North Colorado Medical Center likely a partial charge, not the full procedure |
Greeley, CO | $1,293.62 | $2,894 | $5,284.06 | 0.2× |
| Hilton Head Medical Center | Hilton Head Island, SC | $1,306 | — | $4,652.67 | 0.3× |
| East Cooper Medical Center | Mount Pleasant, SC | $1,306 | — | $4,652.67 | 0.3× |
| Coastal Carolina Medical Center | Hardeeville, SC | $1,306 | — | $4,652.67 | 0.3× |
| Willis Knighton North | Shreveport, LA | $1,309.60 | $1,637 | $4,691.61 | 0.3× |
| Atrium Health Cabarrus | Concord, NC | $1,339.18 | $2,678.35 | $4,861.19 | 0.3× |
| Atrium Health Cleveland | Shelby, NC | $1,339.18 | $2,678.35 | $4,822.86 | 0.3× |
| Atrium Health Anson | Wadesboro, NC | $1,339.18 | $2,678.35 | $4,861.19 | 0.3× |
| Atrium Health Pineville | Charlotte, NC | $1,339.18 | $2,678.35 | $4,861.19 | 0.3× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,339.18 | $2,678.35 | $4,861.19 | 0.3× |
| Atrium Health Stanly | Albemarle, NC | $1,339.18 | $2,678.35 | $4,861.19 | 0.3× |
| Atrium Health Union | Monroe, NC | $1,339.18 | $2,678.35 | $4,861.19 | 0.3× |
| Atrium Health Lincoln | Lincolnton, NC | $1,339.18 | $2,678.35 | $4,861.19 | 0.3× |
| Atrium Health University City | Charlotte, NC | $1,339.18 | $2,678.35 | $4,861.19 | 0.3× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $1,343.42 | $4,632.50 | $4,776.86 | 0.3× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1,343.42 | $4,632.50 | $4,748.96 | 0.3× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $1,343.42 | $4,632.50 | $4,799.25 | 0.3× |
| Covenant Medical Center likely a partial charge, not the full procedure |
Lubbock, TX | $1,401.12 | $3,336 | $5,025.25 | 0.3× |
| Covenant Childrens Hospital likely a partial charge, not the full procedure |
Lubbock, TX | $1,401.12 | $3,336 | $5,025.25 | 0.3× |
| Singing River Gulfport | Gulfport, MS | $1,417.60 | $7,088 | $4,376.68 | 0.3× |
| Deaconess Henderson Hospital likely a partial charge, not the full procedure |
Henderson, KY | $1,426.20 | $4,754 | $5,000.10 | 0.3× |
| CommonSpirit - Memorial Hospital - North Georgia | Ringgold, GA | $1,439.45 | $4,863 | $4,615.56 | 0.3× |
| UK Albert B. Chandler Hospital | Lexington, KY | $1,454.40 | $3,636 | $4,885.41 | 0.3× |
| Bon Secours St. Francis Hospital | Charleston, SC | $1,461.85 | $2,249 | $4,652.67 | 0.3× |
| Memorial Hermann Hospital System unusually low: confirm this is the full procedure |
Houston, TX | $1,508.80 | $4,715 | $5,025.25 | 0.3× |
| Memorial Hermann Memorial City Medical Center unusually low: confirm this is the full procedure |
Houston, TX | $1,508.80 | $4,715 | $5,025.25 | 0.3× |
| Memorial Hermann Northeast Hospital unusually low: confirm this is the full procedure |
Humble, TX | $1,508.80 | $4,715 | $5,025.25 | 0.3× |
| Memorial Hermann Katy Hospital unusually low: confirm this is the full procedure |
Katy, TX | $1,508.80 | $4,715 | $5,025.25 | 0.3× |
| Memorial Hermann Sugar Land Hospital unusually low: confirm this is the full procedure |
Sugar Land, TX | $1,508.80 | $4,715 | $5,025.25 | 0.3× |
| Hartford Hospital likely a partial charge, not the full procedure |
Hartford, CT | $1,560 | $1,560 | $5,997.01 | 0.3× |
| Baylor Scott and White Medical Center Uptown unusually low: confirm this is the full procedure |
Dallas, TX | $1,575.60 | $2,626 | $5,025.25 | 0.3× |
| Baylor Medical Center at Trophy Club unusually low: confirm this is the full procedure |
Trophy Club, TX | $1,612.20 | $2,687 | $5,025.25 | 0.3× |
| West Jefferson Medical Center | Marrero, LA | $1,614.88 | $10,093 | $4,695.60 | 0.3× |
| Archbold Memorial | Thomasville, GA | $1,615.80 | $2,693 | $4,819.18 | 0.3× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $1,623.36 | $5,073 | $4,529.70 | 0.4× |
| Lawrence + Memorial Hospital likely a partial charge, not the full procedure |
New London, CT | $1,626.84 | $4,518.99 | $5,997.01 | 0.3× |
| Owensboro Health Regional Hospital | Owensboro, KY | $1,657.66 | $2,550.24 | $4,959.62 | 0.3× |
| Lexington Medical Center | West Columbia, SC | $1,663 | $1,663 | $4,835.43 | 0.3× |
| SSM Health St. Mary's Hospital - Jefferson City unusually low: confirm this is the full procedure |
Jefferson City, MO | $1,678.08 | $3,051.06 | $5,010.53 | 0.3× |
| Salina Regional Health Center | Salina, KS | $1,704.36 | $2,434.80 | $4,600.54 | 0.4× |
| Lindsborg Community Hospital | Lindsborg, KS | $1,704.36 | $2,434.80 | $4,600.54 | 0.4× |
| Tanner Medical Center/Carrollton unusually low: confirm this is the full procedure |
Carrollton, GA | $1,743.80 | $4,359.50 | $5,017.58 | 0.3× |
| Memorial Hermann Texas Medical Center unusually low: confirm this is the full procedure |
Houston, TX | $1,747.20 | $5,460 | $5,025.25 | 0.3× |
| Higgins General Hospital unusually low: confirm this is the full procedure |
Bremen, GA | $1,786.40 | $4,466 | $5,081.06 | 0.4× |
| CHI Health Creighton University Medical Center - Bergan Mercy unusually low: confirm this is the full procedure |
Omaha, NE | $1,820.28 | $4,334 | $5,194.51 | 0.4× |
| CHI Health Immanuel unusually low: confirm this is the full procedure |
Omaha, NE | $1,820.28 | $4,334 | $5,194.51 | 0.4× |
| CHI Health Midlands unusually low: confirm this is the full procedure |
Papillion, NE | $1,820.28 | $4,334 | $5,194.51 | 0.4× |
| CHI Health Lakeside unusually low: confirm this is the full procedure |
Omaha, NE | $1,820.28 | $4,334 | $5,194.51 | 0.4× |
| UT Medical Center | Knoxville, TN | $1,900 | $7,600 | $4,538.59 | 0.4× |
| William P. Clements Jr. University Hospital (UT Southwestern) unusually low: confirm this is the full procedure |
Dallas, TX | $1,955.50 | $3,911 | $5,025.25 | 0.4× |
| Mercy Hospital St. Louis unusually low: confirm this is the full procedure |
St. Louis, MO | $1,957.15 | $3,011 | $5,010.53 | 0.4× |
| Pascagoula Hospital | Pascagoula, MS | $1,988.70 | $6,629 | $4,483.70 | 0.4× |
| Tallahassee Memorial Hospital unusually low: confirm this is the full procedure |
Tallahassee, FL | $2,016.29 | $2,880.42 | $5,223.95 | 0.4× |
| CommonSpirit - Memorial Hospital - Chattanooga | Chattanooga, TN | $2,057.05 | $4,863 | $4,615.56 | 0.4× |
| Freeman Neosho Hospital unusually low: confirm this is the full procedure |
Neosho, MO | $2,108.40 | $3,514 | $5,010.53 | 0.4× |
| Touro | New Orleans, LA | $2,128.14 | $15,201 | $4,695.60 | 0.5× |
| St. Francis Medical Center | Monroe, LA | $2,135.50 | $4,271 | $4,529.70 | 0.5× |
| Mercy Hospital Fort Smith | Fort Smith, AR | $2,200.25 | $3,385 | $4,845.24 | 0.5× |
| St. Dominic Hospital | Jackson, MS | $2,266 | $4,532 | $4,516.52 | 0.5× |
| Memorial Regional Hospital unusually low: confirm this is the full procedure |
Hollywood, FL | $2,286.90 | $3,267 | $5,223.95 | 0.4× |
| Memorial Hospital Pembroke unusually low: confirm this is the full procedure |
Pembroke Pines, FL | $2,286.90 | $3,267 | $5,223.95 | 0.4× |
| Memorial Hospital West unusually low: confirm this is the full procedure |
Pembroke Pines, FL | $2,286.90 | $3,267 | $5,223.95 | 0.4× |
| Memorial Hospital Miramar unusually low: confirm this is the full procedure |
Miramar, FL | $2,286.90 | $3,267 | $5,223.95 | 0.4× |
| Bridgeport Hospital unusually low: confirm this is the full procedure |
Bridgeport, CT | $2,349.87 | $4,518.99 | $5,997.01 | 0.4× |
| Greenwich Hospital unusually low: confirm this is the full procedure |
Greenwich, CT | $2,349.87 | $4,518.99 | $5,997.01 | 0.4× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $2,354.50 | $4,709 | $4,781.46 | 0.5× |
| East Jefferson General Hospital | Metairie, LA | $2,384.34 | $17,031 | $4,695.60 | 0.5× |
| Chi St. Luke's Health Baylor College of Medicine Me unusually low: confirm this is the full procedure |
Houston, TX | $2,420.25 | $6,915 | $5,025.25 | 0.5× |
| St. Luke's The Woodlands Hospital unusually low: confirm this is the full procedure |
The Woodlands, TX | $2,420.25 | $6,915 | $5,025.25 | 0.5× |
| St. Luke's Sugar Land Hospital unusually low: confirm this is the full procedure |
Sugar Land, TX | $2,420.25 | $6,915 | $5,025.25 | 0.5× |
| St. Lukes Lakeside Hospital unusually low: confirm this is the full procedure |
The Woodlands, TX | $2,420.25 | $6,915 | $5,025.25 | 0.5× |
| St. Luke's Hospital at The Vintage unusually low: confirm this is the full procedure |
Houston, TX | $2,420.25 | $6,915 | $5,025.25 | 0.5× |
| Dignity Health St. Joseph's Hospital and Medical Center unusually low: confirm this is the full procedure |
Phoenix, AZ | $2,426.47 | $6,352 | $5,338.03 | 0.5× |
| Danbury Hospital unusually low: confirm this is the full procedure |
Danbury, CT | $2,469 | $2,469 | $5,997.01 | 0.4× |
| Norwalk Hospital unusually low: confirm this is the full procedure |
Norwalk, CT | $2,490 | $2,490 | $5,997.01 | 0.4× |
| Erlanger Baroness Hospital | Chattanooga, TN | $2,490.05 | $4,716 | $4,615.56 | 0.5× |
| Vanderbilt University Hospital | Nashville, TN | $2,501.55 | $4,632.50 | $4,910.56 | 0.5× |
| St. Mary-Corwin Hospital unusually low: confirm this is the full procedure |
Pueblo, CO | $2,517.72 | $6,294.29 | $5,277 | 0.5× |
| Longmont United Hospital unusually low: confirm this is the full procedure |
Longmont, CO | $2,546 | $6,364.98 | $5,335.57 | 0.5× |
| St. Anthony Hospital unusually low: confirm this is the full procedure |
Lakewood, CO | $2,546 | $6,364.98 | $5,277 | 0.5× |
| Penrose Hospital unusually low: confirm this is the full procedure |
Colorado Springs, CO | $2,546 | $6,364.98 | $5,277 | 0.5× |
| St. Anthony North Health Campus unusually low: confirm this is the full procedure |
Westminster, CO | $2,546 | $6,364.98 | $5,277 | 0.5× |
| OrthoColorado Hospital unusually low: confirm this is the full procedure |
Lakewood, CO | $2,546 | $6,364.98 | $5,277 | 0.5× |
| St. Francis Hospital Interquest unusually low: confirm this is the full procedure |
Colorado Springs, CO | $2,546 | $6,364.98 | $5,277 | 0.5× |
| UCHealth Highlands Ranch Hospital unusually low: confirm this is the full procedure |
Highlands Ranch, CO | $2,554.20 | $8,514 | $5,277 | 0.5× |
| Methodist Hospital unusually low: confirm this is the full procedure |
Omaha, NE | $2,579.76 | $7,166 | $5,194.51 | 0.5× |
| Tampa General Hospital | Tampa, FL | $2,642.50 | $7,550 | $5,223.95 | 0.5× |
| Yale New Haven Hospital unusually low: confirm this is the full procedure |
New Haven, CT | $2,666.20 | $4,518.99 | $5,997.01 | 0.4× |
| Catawba Valley Medical Center | Hickory, NC | $2,675 | $4,458 | $4,851.68 | 0.6× |
| Pikeville Medical Center | Pikeville, KY | $2,695.80 | $8,986 | $4,693.76 | 0.6× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $2,759.89 | $3,942.70 | $5,110.80 | 0.5× |
| City of Hope Cancer Center Phoenix | Goodyear, AZ | $2,956.05 | $6,569 | $5,338.03 | 0.6× |
| Longs Peak Hospital | Longmont, CO | $2,979.90 | $8,514 | $5,335.57 | 0.6× |
| UCHealth Broomfield Hospital | Broomfield, CO | $2,979.90 | $8,514 | $5,293.87 | 0.6× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $2,979.90 | $8,514 | $5,277 | 0.6× |
| Piedmont Augusta | Augusta, GA | $2,984.27 | $9,947.57 | $4,383.74 | 0.7× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $2,984.27 | $9,947.57 | $4,922.52 | 0.6× |
| Piedmont McDuffie | Thomson, GA | $2,984.27 | $9,947.57 | $4,400.30 | 0.7× |
| Piedmont Columbus Regional Northside | Columbus, GA | $2,984.27 | $9,947.57 | $4,383.74 | 0.7× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $3,000.05 | $5,000.09 | $5,025.25 | 0.6× |
| Scott & White Hospital-round Rock | Round Rock, TX | $3,000.05 | $5,000.09 | $5,025.25 | 0.6× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $3,000.05 | $5,000.09 | $5,025.25 | 0.6× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $3,000.05 | $5,000.09 | $5,025.25 | 0.6× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $3,000.05 | $5,000.09 | $5,025.25 | 0.6× |
| Jackson Hospital | Montgomery, AL | $3,218.11 | $16,937.42 | $4,486.77 | 0.7× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $3,254.35 | $5,917 | $4,811.20 | 0.7× |
| Erlanger Western Carolina Hospital | Murphy, NC | $3,301.20 | $4,716 | $4,781.46 | 0.7× |
| Harris Health | Houston, TX | $3,344 | $3,344 | $5,025.25 | 0.7× |
| Cape Fear Valley Medical Center | Fayetteville, NC | $3,394.80 | $5,658 | $4,980.47 | 0.7× |
| Cape Fear Valley Betsy Johnson Hospital | Dunn, NC | $3,394.80 | $5,658 | $4,980.47 | 0.7× |
| Cape Fear Valley Hoke Hospital | Raeford, NC | $3,394.80 | $5,658 | $4,980.47 | 0.7× |
| Cape Fear Valley Bladen County Hospital | Elizabethtown, NC | $3,394.80 | $5,658 | $4,781.46 | 0.7× |
| Vail Health Hospital | Vail, CO | $3,433.50 | $4,578 | $5,277 | 0.7× |
| Ascension St. John Jane Phillips | Bartlesville, OK | $3,437.49 | $9,290.50 | $4,811.20 | 0.7× |
| Ascension St. John Medical Center | Tulsa, OK | $3,437.49 | $9,290.50 | $4,811.20 | 0.7× |
| Manning Family Children's | New Orleans, LA | $3,550.77 | $13,151 | $4,695.60 | 0.8× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $3,648.53 | $6,080.88 | $5,025.25 | 0.7× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $3,648.53 | $6,080.88 | $5,025.25 | 0.7× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $3,648.53 | $6,080.88 | $5,025.25 | 0.7× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $3,648.53 | $6,080.88 | $5,025.25 | 0.7× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $3,648.53 | $6,080.88 | $5,025.25 | 0.7× |
| North Shore Medical Center | Miami, FL | $3,760.50 | $3,760.50 | $5,223.95 | 0.7× |
| FirstHealth Moore Regional Hospital | Pinehurst, NC | $3,770 | $3,770 | $4,919.45 | 0.8× |
| FirstHealth Montgomery Memorial Hospital | Troy, NC | $3,770 | $3,770 | $4,781.46 | 0.8× |
| Piedmont Newton | Covington, GA | $3,870.65 | $12,902.16 | $5,017.58 | 0.8× |
| Piedmont Cartersville Medical Center | Cartersville, GA | $3,870.65 | $12,902.16 | $5,081.06 | 0.8× |
| Piedmont Walton | Monroe, GA | $3,870.65 | $12,902.16 | $5,017.58 | 0.8× |
| Piedmont Athens Regional | Athens, GA | $3,870.65 | $12,902.16 | $4,922.52 | 0.8× |
| Piedmont Atlanta | Atlanta, GA | $3,870.65 | $12,902.16 | $5,081.06 | 0.8× |
| Piedmont Rockdale | Conyers, GA | $3,870.65 | $12,902.16 | $5,017.58 | 0.8× |
| Piedmont Macon Medical Center | Macon, GA | $3,870.65 | $12,902.16 | $4,422.99 | 0.9× |
| Piedmont Henry Hospital | Stockbridge, GA | $3,870.65 | $12,902.16 | $5,017.58 | 0.8× |
| Piedmont Eastside | Snellville, GA | $3,870.65 | $12,902.16 | $5,017.58 | 0.8× |
| Piedmont Macon North | Macon, GA | $3,870.65 | $12,902.16 | $4,481.25 | 0.9× |
| Piedmont Fayette | Fayetteville, GA | $3,870.65 | $12,902.16 | $5,017.58 | 0.8× |
| Piedmont Mountainside | Jasper, GA | $3,870.65 | $12,902.16 | $5,017.58 | 0.8× |
| Piedmont Newnan | Newnan, GA | $3,870.65 | $12,902.16 | $5,017.58 | 0.8× |
| Mercy Hospital South | St. Louis, MO | $3,897.40 | $5,996 | $5,010.53 | 0.8× |
| AdventHealth Orlando | Orlando, FL | $3,940 | $3,940 | $5,223.95 | 0.8× |
| Houston Methodist Hospital | Houston, TX | $3,944.50 | $7,889 | $5,025.25 | 0.8× |
| Sibley Memorial Hospital | Washington, DC | $3,981 | $3,981 | $5,909.62 | 0.7× |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $4,001.14 | $16,004.56 | $4,700.20 | 0.9× |
| Phelps Health Hospital | Rolla, MO | $4,022.35 | $5,746.22 | $5,010.53 | 0.8× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $4,049.22 | $6,531 | $5,223.95 | 0.8× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $4,049.22 | $6,531 | $5,223.95 | 0.8× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $4,049.22 | $6,531 | $5,223.95 | 0.8× |
| Winter Haven Hospital | Winter Haven, FL | $4,113.60 | $6,856 | $5,223.95 | 0.8× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $4,113.60 | $6,856 | $5,223.95 | 0.8× |
| St. Anthony's Hospital | Saint Petersburg, FL | $4,113.60 | $6,856 | $5,223.95 | 0.8× |
| St. Joseph's Hospital | Tampa, FL | $4,113.60 | $6,856 | $5,223.95 | 0.8× |
| Morton Plant Hospital | Clearwater, FL | $4,113.60 | $6,856 | $5,223.95 | 0.8× |
| Mease Countryside Hospital | Safety Harbor, FL | $4,113.60 | $6,856 | $5,223.95 | 0.8× |
| Nebraska Medical Center | Omaha, NE | $4,291.76 | $6,602.70 | $5,194.51 | 0.8× |
| Bellevue Medical Center | Bellevue, NE | $4,291.76 | $6,602.70 | $5,194.51 | 0.8× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $4,431.28 | $20,142.16 | $4,634.88 | 1.0× |
| University Medical Center New Orleans | New Orleans, LA | $4,487.56 | $20,398 | $4,529.70 | 1.0× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $4,601.34 | $16,433.36 | $4,529.70 | 1.0× |
| UAMS Medical Center | Little Rock, AR | $4,726.64 | $7,877.73 | $4,700.20 | 1.0× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $4,745.82 | $10,317 | $4,922.52 | 1.0× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $4,745.82 | $10,317 | $4,383.74 | 1.1× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $4,745.82 | $10,317 | $5,017.58 | 0.9× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $4,745.82 | $10,317 | $5,190.53 | 0.9× |
| UConn John Dempsey Hospital | Farmington, CT | $4,754.40 | $7,924 | $5,997.01 | 0.8× |
| Northwest Hills Surgical Hospital | Austin, TX | $4,804.92 | $13,347 | $5,025.25 | 1.0× |
| Barnes-Jewish St. Peters Hospital | St. Peters, MO | $4,866.60 | $8,111 | $5,010.53 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $4,955.11 | — | $5,223.95 | 0.9× |
| Regional Medical Center | Memphis, TN | $5,008.69 | $7,789.56 | $4,634.88 | 1.1× |
| UCHealth University of Colorado Hospital | Aurora, CO | $5,119.10 | $14,626 | $5,277 | 1.0× |
| Memorial Hospital Gulfport | Gulfport, MS | $5,183.28 | $7,404.68 | $4,422.38 | 1.2× |
| Memorial Hospital Biloxi | Biloxi, MS | $5,183.28 | $7,404.68 | $4,376.68 | 1.2× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $5,201.36 | $8,668.93 | $5,033.52 | 1.0× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Regional Medical Center at Plano | Plano, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| The Heart Hospital Baylor Denton | Denton, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $5,201.36 | $8,668.93 | $5,025.25 | 1.0× |
| Mercy Hospital Springfield | Springfield, MO | $5,221.14 | $8,032.52 | $5,010.53 | 1.0× |
| East Alabama Medical Center | Opelika, AL | $5,275.05 | $9,591 | $4,349.09 | 1.2× |
| Atrium Health Floyd Medical Center | Rome, GA | $5,313.50 | $10,627 | $5,081.06 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $5,420.46 | — | $4,542.89 | 1.2× |
| Boca Raton Regional Hospital | Boca Raton, FL | $5,530.20 | $8,508 | $5,223.95 | 1.1× |
| Roper Hospital | Charleston, SC | $5,572.54 | $9,193.86 | $4,652.67 | 1.2× |
| Summit Medical Center, LLC | Edmond, OK | $5,757.54 | — | $4,811.20 | 1.2× |
| Houston Methodist Baytown Hospital | Baytown, TX | $5,796 | $11,592 | $5,025.25 | 1.2× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $5,796 | $11,592 | $5,025.25 | 1.2× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $5,796 | $11,592 | $5,025.25 | 1.2× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $5,796 | $11,592 | $5,025.25 | 1.2× |
| Houston Methodist West Hospital | Houston, TX | $5,796 | $11,592 | $5,025.25 | 1.2× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $5,796 | $11,592 | $5,025.25 | 1.2× |
| Houston Methodist Cypress Hospital | Cypress, TX | $5,796 | $11,592 | $5,025.25 | 1.2× |
| Griffin Hospital | Derby, CT | $5,901.43 | — | $5,997.01 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $6,138.73 | — | $5,338.03 | 1.1× |
| Citizens Medical Center | Victoria, TX | $6,170 | $12,340 | $5,025.25 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $6,254.56 | — | $4,799.25 | 1.3× |
| UF Health Leesburg Hospital | Leesburg, FL | $6,256.80 | $11,376 | $5,223.95 | 1.2× |
| Flagler Hospital | Saint Augustine, FL | $6,256.80 | $11,376 | $5,223.95 | 1.2× |
| UF Health Shands Hospital | Gainesville, FL | $6,256.80 | $11,376 | $5,223.95 | 1.2× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $6,256.80 | $11,376 | $5,223.95 | 1.2× |
| AdventHealth Porter | Denver, CO | $6,290.72 | $6,290.72 | $5,277 | 1.2× |
| AdventHealth Avista | Louisville, CO | $6,290.72 | $6,290.72 | $5,335.57 | 1.2× |
| AdventHealth Littleton | Littleton, CO | $6,290.72 | $6,290.72 | $5,277 | 1.2× |
| AdventHealth Parker | Parker, CO | $6,290.72 | $6,290.72 | $5,277 | 1.2× |
| AdventHealth Castle Rock | Castle Rock, CO | $6,290.72 | $6,290.72 | $5,277 | 1.2× |
| Bryan Medical Center | Lincoln, NE | $6,342.60 | $10,571 | $5,194.51 | 1.2× |
| ChristianaCare | Newark, DE | $6,758.20 | $6,758.20 | $5,405.80 | 1.3× |
| George Washington University Hospital | Washington, DC | $6,783.60 | $16,959 | $5,909.62 | 1.1× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $6,783.60 | $16,959 | $5,909.62 | 1.1× |
| University of Kansas Hospital | Kansas City, KS | $6,921.14 | $34,605.69 | $4,670.45 | 1.5× |
| UF Health Jacksonville | Jacksonville, FL | $7,026.54 | $12,775.53 | $5,223.95 | 1.3× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $7,065.90 | $15,702 | $5,277 | 1.3× |
| Stamford Hospital | Stamford, CT | $7,091.65 | $7,091.65 | $5,997.01 | 1.2× |
| Howard University Hospital | Washington, DC | $7,140.16 | $8,925.20 | $5,909.62 | 1.2× |
| USA Health University Hospital | Mobile, AL | $7,306 | $7,306 | $4,516.52 | 1.6× |
| USA Health Children's & Women's Hospital | Mobile, AL | $7,306 | $7,306 | $4,516.52 | 1.6× |
| Emory University Hospital | Atlanta, GA | $7,346.50 | $7,346.50 | $5,017.58 | 1.5× |
| Emory Decatur Hospital | Decatur, GA | $7,346.50 | $7,346.50 | $5,017.58 | 1.5× |
| Emory University Hospital Midtown | Atlanta, GA | $7,346.50 | $7,346.50 | $5,081.06 | 1.4× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $7,346.50 | $7,346.50 | $5,081.06 | 1.4× |
| Emory Hillandale Hospital | Lithonia, GA | $7,346.50 | $7,346.50 | $5,017.58 | 1.5× |
| Emory Johns Creek Hospital | Johns Creek, GA | $7,346.50 | $7,346.50 | $5,081.06 | 1.4× |
| Hendrick Medical Center | Abilene, TX | $7,551.14 | $7,551.14 | $5,025.25 | 1.5× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $7,608 | $15,216 | $5,223.95 | 1.5× |
| Lee Memorial Hospital | Fort Myers, FL | $7,694.27 | $38,471.35 | $5,223.95 | 1.5× |
| Gulf Coast Medical Center | Fort Myers, FL | $7,694.27 | $38,471.35 | $5,223.95 | 1.5× |
| Cape Coral Hospital | Cape Coral, FL | $7,694.27 | $38,471.35 | $5,223.95 | 1.5× |
| McLeod Health Dillon | Dillon, SC | $7,903.72 | $11,132 | $4,652.67 | 1.7× |
| McLeod Regional Medical Center | Florence, SC | $7,903.72 | $11,132 | $4,652.67 | 1.7× |
| McLeod Health Loris | Loris, SC | $7,903.72 | $11,132 | $4,652.67 | 1.7× |
| McLeod Health Cheraw | Cheraw, SC | $7,903.72 | $11,132 | $4,652.67 | 1.7× |
| McLeod Health Clarendon | Manning, SC | $7,903.72 | $11,132 | $4,770.11 | 1.7× |
| Baptist Hospital of Miami | Miami, FL | $8,091.85 | $12,449 | $5,223.95 | 1.5× |
| Marshall Medical Center South | Boaz, AL | $8,093 | $8,093 | $4,311.37 | 1.9× |
| Helen Keller Hospital | Sheffield, AL | $8,093 | $8,093 | $4,311.37 | 1.9× |
| Huntsville Hospital | Huntsville, AL | $8,093 | $8,093 | $4,560.98 | 1.8× |
| Red Bay Hospital | Red Bay, AL | $8,093 | $8,093 | $4,311.37 | 1.9× |
| Saint Luke's Hospital of Kansas City | Kansas City, MO | $8,108.40 | $13,514 | $5,010.53 | 1.6× |
| Self Regional Healthcare | Greenwood, SC | $9,049.69 | $15,082.82 | $4,798.33 | 1.9× |
| Edgefield County Healthcare | Edgefield, SC | $9,049.69 | $15,082.82 | $4,652.67 | 1.9× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $9,241.80 | $15,403 | $5,025.25 | 1.8× |
| Baptist Health Hardin | Elizabethtown, KY | $9,680.69 | $12,907.59 | $4,809.67 | 2.0× |
| Baptist Health Richmond | Richmond, KY | $9,680.69 | $12,907.59 | $4,842.48 | 2.0× |
| Baptist Health Corbin | Corbin, KY | $9,680.69 | $12,907.59 | $4,693.76 | 2.1× |
| Baptist Health Lexington | Lexington, KY | $9,680.69 | $12,907.59 | $4,885.41 | 2.0× |
| Baptist Health Paducah | Paducah, KY | $9,680.69 | $12,907.59 | $4,972.81 | 1.9× |
| Baptist Health Louisville | Louisville, KY | $9,680.69 | $12,907.59 | $4,809.67 | 2.0× |
| Baptist Health La Grange | La Grange, KY | $9,680.69 | $12,907.59 | $4,809.67 | 2.0× |
| Community Hospital Grand Junction | Grand Junction, CO | $9,894.64 | $17,669 | $5,277 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $10,064.42 | — | $4,811.20 | 2.1× |
| Abbeville Area Medical Center | Abbeville, SC | $10,557.97 | $15,082.82 | $4,652.67 | 2.3× |
| Grady Memorial Hospital | Atlanta, GA | $10,568.50 | $10,568.50 | $5,081.06 | 2.1× |
| Mayo Clinic Hospital — Phoenix | Phoenix, AZ | $11,772 | $15,696 | $5,338.03 | 2.2× |
| Mercy Hospital Oklahoma City, Inc | Oklahoma City, OK | $12,195.58 | $18,762.44 | $4,811.20 | 2.5× |
| Colquitt Regional Medical Center | Moultrie, GA | $12,296 | $12,296 | $4,530.32 | 2.7× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $12,686.05 | $19,517 | $5,223.95 | 2.4× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $13,231.92 | $13,231.92 | $5,025.25 | 2.6× |
| Northwest Surgical Hospital | Oklahoma City, OK | $14,433.60 | — | $4,811.20 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $14,433.60 | — | $4,811.20 | 3.0× |
| Saint Francis Hospital | Hartford, CT | $15,062.95 | — | $5,997.01 | 2.5× |
| Valley View Hospital | Glenwood Springs, CO | $15,134.25 | $17,805 | $5,277 | 2.9× |
| Omega Hospital | Metairie, LA | $15,750.42 | $27,000.72 | $4,695.60 | 3.4× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $15,856.23 | $72,073.78 | $4,634.88 | 3.4× |
| Missouri Baptist Medical Center | Town and Country, MO | $16,277.39 | $27,128.99 | $5,010.53 | 3.2× |
| Memorial Health | Lawton, OK | $17,527.28 | $14,021.82 | $4,811.20 | 3.6× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $18,450.25 | $28,385 | $5,223.95 | 3.5× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $18,450.25 | $28,385 | $5,223.95 | 3.5× |
| Cleveland Clinic Hospital | Weston, FL | $18,450.25 | $28,385 | $5,223.95 | 3.5× |
| St. Elizabeth Healthcare Ft. Thomas Hospital | Fort Thomas, KY | $19,821.83 | $19,821.83 | $4,874.99 | 4.1× |
| St. Elizabeth Healthcare Edgewood Hospital | Edgewood, KY | $19,821.83 | $19,821.83 | $4,959.62 | 4.0× |
| St. Elizabeth Healthcare Florence Hospital | Florence, KY | $19,821.83 | $19,821.83 | $4,874.99 | 4.1× |
| St. Elizabeth Healthcare Grant Hospital | Williamstown, KY | $19,821.83 | $19,821.83 | $4,874.99 | 4.1× |
| Parkland Memorial Hospital | Dallas, TX | $21,277.20 | $53,193 | $5,025.25 | 4.2× |
| Holy Cross Hospital | Fort Lauderdale, FL | $21,512.75 | — | $5,223.95 | 4.1× |
| Hendrick Medical Center Brownwood | Brownwood, TX | $22,006.62 | $22,006.62 | $5,025.25 | 4.4× |
| Texas Health Hospital Mansfield | Mansfield, TX | $23,582.03 | $23,582.03 | $5,025.25 | 4.7× |
| AdventHealth Ottawa | Ottawa, KS | $24,037.71 | $24,037.71 | $4,704.18 | 5.1× |
| AdventHealth Shawnee Mission | Shawnee Mission, KS | $24,037.71 | $24,037.71 | $4,736.08 | 5.1× |
| AdventHealth South Overland Park, Inc | Overland Park, KS | $24,037.71 | $24,037.71 | $4,736.08 | 5.1× |
| Woman's Hospital | Baton Rouge, LA | $32,817.11 | $32,817.11 | $4,529.70 | 7.2× |
| AdventHealth Carrollwood | Tampa, FL | $43,993.31 | $43,993.31 | $5,223.95 | 8.4× |
| Barnes-Jewish Hospital | St. Louis, MO | $72,730.90 | $121,218.16 | $5,010.53 | 14.5× |
| Cobre Valley Regional Medical Center | Globe, AZ | — | $991 | $5,338.03 | — |
| UAB St. Vincent's East | Birmingham, AL | — | $2,851 | $4,575.70 | — |
| UAB St. Vincent's Birmingham | Birmingham, AL | — | $3,532 | $4,575.70 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $6,775 | $5,025.25 | — |
| The Medical Center at Bowling Green | Bowling Green, KY | — | $9,088 | $4,748.96 | — |
| The Medical Center at Russellville | Russellville, KY | — | $9,088 | $4,693.76 | — |
| The Medical Center at Caverna | Horse Cave, KY | — | $9,088 | $4,693.76 | — |
| The Medical Center at Franklin | Franklin, KY | — | $9,088 | $4,693.76 | — |
| The Medical Center at Scottsville | Scottsville, KY | — | $9,088 | $4,693.76 | — |
| The Medical Center at Albany | Albany, KY | — | $9,088 | $4,693.76 | — |
| UAB Hospital | Birmingham, AL | — | $10,581 | $4,575.70 | — |
| Southeast Georgia Health System-Brunswick Campus | Brunswick, GA | — | $14,263.10 | $4,898.91 | — |
| Southeast Georgia Health System-Camden Campus | Saint Marys, GA | — | $14,263.10 | $4,724.42 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $14,600.60 | $5,277 | — |
"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.