MRI breast without contrast bilateral (CPT 77047)
77047 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.
197 of 309 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 |
|---|---|---|---|---|---|
| Lakeside Medical Center | Belle Glade, FL | $242.63 | — | $249.17 | 1.0× |
| Jackson Memorial Hospital | Miami, FL | $245 | $3,390 | $249.17 | 1.0× |
| Denver Health Medical Center | Denver, CO | $441.33 | $1,260.92 | $251.70 | 1.8× |
| Baptist Hospital | Pensacola, FL | $459 | $3,060 | $249.17 | 1.8× |
| Gulf Breeze Hospital | Gulf Breeze, FL | $459 | $3,060 | $249.17 | 1.8× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $543 | $1,810 | $251.70 | 2.2× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $566.01 | $1,529.75 | $249.17 | 2.3× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $566.01 | $1,529.75 | $249.17 | 2.3× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $566.01 | $1,529.75 | $249.17 | 2.3× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $570.50 | $570.50 | $243.77 | 2.3× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $595.73 | $1,576 | $251.70 | 2.4× |
| Gunnison Valley Hospital | Gunnison, CO | $606.05 | $713 | $251.70 | 2.4× |
| Banner North Colorado Medical Center | Greeley, CO | $608.34 | $1,576 | $251.70 | 2.4× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $627.75 | $1,395 | $251.70 | 2.5× |
| Longs Peak Hospital | Longmont, CO | $633.50 | $1,810 | $254.49 | 2.5× |
| UCHealth Broomfield Hospital | Broomfield, CO | $633.50 | $1,810 | $251.70 | 2.5× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $633.50 | $1,810 | $251.70 | 2.5× |
| Banner Wyoming Medical Center | Casper, WY | $668.22 | $1,591 | $243.77 | 2.7× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $687.32 | $1,857.62 | $249.17 | 2.8× |
| Valley View Hospital | Glenwood Springs, CO | $752.25 | $885 | $251.70 | 3.0× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $768.58 | $1,097.96 | $243.77 | 3.2× |
| Sterling Regional MedCenter | Sterling, CO | $828.88 | $1,798 | $251.70 | 3.3× |
| Parkland Memorial Hospital | Dallas, TX | $892.40 | $2,231 | $239.69 | 3.7× |
| UCF Lake Nona Hospital | Orlando, FL | $934.84 | $934.84 | $249.17 | 3.8× |
| Cape Canaveral Hospital | Cocoa Beach, FL | $1,037.50 | $4,150 | $249.17 | 4.2× |
| Viera Hospital | Melbourne, FL | $1,037.50 | $4,150 | $249.17 | 4.2× |
| Palmetto General Hospital | Hialeah, FL | $1,105.51 | $1,105.51 | $249.17 | 4.4× |
| Tampa General Hospital | Tampa, FL | $1,122.10 | $3,206 | $249.17 | 4.5× |
| Oviedo Medical Center | Oviedo, FL | $1,132.19 | $1,132.19 | $249.17 | 4.5× |
| Ascension Sacred Heart Bay | Panama City, FL | $1,148 | $2,870 | $249.17 | 4.6× |
| Lee Memorial Hospital | Fort Myers, FL | $1,178.20 | $5,891 | $249.17 | 4.7× |
| Gulf Coast Medical Center | Fort Myers, FL | $1,178.20 | $5,891 | $249.17 | 4.7× |
| Cape Coral Hospital | Cape Coral, FL | $1,178.20 | $5,891 | $249.17 | 4.7× |
| Vail Health Hospital | Vail, CO | $1,179 | $1,572 | $251.70 | 4.7× |
| UCHealth Greeley Hospital | Greeley, CO | $1,191.60 | $1,986 | $251.70 | 4.7× |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach, FL | $1,221.25 | $1,221.25 | $249.17 | 4.9× |
| Memorial Hospital at Craig | Craig, CO | $1,244.25 | $1,914.24 | $251.70 | 4.9× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $1,276.75 | $1,276.75 | $251.70 | 5.1× |
| UF Health Leesburg Hospital | Leesburg, FL | $1,323.85 | $2,407 | $249.17 | 5.3× |
| Flagler Hospital | Saint Augustine, FL | $1,323.85 | $2,407 | $249.17 | 5.3× |
| UF Health Shands Hospital | Gainesville, FL | $1,323.85 | $2,407 | $249.17 | 5.3× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $1,323.85 | $2,407 | $249.17 | 5.3× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $1,355.25 | $2,085 | $249.17 | 5.4× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $1,355.25 | $2,085 | $249.17 | 5.4× |
| Cleveland Clinic Hospital | Weston, FL | $1,355.25 | $2,085 | $249.17 | 5.4× |
| Broward Health North | Pompano Beach, FL | $1,368.20 | $1,368.20 | $249.17 | 5.5× |
| Poudre Valley Hospital | Fort Collins, CO | $1,390.20 | $1,986 | $251.70 | 5.5× |
| Medical Center of the Rockies | Loveland, CO | $1,390.20 | $1,986 | $251.70 | 5.5× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $1,393.45 | $1,798 | $243.77 | 5.7× |
| Powell Valley Healthcare | Powell, WY | $1,399.06 | $1,645.95 | $243.77 | 5.7× |
| UF Health Jacksonville | Jacksonville, FL | $1,422 | $2,585.45 | $249.17 | 5.7× |
| North Okaloosa Medical Center | Crestview, FL | $1,462.09 | $8,122.73 | $249.17 | 5.9× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $1,506 | $3,012 | $249.17 | 6.0× |
| Parkview Medical Center | Pueblo, CO | $1,529.32 | $3,823.30 | $251.70 | 6.1× |
| Mease Dunedin Hospital | Dunedin, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| Winter Haven Hospital | Winter Haven, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| St. Anthony's Hospital | Saint Petersburg, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| St. Joseph's Hospital | Tampa, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| Bartow Regional Medical Center | Bartow, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| Morton Plant Hospital | Clearwater, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| South Florida Baptist Hospital | Plant City, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| Mease Countryside Hospital | Safety Harbor, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $1,543.20 | $2,572 | $249.17 | 6.2× |
| MedStar Washington Hospital Center | Washington, DC | $1,559.62 | $2,399.41 | $254.05 | 6.1× |
| Broward Health Coral Springs | Coral Springs, FL | $1,564.45 | $1,564.45 | $249.17 | 6.3× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $1,631.60 | $4,079 | $249.17 | 6.5× |
| Foothills Hospital | Boulder, CO | $1,647 | $3,294 | $254.49 | 6.5× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $1,722 | $4,305 | $249.17 | 6.9× |
| MedStar Georgetown University Hospital | Washington, DC | $1,722.67 | $2,650.26 | $254.05 | 6.8× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $1,777.50 | $1,975 | $251.70 | 7.1× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $1,813.40 | $4,533.50 | $249.17 | 7.3× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $1,813.40 | $4,533.50 | $249.17 | 7.3× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $1,813.40 | $4,533.50 | $249.17 | 7.3× |
| Orlando Health South Lake Hospital | Clermont, FL | $1,813.40 | $4,533.50 | $249.17 | 7.3× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $1,813.40 | $4,533.50 | $249.17 | 7.3× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $1,813.40 | $4,533.50 | $249.17 | 7.3× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $1,813.40 | $4,533.50 | $249.17 | 7.3× |
| Campbell County Health | Gillette, WY | $1,832.40 | $2,036 | $243.77 | 7.5× |
| Grand River Medical Center | Rifle, CO | $1,884 | $3,768 | $251.70 | 7.5× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $1,900.71 | $1,900.71 | $249.17 | 7.6× |
| Delta County Memorial Hospital | Delta, CO | $1,908 | $3,180 | $251.70 | 7.6× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,928.89 | $3,214.81 | $239.69 | 8.0× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $1,966.68 | $7,284 | $249.17 | 7.9× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $1,999.50 | $3,225 | $249.17 | 8.0× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $1,999.50 | $3,225 | $249.17 | 8.0× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $1,999.50 | $3,225 | $249.17 | 8.0× |
| HCA Florida Woodmont Hospital | Tamarac, FL | $2,012.50 | $2,012.50 | $249.17 | 8.1× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $2,053.50 | $4,107 | $239.69 | 8.6× |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $2,102.10 | $2,102.10 | $249.17 | 8.4× |
| Estes Park Medical Center | Estes Park, CO | $2,120.25 | $2,827 | $251.70 | 8.4× |
| St. John's Medical Center | Jackson, WY | $2,194 | $2,194 | $243.77 | 9.0× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $2,239.60 | $5,599 | $249.17 | 9.0× |
| Regional West Medical Center | Scottsbluff, NE | $2,293.98 | $3,823.30 | $247.76 | 9.3× |
| Jupiter Medical Center | Jupiter, FL | $2,300 | $2,300 | $249.17 | 9.2× |
| Broward Health Medical Center | Fort Lauderdale, FL | $2,321.87 | $2,321.87 | $249.17 | 9.3× |
| Longmont United Hospital | Longmont, CO | $2,371.18 | $5,927.94 | $254.49 | 9.3× |
| St. Anthony Hospital | Lakewood, CO | $2,371.18 | $5,927.94 | $251.70 | 9.4× |
| Penrose Hospital | Colorado Springs, CO | $2,371.18 | $5,927.94 | $251.70 | 9.4× |
| St. Anthony North Health Campus | Westminster, CO | $2,371.18 | $5,927.94 | $251.70 | 9.4× |
| OrthoColorado Hospital | Lakewood, CO | $2,371.18 | $5,927.94 | $251.70 | 9.4× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $2,371.18 | $5,927.94 | $251.70 | 9.4× |
| Mercy Hospital Durango | Durango, CO | $2,390.83 | $5,977.07 | $251.70 | 9.5× |
| UCHealth University of Colorado Hospital | Aurora, CO | $2,396.45 | $6,847 | $251.70 | 9.5× |
| St. Anthony Summit Medical Center | Frisco, CO | $2,589.93 | $6,474.82 | $251.70 | 10.3× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $2,610.75 | $4,351.25 | $239.69 | 10.9× |
| Manatee Memorial Hospital | Bradenton, FL | $2,615.20 | $6,538 | $249.17 | 10.5× |
| HCA Florida Mercy Hospital | Miami, FL | $2,622 | $2,622 | $249.17 | 10.5× |
| Community Hospital Grand Junction | Grand Junction, CO | $2,667.28 | $4,763 | $251.70 | 10.6× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $2,673.55 | $2,673.55 | $249.17 | 10.7× |
| Holy Cross Hospital | Fort Lauderdale, FL | $2,696.85 | $4,149 | $249.17 | 10.8× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $2,739.55 | $3,223 | $251.70 | 10.9× |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $2,765.75 | $2,765.75 | $249.17 | 11.1× |
| AdventHealth Deland | Deland, FL | $2,790.66 | $2,790.66 | $249.17 | 11.2× |
| Evanston Regional Hospital | Evanston, WY | $2,865.73 | $4,776.21 | $243.77 | 11.8× |
| Howard University Hospital | Washington, DC | $3,083.33 | $3,854.16 | $254.05 | 12.1× |
| HCA Florida Kendall Hospital | Miami, FL | $3,147 | $3,147 | $249.17 | 12.6× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $3,175.50 | $4,234 | $249.17 | 12.7× |
| Boca Raton Regional Hospital | Boca Raton, FL | $3,209.05 | $4,937 | $249.17 | 12.9× |
| St. Mary-Corwin Hospital | Pueblo, CO | $3,255.95 | $8,139.86 | $251.70 | 12.9× |
| Aspen Valley Hospital | Aspen, CO | $3,312 | $3,312 | $251.70 | 13.2× |
| AdventHealth Palm Coast | Palm Coast, FL | $3,315.94 | $3,315.94 | $249.17 | 13.3× |
| AdventHealth Waterman | Tavares, FL | $3,338.50 | $3,338.50 | $249.17 | 13.4× |
| AdventHealth Porter | Denver, CO | $3,379.02 | $3,379.02 | $251.70 | 13.4× |
| AdventHealth Avista | Louisville, CO | $3,379.02 | $3,379.02 | $254.49 | 13.3× |
| AdventHealth Littleton | Littleton, CO | $3,379.02 | $3,379.02 | $251.70 | 13.4× |
| AdventHealth Parker | Parker, CO | $3,379.02 | $3,379.02 | $251.70 | 13.4× |
| AdventHealth Castle Rock | Castle Rock, CO | $3,379.02 | $3,379.02 | $251.70 | 13.4× |
| Bethesda Hospital East | Boynton Beach, FL | $3,578.25 | $5,505 | $249.17 | 14.4× |
| Baptist Hospital of Miami | Miami, FL | $3,578.25 | $5,505 | $249.17 | 14.4× |
| Homestead Hospital | Homestead, FL | $3,578.25 | $5,505 | $249.17 | 14.4× |
| South Miami Hospital | South Miami, FL | $3,578.25 | $5,505 | $249.17 | 14.4× |
| Doctors Hospital | Coral Gables, FL | $3,578.25 | $5,505 | $249.17 | 14.4× |
| West Kendall Baptist Hospital | Miami, FL | $3,578.25 | $5,505 | $249.17 | 14.4× |
| Fishermen's Community Hospital | Marathon, FL | $3,578.25 | $5,505 | $249.17 | 14.4× |
| Mariners Hospital | Tavernier, FL | $3,578.25 | $5,505 | $249.17 | 14.4× |
| Florida Coast Medical Center | Port St. Lucie, FL | $3,654.75 | $4,873 | $249.17 | 14.7× |
| Ivinson Memorial Hospital | Laramie, WY | $3,666 | $3,666 | $243.77 | 15.0× |
| HCA Florida University Hospital | Davie, FL | $3,689 | $3,689 | $249.17 | 14.8× |
| AdventHealth Orlando | Orlando, FL | $3,857 | $3,857 | $249.17 | 15.5× |
| HCA Florida JFK Hospital | Atlantis, FL | $3,992 | $3,992 | $249.17 | 16.0× |
| Wellington Regional Medical Center | Wellington, FL | $4,099.50 | $5,466 | $249.17 | 16.5× |
| HCA Florida Blake Hospital | Bradenton, FL | $4,316.95 | $4,316.95 | $249.17 | 17.3× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $4,447 | $4,447 | $249.17 | 17.8× |
| Lakewood Ranch Medical Center | Bradenton, FL | $4,674 | $11,685 | $249.17 | 18.8× |
| George Washington University Hospital | Washington, DC | $4,746.80 | $11,867 | $254.05 | 18.7× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $4,746.80 | $11,867 | $254.05 | 18.7× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $5,072 | $5,072 | $243.77‡ | 20.8× |
| AdventHealth Tampa | Tampa, FL | $5,092.83 | $5,092.83 | $249.17 | 20.4× |
| AdventHealth Riverview | Riverview, FL | $5,092.83 | $5,092.83 | $249.17 | 20.4× |
| AdventHealth North Pinellas | Tarpon Springs, FL | $5,222.67 | $5,222.67 | $249.17 | 21.0× |
| AdventHealth Zephyrhills | Zephyrhills, FL | $5,222.75 | $5,222.75 | $249.17 | 21.0× |
| AdventHealth Carrollwood | Tampa, FL | $5,222.75 | $5,222.75 | $249.17 | 21.0× |
| AdventHealth Wesley Chapel | Wesley Chapel, FL | $5,222.75 | $5,222.75 | $249.17 | 21.0× |
| Sibley Memorial Hospital | Washington, DC | $5,317 | $5,317 | $254.05 | 20.9× |
| Coral Gables Hospital | Coral Gables, FL | $5,371.52 | $5,371.52 | $249.17 | 21.6× |
| Delray Medical Center | Delray Beach, FL | $5,647.88 | $7,530.50 | $249.17 | 22.7× |
| HCA Florida Fawcett Hospital | Port Charlotte, FL | $5,826.29 | $5,826.29 | $249.17 | 23.4× |
| AdventHealth Sebring | Sebring, FL | $6,397.43 | $6,397.43 | $249.17 | 25.7× |
| St. Mary's Medical Center | West Palm Beach, FL | $6,403.50 | $8,538 | $249.17 | 25.7× |
| West Boca Medical Center | Boca Raton, FL | $6,635.25 | $8,847 | $249.17 | 26.6× |
| HCA Florida West Hospital | Pensacola, FL | $6,638.30 | $6,638.30 | $249.17 | 26.6× |
| Mount Sinai Medical Center | Miami Beach, FL | $6,673.24 | $6,673.24 | $249.17 | 26.8× |
| HCA Florida Poinciana Hospital | Kissimmee, FL | $6,903.80 | $6,903.80 | $249.17 | 27.7× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $6,922.28 | $6,922.28 | $251.70 | 27.5× |
| Memorial Regional Hospital | Hollywood, FL | $6,979.70 | $9,971 | $249.17 | 28.0× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $6,979.70 | $9,971 | $249.17 | 28.0× |
| Memorial Hospital West | Pembroke Pines, FL | $6,979.70 | $9,971 | $249.17 | 28.0× |
| Memorial Hospital Miramar | Miramar, FL | $6,979.70 | $9,971 | $249.17 | 28.0× |
| HCA Florida Aventura Hospital | Aventura, FL | $7,279 | $7,279 | $249.17 | 29.2× |
| Medical City Dallas | Dallas, TX | $7,478.40 | $7,478.40 | $239.69 | 31.2× |
| HCA Florida Trinity Hospital | Trinity, FL | $7,512.68 | $7,512.68 | $249.17 | 30.2× |
| HCA Florida Westside Hospital | Plantation, FL | $7,916 | $7,916 | $249.17 | 31.8× |
| HCA Florida Raulerson Hospital | Okeechobee, FL | $8,380 | $8,380 | $249.17 | 33.6× |
| North Shore Medical Center | Miami, FL | $8,564.13 | $8,564.13 | $249.17 | 34.4× |
| HCA Florida Putnam Hospital | Palatka, FL | $9,823 | $9,823 | $249.17 | 39.4× |
| HCA Florida Oak Hill Hospital | Brooksville, FL | $10,252 | $10,252 | $249.17 | 41.1× |
| AdventHealth Heart of Florida | Davenport, FL | $10,287.23 | $10,287.23 | $249.17 | 41.3× |
| HCA Florida South Tampa Hospital | Tampa, FL | $10,544.45 | $10,544.45 | $249.17 | 42.3× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $11,788.15 | $11,788.15 | $251.70 | 46.8× |
| HCA Florida Memorial Hospital | Jacksonville, FL | $12,396 | $12,396 | $249.17 | 49.7× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $12,725.57 | $12,725.57 | $249.17 | 51.1× |
| HCA HealthOne Rose Medical Center | Denver, CO | $12,796 | $12,796 | $251.70 | 50.8× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $12,930.71 | $12,930.71 | $249.17 | 51.9× |
| Good Samaritan Medical Center | West Palm Beach, FL | $13,632 | $18,176 | $249.17 | 54.7× |
| HCA Florida Palms West Hospital | Loxahatchee, FL | $15,173 | $15,173 | $249.17 | 60.9× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $16,521.25 | $16,521.25 | $251.70 | 65.6× |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $17,674.21 | $17,674.21 | $249.17 | 70.9× |
| HCA Florida Largo Hospital | Largo, FL | $18,037.21 | $18,037.21 | $249.17 | 72.4× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $18,357.60 | $18,357.60 | $249.17 | 73.7× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $19,441.63 | $19,441.63 | $249.17 | 78.0× |
| HCA Florida Northwest Hospital | Margate, FL | $36,022 | $36,022 | $249.17 | 144.6× |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $3,435.15 | $251.70 | — |
| North Walton Doctors Hospital | Defuniak Springs, FL | — | $5,415.15 | $249.17 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $6,232.90 | $251.70 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $6,232.90 | $251.70 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $6,232.90 | $254.49 | — |
"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.