Levetiracetam (keppra) (CPT 80177)
80177 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.
269 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 |
|---|---|---|---|---|---|
| Baptist Hospital | Pensacola, FL | $2.70 | $18 | $13.25 | 0.2× |
| Gulf Breeze Hospital | Gulf Breeze, FL | $2.70 | $18 | $13.25 | 0.2× |
| Jay Hospital | Jay, FL | $2.70 | $18 | $13.25 | 0.2× |
| Lower Keys Medical Center | Key West, FL | $3.97 | $14.70 | $13.25 | 0.3× |
| Manatee Memorial Hospital | Bradenton, FL | $4.40 | $11 | $13.25 | 0.3× |
| Lakewood Ranch Medical Center | Bradenton, FL | $4.40 | $11 | $13.25 | 0.3× |
| Jackson Hospital | Marianna, FL | $4.50 | $12 | $13.25 | 0.3× |
| North Okaloosa Medical Center | Crestview, FL | $6.26 | $34.79 | $13.25 | 0.5× |
| Santa Rosa Medical Center | Milton, FL | $6.97 | $46.44 | $13.25 | 0.5× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $7.94 | $10.59 | $13.25 | 0.6× |
| Delray Medical Center | Delray Beach, FL | $7.94 | $10.59 | $13.25 | 0.6× |
| West Boca Medical Center | Boca Raton, FL | $7.94 | $10.59 | $13.25 | 0.6× |
| St. Mary's Medical Center | West Palm Beach, FL | $7.94 | $10.59 | $13.25 | 0.6× |
| Florida Coast Medical Center | Port St. Lucie, FL | $7.94 | $10.59 | $13.25 | 0.6× |
| Tampa General Hospital | Tampa, FL | $7.99 | $22.84 | $13.25 | 0.6× |
| Lee Memorial Hospital | Fort Myers, FL | $8.20 | $41 | $13.25 | 0.6× |
| Gulf Coast Medical Center | Fort Myers, FL | $8.20 | $41 | $13.25 | 0.6× |
| Cape Coral Hospital | Cape Coral, FL | $8.20 | $41 | $13.25 | 0.6× |
| Yuma District Hospital | Yuma, CO | $9.75 | $13 | $13.25 | 0.7× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $10.53 | $50.16 | $13.25 | 0.8× |
| HCA Florida Blake Hospital | Bradenton, FL | $10.59 | $10.59 | $13.25 | 0.8× |
| HCA Florida Fawcett Hospital | Port Charlotte, FL | $10.59 | $10.59 | $13.25 | 0.8× |
| HCA Florida Largo Hospital | Largo, FL | $10.59 | $10.59 | $13.25 | 0.8× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $10.59 | $10.59 | $13.25 | 0.8× |
| HCA Florida Oak Hill Hospital | Brooksville, FL | $10.59 | $10.59 | $13.25 | 0.8× |
| UF Health Jacksonville | Jacksonville, FL | $11 | $20 | $13.25 | 0.8× |
| HCA Florida Lawnwood Hospital | Fort Pierce, FL | $11 | $11 | $13.25 | 0.8× |
| HCA Florida Trinity Hospital | Trinity, FL | $11.44 | $11.44 | $13.25 | 0.9× |
| North Shore Medical Center | Miami, FL | $11.54 | $11.54 | $13.25 | 0.9× |
| Hialeah Hospital | Hialeah, FL | $11.54 | $11.54 | $13.25 | 0.9× |
| Coral Gables Hospital | Coral Gables, FL | $11.54 | $11.54 | $13.25 | 0.9× |
| HCA Florida Brandon Hospital | Brandon, FL | $11.54 | $11.54 | $13.25 | 0.9× |
| HCA Florida Twin Cities Hospital | Niceville, FL | $12 | $12 | $13.25 | 0.9× |
| HCA Florida Northside Hospital | Saint Petersburg, FL | $12.10 | $12.10 | $13.25 | 0.9× |
| Parrish Medical Center | Titusville, FL | $12.40 | $31 | $13.25 | 0.9× |
| UCF Lake Nona Hospital | Orlando, FL | $12.58 | $12.58 | $13.25 | 0.9× |
| HCA Florida Lehigh Hospital | Lehigh Acres, FL | $13 | $13 | $13.25 | 1.0× |
| HCA Florida Englewood Hospital | Englewood, FL | $13 | $13 | $13.25 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $13.25 | $32 | $13.25 | 1.0× |
| HCA Florida Capital Hospital | Tallahassee, FL | $13.45 | $13.45 | $13.25 | 1.0× |
| HCA Florida Citrus Hospital | Inverness, FL | $13.59 | $13.59 | $13.25 | 1.0× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $14.30 | $63 | $13.25 | 1.1× |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $14.35 | $14.35 | $13.25 | 1.1× |
| Banner North Colorado Medical Center | Greeley, CO | $14.49 | $63 | $13.25 | 1.1× |
| HCA Florida Lake City Hospital | Lake City, FL | $15 | $15 | $13.25 | 1.1× |
| HCA Florida Lake Monroe Hospital | Sanford, FL | $15 | $15 | $13.25 | 1.1× |
| HCA Florida North Florida Hospital | Gainesville, FL | $15.30 | $15.30 | $13.25 | 1.2× |
| Oviedo Medical Center | Oviedo, FL | $15.30 | $15.30 | $13.25 | 1.2× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $15.44 | $15.44 | $13.25 | 1.2× |
| St. Anthony Summit Medical Center | Frisco, CO | $16.82 | $42.05 | $13.25 | 1.3× |
| Broward Health Medical Center | Fort Lauderdale, FL | $17.01 | $17.01 | $13.25 | 1.3× |
| Broward Health North | Pompano Beach, FL | $17.01 | $17.01 | $13.25 | 1.3× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $17.01 | $17.01 | $13.25 | 1.3× |
| Broward Health Coral Springs | Coral Springs, FL | $17.01 | $17.01 | $13.25 | 1.3× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $18.01 | $45.02 | $13.25 | 1.4× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $18.01 | $45.02 | $13.25 | 1.4× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $18.01 | $45.02 | $13.25 | 1.4× |
| Orlando Health South Lake Hospital | Clermont, FL | $18.01 | $45.02 | $13.25 | 1.4× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $18.01 | $45.02 | $13.25 | 1.4× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $18.01 | $45.02 | $13.25 | 1.4× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $18.01 | $45.02 | $13.25 | 1.4× |
| Parkland Memorial Hospital | Dallas, TX | $18.40 | $46 | $13.25 | 1.4× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $19.61 | $53 | $13.25 | 1.5× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $19.61 | $53 | $13.25 | 1.5× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $19.61 | $53 | $13.25 | 1.5× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $19.61 | $53 | $13.25 | 1.5× |
| Holmes Regional Medical Center | Melbourne, FL | $19.75 | $79 | $13.25 | 1.5× |
| Cape Canaveral Hospital | Cocoa Beach, FL | $19.75 | $79 | $13.25 | 1.5× |
| Viera Hospital | Melbourne, FL | $19.75 | $79 | $13.25 | 1.5× |
| Palm Bay Hospital | Palm Bay, FL | $19.75 | $79 | $13.25 | 1.5× |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach, FL | $19.80 | $19.80 | $13.25 | 1.5× |
| HCA Florida Ocala Hospital | Ocala, FL | $20.25 | $20.25 | $13.25 | 1.5× |
| Sterling Regional MedCenter | Sterling, CO | $20.79 | $63 | $13.25 | 1.6× |
| Good Samaritan Medical Center | West Palm Beach, FL | $21.65 | $28.86 | $13.25 | 1.6× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $21.70 | $35 | $13.25 | 1.6× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $21.70 | $35 | $13.25 | 1.6× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $21.70 | $35 | $13.25 | 1.6× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $22.58 | $32.25 | $13.25 | 1.7× |
| Halifax Health Medical Center | Daytona Beach, FL | $23.20 | $29 | $13.25 | 1.8× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $23.20 | $29 | $13.25 | 1.8× |
| Lakeland Regional Medical Center | Lakeland, FL | $25 | $125 | $13.25 | 1.9× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $25.50 | $51 | $13.25 | 1.9× |
| Mease Dunedin Hospital | Dunedin, FL | $25.80 | $43 | $13.25 | 1.9× |
| Winter Haven Hospital | Winter Haven, FL | $25.80 | $43 | $13.25 | 1.9× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $25.80 | $43 | $13.25 | 1.9× |
| St. Anthony's Hospital | Saint Petersburg, FL | $25.80 | $43 | $13.25 | 1.9× |
| St. Joseph's Hospital | Tampa, FL | $25.80 | $43 | $13.25 | 1.9× |
| Bartow Regional Medical Center | Bartow, FL | $25.80 | $43 | $13.25 | 1.9× |
| Morton Plant Hospital | Clearwater, FL | $25.80 | $43 | $13.25 | 1.9× |
| South Florida Baptist Hospital | Plant City, FL | $25.80 | $43 | $13.25 | 1.9× |
| Mease Countryside Hospital | Safety Harbor, FL | $25.80 | $43 | $13.25 | 1.9× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $25.80 | $43 | $13.25 | 1.9× |
| Banner Wyoming Medical Center | Casper, WY | $26.46 | $63 | $13.25 | 2.0× |
| HCA Florida JFK Hospital | Atlantis, FL | $29 | $29 | $13.25 | 2.2× |
| Boca Raton Regional Hospital | Boca Raton, FL | $29.90 | $46 | $13.25 | 2.3× |
| Doctors Memorial Hospital | Perry, FL | $30 | $75 | $13.25 | 2.3× |
| Palmetto General Hospital | Hialeah, FL | $31.46 | $31.46 | $13.25 | 2.4× |
| Northwest Florida Community Hospital | Chipley, FL | $33.60 | $42 | $13.25 | 2.5× |
| UF Health Leesburg Hospital | Leesburg, FL | $34.38 | $62.50 | $13.25 | 2.6× |
| Flagler Hospital | Saint Augustine, FL | $34.38 | $62.50 | $13.25 | 2.6× |
| UF Health Shands Hospital | Gainesville, FL | $34.38 | $62.50 | $13.25 | 2.6× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $34.38 | $62.50 | $13.25 | 2.6× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $35.35 | $50.50 | $13.25 | 2.7× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $36 | $36 | $13.25 | 2.7× |
| Bethesda Hospital East | Boynton Beach, FL | $37.38 | $57.50 | $13.25 | 2.8× |
| Baptist Hospital of Miami | Miami, FL | $37.38 | $57.50 | $13.25 | 2.8× |
| Homestead Hospital | Homestead, FL | $37.38 | $57.50 | $13.25 | 2.8× |
| South Miami Hospital | South Miami, FL | $37.38 | $57.50 | $13.25 | 2.8× |
| Doctors Hospital | Coral Gables, FL | $37.38 | $57.50 | $13.25 | 2.8× |
| West Kendall Baptist Hospital | Miami, FL | $37.38 | $57.50 | $13.25 | 2.8× |
| Fishermen's Community Hospital | Marathon, FL | $37.38 | $57.50 | $13.25 | 2.8× |
| Mariners Hospital | Tavernier, FL | $37.38 | $57.50 | $13.25 | 2.8× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $38 | $64 | $13.25 | 2.9× |
| Mount Sinai Medical Center | Miami Beach, FL | $38.22 | $38.22 | $13.25 | 2.9× |
| Holy Cross Hospital | Fort Lauderdale, FL | $38.51 | $59.25 | $13.25 | 2.9× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $38.74 | $63 | $13.25 | 2.9× |
| East Morgan County Hospital | Brush, CO | $38.81 | $63 | $13.25 | 2.9× |
| Larkin Community Hospital | South Miami, FL | $39.20 | $56 | $13.25 | 3.0× |
| Washakie Medical Center | Worland, WY | $40.45 | $63 | $13.25 | 3.1× |
| AdventHealth Wauchula | Wauchula, FL | $41.74 | $41.74 | $13.25 | 3.2× |
| Platte County Hospital | Wheatland, WY | $41.90 | $63 | $13.25 | 3.2× |
| Evanston Regional Hospital | Evanston, WY | $43.24 | $72.06 | $13.25 | 3.3× |
| HCA Florida West Hospital | Pensacola, FL | $45 | $45 | $13.25 | 3.4× |
| AdventHealth Sebring | Sebring, FL | $45.71 | $45.71 | $13.25 | 3.4× |
| Wellington Regional Medical Center | Wellington, FL | $45.75 | $61 | $13.25 | 3.5× |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $45.98 | $45.98 | $13.25 | 3.5× |
| AdventHealth Dade City | Dade City, FL | $46.38 | $46.38 | $13.25 | 3.5× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $50.06 | $50.06 | $13.25 | 3.8× |
| HCA Florida Aventura Hospital | Aventura, FL | $51 | $51 | $13.25 | 3.8× |
| Denver Health Medical Center | Denver, CO | $52.48 | $149.94 | $13.25 | 4.0× |
| HCA Florida Osceola Hospital | Kissimmee, FL | $53.78 | $53.78 | $13.25 | 4.1× |
| UCHealth University of Colorado Hospital | Aurora, CO | $55.65 | $159 | $13.25 | 4.2× |
| Hendry Regional Medical Center | Clewiston, FL | $59.63 | $59.63 | $13.25 | 4.5× |
| Rio Grande Hospital | Del Norte, CO | $59.69 | $79.59 | $13.25 | 4.5× |
| Weisbrod Memorial County Hospital | Eads, CO | $60 | $100 | $13.25 | 4.5× |
| Cody Regional Health | Cody, WY | $60.39 | $71.05 | $13.25 | 4.6× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $61 | $61 | $13.25 | 4.6× |
| AdventHealth Deland | Deland, FL | $62.04 | $62.04 | $13.25 | 4.7× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $62.04 | $62.04 | $13.25 | 4.7× |
| San Luis Valley Health Regional Medical Center | Alamosa, CO | $64.35 | $117 | $13.25 | 4.9× |
| San Luis Valley Health Conejos County Hospital | La Jara, CO | $64.35 | $117 | $13.25 | 4.9× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $65.16 | $65.16 | $13.25 | 4.9× |
| AdventHealth Waterman | Tavares, FL | $66.82 | $66.82 | $13.25 | 5.0× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $69 | $69 | $13.25 | 5.2× |
| AdventHealth Fish Memorial | Orange City, FL | $70.23 | $70.23 | $13.25 | 5.3× |
| Parkview Medical Center | Pueblo, CO | $70.27 | $175.68 | $13.25 | 5.3× |
| AdventHealth North Pinellas | Tarpon Springs, FL | $70.77 | $70.77 | $13.25 | 5.3× |
| UCHealth Greeley Hospital | Greeley, CO | $71.06 | $118.42 | $13.25 | 5.4× |
| AdventHealth Palm Coast | Palm Coast, FL | $72.95 | $72.95 | $13.25 | 5.5× |
| HCA Florida Highlands Hospital | Sebring, FL | $74 | $74 | $13.25 | 5.6× |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $75.52 | $75.52 | $13.25 | 5.7× |
| Memorial Hospital at Craig | Craig, CO | $77.48 | $119.21 | $13.25 | 5.8× |
| Southwest Memorial Hospital | Cortez, CO | $78 | $156 | $13.25 | 5.9× |
| Memorial Regional Hospital | Hollywood, FL | $79.10 | $113 | $13.25 | 6.0× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $79.10 | $113 | $13.25 | 6.0× |
| Memorial Hospital West | Pembroke Pines, FL | $79.10 | $113 | $13.25 | 6.0× |
| Memorial Hospital Miramar | Miramar, FL | $79.10 | $113 | $13.25 | 6.0× |
| Sheridan Memorial Hospital | Sheridan, WY | $79.20 | $99 | $13.25 | 6.0× |
| Calhoun-Liberty Hospital | Blountstown, FL | $80.15 | $114.50 | $13.25 | 6.0× |
| Campbell County Health | Gillette, WY | $81.45 | $90.50 | $13.25 | 6.1× |
| Southeast Colorado Hospital | Springfield, CO | $82 | $102 | $13.25 | 6.2× |
| AdventHealth Ocala | Ocala, FL | $82.65 | $82.65 | $13.25 | 6.2× |
| Poudre Valley Hospital | Fort Collins, CO | $82.90 | $118.42 | $13.25 | 6.3× |
| Medical Center of the Rockies | Loveland, CO | $82.90 | $118.42 | $13.25 | 6.3× |
| Community Hospital Grand Junction | Grand Junction, CO | $84 | $150 | $13.25 | 6.3× |
| AdventHealth Heart of Florida | Davenport, FL | $88.88 | $88.88 | $13.25 | 6.7× |
| Estes Park Medical Center | Estes Park, CO | $89.25 | $119 | $13.25 | 6.7× |
| MedStar Washington Hospital Center | Washington, DC | $89.95 | $138.39 | $13.25 | 6.8× |
| Family Health West Hospital | Fruita, CO | $90.30 | $129 | $13.25 | 6.8× |
| Foothills Hospital | Boulder, CO | $91 | $182 | $13.25 | 6.9× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $91 | $140 | $13.25 | 6.9× |
| Longmont United Hospital | Longmont, CO | $91.31 | $228.26 | $13.25 | 6.9× |
| St. Anthony Hospital | Lakewood, CO | $91.31 | $228.26 | $13.25 | 6.9× |
| Penrose Hospital | Colorado Springs, CO | $91.31 | $228.26 | $13.25 | 6.9× |
| St. Anthony North Health Campus | Westminster, CO | $91.31 | $228.26 | $13.25 | 6.9× |
| OrthoColorado Hospital | Lakewood, CO | $91.31 | $228.26 | $13.25 | 6.9× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $91.31 | $228.26 | $13.25 | 6.9× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $91.65 | $141 | $13.25 | 6.9× |
| Cleveland Clinic Hospital | Weston, FL | $91.65 | $141 | $13.25 | 6.9× |
| Montrose Regional Health | Montrose, CO | $94.50 | $126 | $13.25 | 7.1× |
| George E Weems Memorial Hospital | Apalachicola, FL | $98 | $140 | $13.25 | 7.4× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $98.55 | $365 | $13.25 | 7.4× |
| Memorial Hospital of Converse County | Douglas, WY | $98.90 | $173.50 | $13.25 | 7.5× |
| Naples Community Hospital | Naples, FL | $99.60 | $249 | $13.25 | 7.5× |
| Memorial Hospital of Carbon County | Rawlins, WY | $101.25 | $135 | $13.25 | 7.6× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $101.40 | $156 | $13.25 | 7.7× |
| HCA HealthOne Rose Medical Center | Denver, CO | $102 | $102 | $13.25 | 7.7× |
| Regional West Medical Center | Scottsbluff, NE | $105.40 | $175.68 | $13.25 | 8.0× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $105.50 | $211 | $13.25 | 8.0× |
| Delta County Memorial Hospital | Delta, CO | $105.60 | $176 | $13.25 | 8.0× |
| Howard University Hospital | Washington, DC | $106 | $132.50 | $13.25 | 8.0× |
| HCA Florida Putnam Hospital | Palatka, FL | $107.12 | $107.12 | $13.25 | 8.1× |
| Desoto Memorial Hospital | Arcadia, FL | $112 | $224 | $13.25 | 8.5× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $113.72 | $379.07 | $13.25 | 8.6× |
| Middle Park Medical Center | Kremmling, CO | $113.75 | $142.18 | $13.25 | 8.6× |
| Powell Valley Healthcare | Powell, WY | $118.24 | $139.10 | $13.25 | 8.9× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $127.89 | $213.15 | $13.25 | 9.7× |
| Longs Peak Hospital | Longmont, CO | $132.68 | $379.07 | $13.25 | 10.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $132.68 | $379.07 | $13.25 | 10.0× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $132.68 | $379.07 | $13.25 | 10.0× |
| South Big Horn County Hospital (Three Rivers Health) | Basin, WY | $134.18 | $178.90 | $13.25 | 10.1× |
| MedStar Georgetown University Hospital | Washington, DC | $134.58 | $207.05 | $13.25 | 10.2× |
| Melissa Memorial Hospital | Holyoke, CO | $135.20 | $169 | $13.25 | 10.2× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $136.25 | $136.25 | $13.25 | 10.3× |
| Grand River Medical Center | Rifle, CO | $137.75 | $275.50 | $13.25 | 10.4× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $139.80 | $233 | $13.25 | 10.6× |
| Ivinson Memorial Hospital | Laramie, WY | $140 | $140 | $13.25 | 10.6× |
| Nemours Children's Hospital, Florida | Orlando, FL | $140 | $140 | $13.25 | 10.6× |
| Gunnison Valley Hospital | Gunnison, CO | $141.10 | $166 | $13.25 | 10.6× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $149.40 | $166 | $13.25 | 11.3× |
| Star Valley Medical Center | Afton, WY | $149.80 | $214 | $13.25 | 11.3× |
| HCA Florida Mercy Hospital | Miami, FL | $152 | $152 | $13.25 | 11.5× |
| HCA Florida University Hospital | Davie, FL | $152 | $152 | $13.25 | 11.5× |
| Niobrara County Hospital District | Lusk, WY | $156.80 | $196 | $13.25 | 11.8× |
| Wray Community District Hospital | Wray, CO | $156.88 | $209.17 | $13.25 | 11.8× |
| Sibley Memorial Hospital | Washington, DC | $158 | $158 | $13.25 | 11.9× |
| HCA Florida South Tampa Hospital | Tampa, FL | $161.03 | $161.03 | $13.25 | 12.2× |
| Sublette County Health | Pinedale, WY | $161.10 | $179 | $13.25 | 12.2× |
| Prowers Medical Center | Lamar, CO | $161.40 | $269 | $13.25 | 12.2× |
| Vail Health Hospital | Vail, CO | $165 | $220 | $13.25 | 12.5× |
| South Lincoln Medical Center | Kemmerer, WY | $170.04 | $226.72 | $13.25 | 12.8× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $174 | $193.33 | $13.25 | 13.1× |
| Crook County Medical Services District | Sundance, WY | $181.12 | $241.50 | $13.25 | 13.7× |
| AdventHealth Orlando | Orlando, FL | $198 | $198 | $13.25 | 14.9× |
| Kit Carson County Memorial Hospital | Burlington, CO | $199.02 | $234.14 | $13.25 | 15.0× |
| AdventHealth Zephyrhills | Zephyrhills, FL | $200.83 | $200.83 | $13.25 | 15.2× |
| AdventHealth Carrollwood | Tampa, FL | $200.83 | $200.83 | $13.25 | 15.2× |
| AdventHealth Tampa | Tampa, FL | $200.83 | $200.83 | $13.25 | 15.2× |
| AdventHealth Wesley Chapel | Wesley Chapel, FL | $200.83 | $200.83 | $13.25 | 15.2× |
| AdventHealth Riverview | Riverview, FL | $200.83 | $200.83 | $13.25 | 15.2× |
| Weston County Health Services | Newcastle, WY | $204 | $204 | $13.25 | 15.4× |
| HCA Florida Raulerson Hospital | Okeechobee, FL | $204 | $204 | $13.25 | 15.4× |
| Jupiter Medical Center | Jupiter, FL | $209 | $209 | $13.25 | 15.8× |
| HCA Florida Woodmont Hospital | Tamarac, FL | $211.50 | $211.50 | $13.25 | 16.0× |
| St. John's Medical Center | Jackson, WY | $215 | $215 | $13.25 | 16.2× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $219 | $219 | $13.25 | 16.5× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $224.37 | $498.60 | $13.25 | 16.9× |
| George Washington University Hospital | Washington, DC | $233.60 | $584 | $13.25 | 17.6× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $233.60 | $584 | $13.25 | 17.6× |
| HCA Florida Kendall Hospital | Miami, FL | $238 | $238 | $13.25 | 18.0× |
| Johnson County Healthcare Center | Buffalo, WY | $240 | $240 | $13.25 | 18.1× |
| AdventHealth Porter | Denver, CO | $253.52 | $253.52 | $13.25 | 19.1× |
| AdventHealth Avista | Louisville, CO | $253.52 | $253.52 | $13.25 | 19.1× |
| AdventHealth Littleton | Littleton, CO | $253.52 | $253.52 | $13.25 | 19.1× |
| AdventHealth Parker | Parker, CO | $253.52 | $253.52 | $13.25 | 19.1× |
| AdventHealth Castle Rock | Castle Rock, CO | $253.52 | $253.52 | $13.25 | 19.1× |
| Aspen Valley Hospital | Aspen, CO | $254 | $254 | $13.25 | 19.2× |
| Haxtun Hospital District | Haxtun, CO | $256.43 | $263 | $13.25 | 19.4× |
| Valley View Hospital | Glenwood Springs, CO | $257.98 | $303.50 | $13.25 | 19.5× |
| AdventHealth Lake Wales | Lake Wales, FL | $277.73 | $277.73 | $13.25 | 21.0× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $288.66 | $412.36 | $13.25 | 21.8× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $293 | $293 | $13.25 | 22.1× |
| HCA Florida Westside Hospital | Plantation, FL | $418 | $418 | $13.25 | 31.5× |
| HCA Florida Northwest Hospital | Margate, FL | $482 | $482 | $13.25 | 36.4× |
| HCA Florida Palms West Hospital | Loxahatchee, FL | $704 | $704 | $13.25 | 53.1× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $757.87 | $757.87 | $13.25 | 57.2× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $921.99 | $921.99 | $13.25 | 69.6× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $1,020.74 | $1,020.74 | $13.25 | 77.0× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $1,060.77 | $1,060.77 | $13.25 | 80.1× |
| Medical City Dallas | Dallas, TX | $1,085.90 | $1,085.90 | $13.25 | 82.0× |
| North Walton Doctors Hospital | Defuniak Springs, FL | — | $12.60 | $13.25 | — |
| Jackson Memorial Hospital | Miami, FL | — | $32.62 | $13.25 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $53.78 | $13.25 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $79.24 | $13.25 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $83.75 | $13.25 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $90.86 | $13.25 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $92.09 | $13.25 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $119.45 | $13.25 | — |
| North Big Horn Hospital District | Lovell, WY | — | $140 | $13.25 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.