Drug Asy Hydroxychloroquine (CPT 80220)
80220 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.
839 of 4255 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 | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| OU Health University of Oklahoma Medical Center range across 9 matching MRF lines |
Oklahoma City, OK | $1.86–$104.20 | $18.64–$1,042 | $18.64 | varies |
| Adventist Health Twin Cities | Templeton, CA | $5.69 | $81.25 | $18.64 | 0.3× |
| Adventist Health Sierra Vista | San Luis Obispo, CA | $7.31 | $81.25 | $18.64 | 0.4× |
| Touro | New Orleans, LA | $7.70 | $55 | $18.64 | 0.4× |
| Boston Medical Center Brighton | Brighton, MA | $8.39 | $18.64 | $18.64 | 0.5× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $9.30 | $62 | $18.64 | 0.5× |
| Brookdale Hospital Medical Center range across 4 matching MRF lines |
Brooklyn, NY | $10.61 | $37–$47 | $18.64 | 0.6× |
| NEA Baptist Memorial Hospital | Jonesboro, AR | $11.78 | $62 | $18.64 | 0.6× |
| Ochsner Rush Medical Center range across 2 matching MRF lines |
Meridian, MS | $11.78–$13.30 | $38 | $18.64 | varies |
| Baptist Memorial Hospital-Union City | Union City, TN | $12 | $60 | $18.64 | 0.6× |
| Baptist Memorial Hospital-DeSoto | Southaven, MS | $12.40 | $62 | $18.64 | 0.7× |
| Franciscan Health Indianapolis | Indianapolis, IN | $12.94 | $56 | $18.64 | 0.7× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $13.02 | $62 | $18.64 | 0.7× |
| Mississippi Baptist Medical Center | Jackson, MS | $13.02 | $62 | $18.64 | 0.7× |
| Manning Family Children's | New Orleans, LA | $13.77 | $51 | $18.64 | 0.7× |
| Grandview Medical Center | Birmingham, AL | $13.95 | $93 | $18.64 | 0.7× |
| Franciscan Health Mooresville | Mooresville, IN | $14.22 | $56 | $18.64 | 0.8× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $14.26 | $62 | $18.64 | 0.8× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $14.26 | $62 | $18.64 | 0.8× |
| Johnson County Community Hospital | Mountain City, TN | $14.49 | $63 | $18.64 | 0.8× |
| Hancock County Hospital | Sneedville, TN | $14.49 | $63 | $18.64 | 0.8× |
| Dickenson Community Hospital | Clintwood, VA | $14.49 | $63 | $18.64 | 0.8× |
| Lee County Community Hospital | Pennington Gap, VA | $14.49 | $63 | $18.64 | 0.8× |
| Bristol Regional Medical Center | Bristol, TN | $14.70 | $98 | $18.64 | 0.8× |
| Holston Valley Medical Center | Kingsport, TN | $14.70 | $98 | $18.64 | 0.8× |
| Sycamore Shoals Hospital | Elizabethton, TN | $14.70 | $98 | $18.64 | 0.8× |
| Hawkins County Memorial Hospital | Rogersville, TN | $14.70 | $98 | $18.64 | 0.8× |
| Greeneville Community Hospital | Greeneville, TN | $14.70 | $98 | $18.64 | 0.8× |
| Johnson City Medical Center | Johnson City, TN | $14.70 | $98 | $18.64 | 0.8× |
| Indian Path Community Hospital | Kingsport, TN | $14.70 | $98 | $18.64 | 0.8× |
| Franklin Woods Community Hospital | Johnson City, TN | $14.70 | $98 | $18.64 | 0.8× |
| Russell County Hospital | Lebanon, VA | $14.70 | $98 | $18.64 | 0.8× |
| Smyth County Community Hospital | Marion, VA | $14.70 | $98 | $18.64 | 0.8× |
| Johnston Memorial Hospital | Abingdon, VA | $14.70 | $98 | $18.64 | 0.8× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $14.70 | $98 | $18.64 | 0.8× |
| Baptist Memorial Hospital-Tipton | Covington, TN | $14.88 | $62 | $18.64 | 0.8× |
| Baptist Memorial Hospital-Union County | New Albany, MS | $14.88 | $62 | $18.64 | 0.8× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $14.88 | $62 | $18.64 | 0.8× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $15.50 | $62 | $18.64 | 0.8× |
| Adventist Health Lodi Memorial | Lodi, CA | $16.10 | $230 | $18.64 | 0.9× |
| Crestwood Medical Center | Huntsville, AL | $16.78 | $93.20 | $18.64 | 0.9× |
| Merit Health River Region | Vicksburg, MS | $16.92 | $94 | $18.64 | 0.9× |
| University Medical Center New Orleans | New Orleans, LA | $17.60 | $80 | $18.64 | 0.9× |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | $17.61 | $83 | $18.64 | 0.9× |
| CommonSpirit Saint Joseph Hospital - London | London, KY | $17.85 | $50 | $18.64 | 1.0× |
| Knapp Medical Center | Weslaco, TX | $18 | $1,155 | $18.64 | 1.0× |
| Mission Regional Medical Center range across 2 matching MRF lines |
Mission, TX | $18 | $1,155–$1,250 | $18.64 | 1.0× |
| St. James Hospital | Hornell, NY | $18 | — | $18.64 | 1.0× |
| Baptist Hospital range across 2 matching MRF lines |
Pensacola, FL | $18.15–$22.65 | $121–$151 | $18.64 | varies |
| Gulf Breeze Hospital range across 2 matching MRF lines |
Gulf Breeze, FL | $18.15–$22.65 | $121–$151 | $18.64 | varies |
| Jay Hospital | Jay, FL | $18.15 | $121 | $18.64 | 1.0× |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $18.33 | $50 | $18.64 | 1.0× |
| Columbia Memorial Hospital | Hudson, NY | $18.50 | $37 | $18.64 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $18.64 | — | $18.64 | 1.0× |
| Griffin Hospital | Derby, CT | $18.64 | — | $18.64 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $18.64 | — | $18.64 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| Bellevue Hospital Center | New York, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| Harlem Hospital Center | New York, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $18.64 | $55.92 | $18.64 | 1.0× |
| University Hospital – UMMC | Jackson, MS | $18.80 | $47 | $18.64 | 1.0× |
| UMMC Madison | Canton, MS | $18.80 | $47 | $18.64 | 1.0× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $18.90 | $90 | $18.64 | 1.0× |
| Marshall Medical Center South | Boaz, AL | $19.11 | $19.11 | $18.64 | 1.0× |
| University of California Davis Medical Center | Sacramento, CA | $19.20 | $48 | $18.64 | 1.0× |
| Hoopeston Community Memorial Hospital | Hoopeston, IL | $20 | $20 | $18.64 | 1.1× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $20.09 | $50 | $18.64 | 1.1× |
| Iu Health Bloomington Hospital | Bloomington, IN | $20.43 | $83 | $18.64 | 1.1× |
| Ochsner Acadia General Hospital | Crowley, LA | $20.70 | $90 | $18.64 | 1.1× |
| Indiana University Health Arnett Hospital | Lafayette, IN | $20.74 | $83 | $18.64 | 1.1× |
| CommonSpirit Saint Joseph Hospital - Bardstown | Bardstown, KY | $21.22 | $50 | $18.64 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $21.44 | — | $18.64 | 1.2× |
| East Alabama Medical Center | Opelika, AL | $21.45 | $39 | $18.64 | 1.2× |
| Glens Falls Hospital | Glens Falls, NY | $22 | $44 | $18.64 | 1.2× |
| Fairview Range Hospital | Hibbing, MN | $22.10 | $52 | $18.64 | 1.2× |
| Grand Itasca Clinic and Hospital | Grand Rapids, MN | $22.10 | $52 | $18.64 | 1.2× |
| Baylor University Medical Center (Baylor Scott & White) range across 2 matching MRF lines |
Dallas, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center - Temple range across 2 matching MRF lines |
Temple, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott and White Medical Center Irving range across 2 matching MRF lines |
Irving, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center - Hillcrest range across 2 matching MRF lines |
Waco, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott and White All Saints Medical Center range across 2 matching MRF lines |
Fort Worth, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center- Waxahachie range across 2 matching MRF lines |
Waxahachie, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center Grapevine range across 2 matching MRF lines |
Grapevine, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott and White Medical Center Lake Pointe range across 2 matching MRF lines |
Rowlett, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Heart and Vascular Hospital range across 2 matching MRF lines |
Dallas, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center - Centennial range across 2 matching MRF lines |
Frisco, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Regional Medical Center at Plano range across 2 matching MRF lines |
Plano, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| The Heart Hospital Baylor Denton range across 2 matching MRF lines |
Denton, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White The Heart Hospital Plano range across 2 matching MRF lines |
Plano, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott and White Medical Center Mckinney range across 2 matching MRF lines |
Mc Kinney, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center- College Stati range across 2 matching MRF lines |
College Station, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center - Marble Falls range across 2 matching MRF lines |
Marble Falls, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott & White Hospital Brenham range across 2 matching MRF lines |
Brenham, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Baylor Scott and White Medical Center Frisco at Pg range across 2 matching MRF lines |
Frisco, TX | $22.37–$345 | $37.28–$575 | $18.64 | varies |
| Elmore Community Hospital | Wetumpka, AL | $22.37 | $55.92 | $18.64 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $22.37 | — | $18.64 | 1.2× |
| Long Island Community Hospital | Patchogue, NY | $22.37 | $55.92 | $18.64 | 1.2× |
| NYU Langone Hospitals | New York, NY | $22.37 | $55.92 | $18.64 | 1.2× |
| Hendricks Regional Health | Danville, IN | $22.40 | $56 | $18.64 | 1.2× |
| Boston Medical Center | Boston, MA | $22.95 | $51 | $18.64 | 1.2× |
| Ochsner Laird Hospital | Union, MS | $23.18 | $38 | $18.64 | 1.2× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $23.40 | $90 | $18.64 | 1.3× |
| CHI St. Alexius Health Devils Lake | Devils Lake, ND | $23.49 | $55.92 | $18.64 | 1.3× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $23.56 | $50 | $18.64 | 1.3× |
| Indiana University Health | Indianapolis, IN | $23.56 | $83 | $18.64 | 1.3× |
| Indiana University Health Bedford Hospital | Bedford, IN | $23.70 | $83 | $18.64 | 1.3× |
| Ochsner Scott Regional | Morton, MS | $23.94 | $38 | $18.64 | 1.3× |
| CommonSpirit Saint Joseph Hospital - Berea | Berea, KY | $24.11 | $50 | $18.64 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $24.23 | — | $18.64 | 1.3× |
| University of Michigan Health - Sparrow Eaton | Charlotte, MI | $24.23 | $96.93 | $18.64 | 1.3× |
| Banner Heart Hospital | Mesa, AZ | $24.44 | $291 | $18.64 | 1.3× |
| Baylor Scott & White Medical Center -taylor range across 2 matching MRF lines |
Taylor, TX | $24.66–$345 | $41.10–$575 | $18.64 | varies |
| Scott & White Hospital-round Rock range across 2 matching MRF lines |
Round Rock, TX | $24.66–$345 | $41.10–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center - Pflugerville range across 2 matching MRF lines |
Pflugerville, TX | $24.66–$345 | $41.10–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center - Buda range across 2 matching MRF lines |
Buda, TX | $24.66–$345 | $41.10–$575 | $18.64 | varies |
| Baylor Scott & White Medical Center- Austin range across 2 matching MRF lines |
Austin, TX | $24.66–$345 | $41.10–$575 | $18.64 | varies |
| Saratoga Hospital | Saratoga Springs, NY | $25 | $50 | $18.64 | 1.3× |
| Baptist Memorial Hospital-Yazoo | Yazoo City, MS | $25.42 | $62 | $18.64 | 1.4× |
| Ochsner Watkins Hospital | Quitman, MS | $25.46 | $38 | $18.64 | 1.4× |
| North Okaloosa Medical Center | Crestview, FL | $25.52 | $141.75 | $18.64 | 1.4× |
| Chesapeake Regional Medical Center | Chesapeake, VA | $25.57 | $42.61 | $18.64 | 1.4× |
| UNM Hospital | Albuquerque, NM | $25.63 | $46.60 | $18.64 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $25.72 | $75 | $18.64 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $25.72 | — | $18.64 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $25.72 | — | $18.64 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $25.72 | — | $18.64 | 1.4× |
| Indiana University Health White Memorial Hospital | Monticello, IN | $25.88 | $83 | $18.64 | 1.4× |
| Ochsner Stennis Hospital | De Kalb, MS | $26.22 | $38 | $18.64 | 1.4× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $27 | $90 | $18.64 | 1.4× |
| F F Thompson Hospital | Canandaigua, NY | $27 | — | $18.64 | 1.4× |
| University of Michigan Health | Ann Arbor, MI | $27.20 | $68 | $18.64 | 1.5× |
| Baptist Memorial Hospital-Attala | Kosciusko, MS | $27.28 | $62 | $18.64 | 1.5× |
| Baptist Memorial Hospital-Leake | Carthage, MS | $27.90 | $62 | $18.64 | 1.5× |
| Mary Washington Hospital | Fredericksburg, VA | $28.50 | $57 | $18.64 | 1.5× |
| Stafford Hospital | Stafford, VA | $28.50 | $57 | $18.64 | 1.5× |
| Virginia Mason Medical Center | Seattle, WA | $28.56 | $56 | $18.64 | 1.5× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $28.60 | $130 | $18.64 | 1.5× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $28.60 | $130 | $18.64 | 1.5× |
| University of Michigan Health - Sparrow Carson | Carson City, MI | $28.75 | $115 | $18.64 | 1.5× |
| University of Michigan Health - Sparrow Lansing | Lansing, MI | $28.75 | $115 | $18.64 | 1.5× |
| University of Michigan Health - Sparrow Clinton | Saint Johns, MI | $28.75 | $115 | $18.64 | 1.5× |
| University of Michigan Health - Sparrow Ionia | Ionia, MI | $28.75 | $115 | $18.64 | 1.5× |
| Ochsner Choctaw General | Butler, AL | $28.88 | $38 | $18.64 | 1.5× |
| CHI Oakes Hospital | Oakes, ND | $29.08 | $55.92 | $18.64 | 1.6× |
| Labette Health | Parsons, KS | $29.37 | $41.95 | $18.64 | 1.6× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $29.44 | $147.20 | $18.64 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $29.94 | — | $18.64 | 1.6× |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $30 | $75 | $18.64 | 1.6× |
| MultiCare Deaconess Hospital | Spokane, WA | $30 | $75 | $18.64 | 1.6× |
| MultiCare Valley Hospital | Spokane, WA | $30 | $75 | $18.64 | 1.6× |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $30.60 | $51 | $18.64 | 1.6× |
| CHI St. Joseph's Health | Park Rapids, MN | $30.76 | $55.92 | $18.64 | 1.7× |
| Saint Francis Hospital | Hartford, CT | $30.80 | $56 | $18.64 | 1.7× |
| Mount Carmel St. Ann's | Westerville, OH | $31.20 | $48 | $18.64 | 1.7× |
| Mount Carmel East | Columbus, OH | $31.20 | $48 | $18.64 | 1.7× |
| Mount Carmel New Albany | New Albany, OH | $31.20 | $48 | $18.64 | 1.7× |
| Diley Ridge Medical Center | Canal Winchester, OH | $31.20 | $48 | $18.64 | 1.7× |
| Mount Carmel Dublin Hospital | Dublin, OH | $31.20 | $48 | $18.64 | 1.7× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $31.24 | $78.11 | $18.64 | 1.7× |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | $31.26 | $83 | $18.64 | 1.7× |
| CHI Lisbon Health | Lisbon, ND | $31.32 | $55.92 | $18.64 | 1.7× |
| PeaceHealth Peace Island Medical Center | Friday Harbor, WA | $31.85 | $49 | $18.64 | 1.7× |
| Indiana University Health Paoli Hospital | Paoli, IN | $31.85 | $83 | $18.64 | 1.7× |
| Rush Oak Park Hospital | Oak Park, IL | $32 | $64 | $18.64 | 1.7× |
| Rush University Medical Center | Chicago, IL | $32 | $64 | $18.64 | 1.7× |
| Baptist Memorial Hospital-Calhoun | Calhoun City, MS | $32.24 | $62 | $18.64 | 1.7× |
| Carrington Health Center | Carrington, ND | $32.44 | $55.92 | $18.64 | 1.7× |
| CHI St. Alexius Health Williston range across 2 matching MRF lines |
Williston, ND | $32.44–$32.48 | $55.92–$56 | $18.64 | varies |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $32.88 | $291 | $18.64 | 1.8× |
| Indiana University Health Frankfort Inc | Frankfort, IN | $33.52 | $83 | $18.64 | 1.8× |
| CHI St. Francis Health | Breckenridge, MN | $33.56 | $55.92 | $18.64 | 1.8× |
| CHI Mercy Health | Valley City, ND | $33.56 | $55.92 | $18.64 | 1.8× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $33.58 | $83.95 | $18.64 | 1.8× |
| Grand Island Regional Medical Center | Grand Island, NE | $33.60 | $56 | $18.64 | 1.8× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $33.81 | $169.05 | $18.64 | 1.8× |
| Sisters of Charity Hospital | Buffalo, NY | $34 | $34 | $18.64 | 1.8× |
| Kenmore Mercy Hospital | Kenmore, NY | $34 | $34 | $18.64 | 1.8× |
| Mount St. Mary's Hospital and Health Center | Lewiston, NY | $34 | $34 | $18.64 | 1.8× |
| Mercy Hospital of Buffalo | Buffalo, NY | $34 | $34 | $18.64 | 1.8× |
| Kearney Regional Medical Center | Kearney, NE | $34.80 | $58 | $18.64 | 1.9× |
| Madison Memorial Hospital | Rexburg, ID | $34.95 | $46.60 | $18.64 | 1.9× |
| Valley Medical Center | Renton, WA | $35 | $50 | $18.64 | 1.9× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $35.04 | $87.60 | $18.64 | 1.9× |
| Ascension Sacred Heart Bay | Panama City, FL | $35.04 | $87.60 | $18.64 | 1.9× |
| CHI St. Alexius Health Dickinson | Dickinson, ND | $35.23 | $55.92 | $18.64 | 1.9× |
| Emerson Hospital | West Concord, MA | $35.25 | $47 | $18.64 | 1.9× |
| ECU Health Edgecombe Hospital range across 2 matching MRF lines |
Tarboro, NC | $35.28–$134.96 | $63–$241 | $18.64 | varies |
| Carilion Roanoke Memorial Hospital | Roanoke, VA | $35.35 | $101 | $18.64 | 1.9× |
| Carilion New River Valley Medical Center | Christiansburg, VA | $35.35 | $101 | $18.64 | 1.9× |
| Carilion Franklin Memorial Hospital | Rocky Mount, VA | $35.35 | $101 | $18.64 | 1.9× |
| Carilion Tazewell Community Hospital | Tazewell, VA | $35.35 | $101 | $18.64 | 1.9× |
| Carilion Giles Community Hospital | Pearisburg, VA | $35.35 | $101 | $18.64 | 1.9× |
| Carilion Rockbridge Community Hospital | Lexington, VA | $35.35 | $101 | $18.64 | 1.9× |
| Ochsner St. Mary Hospital | Morgan City, LA | $36.20 | $181 | $18.64 | 1.9× |
| ECU Health Roanoke-Chowan Hospital range across 2 matching MRF lines |
Ahoskie, NC | $36.40–$134.96 | $65–$241 | $18.64 | varies |
| ECU Health Chowan Hospital range across 2 matching MRF lines |
Edenton, NC | $36.40–$134.96 | $65–$241 | $18.64 | varies |
| Sovah Health – Danville | Danville, VA | $36.40 | $91 | $18.64 | 2.0× |
| CHI LakeWood Health | Baudette, MN | $36.91 | $55.92 | $18.64 | 2.0× |
| Banner Baywood Medical Center | Mesa, AZ | $36.96 | $291 | $18.64 | 2.0× |
| ECU Health Duplin Hospital range across 2 matching MRF lines |
Kenansville, NC | $36.96–$134.96 | $66–$241 | $18.64 | varies |
| Outer Banks Health Hospital range across 2 matching MRF lines |
Nags Head, NC | $36.96–$134.96 | $66–$241 | $18.64 | varies |
| Iu Health Jay | Portland, IN | $37.13 | $83 | $18.64 | 2.0× |
| Spartanburg Medical Center | Spartanburg, SC | $37.20 | $62 | $18.64 | 2.0× |
| Cherokee Medical Center | Gaffney, SC | $37.20 | $62 | $18.64 | 2.0× |
| Pelham Medical Center | Greer, SC | $37.20 | $62 | $18.64 | 2.0× |
| Union Medical Center | Union, SC | $37.20 | $62 | $18.64 | 2.0× |
| ECU Health Bertie Hospital range across 2 matching MRF lines |
Windsor, NC | $37.52–$134.96 | $67–$241 | $18.64 | varies |
| Holyoke Medical Center | Holyoke, MA | $38 | $38 | $18.64 | 2.0× |
| Barnes-Jewish Hospital | St. Louis, MO | $38.40 | $64 | $18.64 | 2.1× |
| Gouverneur Hospital | Gouverneur, NY | $38.62 | $59.42 | $18.64 | 2.1× |
| Massena Hospital | Massena, NY | $38.62 | $59.42 | $18.64 | 2.1× |
| Merrick Medical Center | Central City, NE | $39 | $65 | $18.64 | 2.1× |
| Crete Area Medical Center | Crete, NE | $39 | $65 | $18.64 | 2.1× |
| ECU Health North Hospital range across 2 matching MRF lines |
Roanoke Rapids, NC | $39.76–$134.96 | $71–$241 | $18.64 | varies |
| Duncan Regional Hospital, Inc | Duncan, OK | $39.92 | — | $18.64 | 2.1× |
| Bryan Medical Center | Lincoln, NE | $40.20 | $67 | $18.64 | 2.2× |
| Missouri Baptist Medical Center | Town and Country, MO | $40.20 | $67 | $18.64 | 2.2× |
| Christian Hospital | St. Louis, MO | $40.20 | $67 | $18.64 | 2.2× |
| Alton Memorial Hospital | Alton, IL | $40.20 | $67 | $18.64 | 2.2× |
| Lawrence + Memorial Hospital | New London, CT | $40.26 | $111.84 | $18.64 | 2.2× |
| Grant Regional Health Center | Lancaster, WI | $40.30 | $62 | $18.64 | 2.2× |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $40.50 | $90 | $18.64 | 2.2× |
| Pikeville Medical Center | Pikeville, KY | $40.80 | $136 | $18.64 | 2.2× |
| Tufts Medical Center | Boston, MA | $41.30 | $59 | $18.64 | 2.2× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $42.90 | $195 | $18.64 | 2.3× |
| Colquitt Regional Medical Center range across 2 matching MRF lines |
Moultrie, GA | $43–$46 | $43–$46 | $18.64 | varies |
| MultiCare Auburn Medical Center | Auburn, WA | $43.60 | $109 | $18.64 | 2.3× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $43.60 | $109 | $18.64 | 2.3× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $43.60 | $109 | $18.64 | 2.3× |
| MultiCare Covington Medical Center | Covington, WA | $43.60 | $109 | $18.64 | 2.3× |
| Mary Bridge Children's Hospital | Tacoma, WA | $43.60 | $109 | $18.64 | 2.3× |
| Banner Desert Medical Center | Mesa, AZ | $43.65 | $291 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital | San Rafael, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $43.68 | $78 | $18.64 | 2.3× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $43.68 | $78 | $18.64 | 2.3× |
| Adventist Health Hanford | Hanford, CA | $43.70 | $230 | $18.64 | 2.3× |
| Adventist Health Reedley | Reedley, CA | $43.70 | $230 | $18.64 | 2.3× |
| Adventist Health Tulare | Tulare, CA | $43.70 | $230 | $18.64 | 2.3× |
| Newark-Wayne Community Hospital | Newark, NY | $43.91 | $67.55 | $18.64 | 2.4× |
| United Memorial Medical Center | Batavia, NY | $43.91 | $67.55 | $18.64 | 2.4× |
| Rochester General Hospital | Rochester, NY | $43.91 | $67.55 | $18.64 | 2.4× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $43.91 | $67.55 | $18.64 | 2.4× |
| Banner Boswell Medical Center | Sun City, AZ | $43.94 | $291 | $18.64 | 2.4× |
| Children's of Alabama | Birmingham, AL | $44.26 | $102.94 | $18.64 | 2.4× |
| Banner Del E. Webb Medical Center | Sun City West, AZ | $44.81 | $291 | $18.64 | 2.4× |
| Chi St. Lukes Health Memorial Lufkin | Lufkin, TX | $45.30 | $302 | $18.64 | 2.4× |
| Chi St. Lukes Health Memorial Livingston | Livingston, TX | $45.30 | $302 | $18.64 | 2.4× |
| Chi St. Lukes Health Memorial San Augustine | San Augustine, TX | $45.30 | $302 | $18.64 | 2.4× |
| Banner – University Medical Center South | Tucson, AZ | $45.40 | $291 | $18.64 | 2.4× |
| Canton-Potsdam Hospital | Potsdam, NY | $45.55 | $70.08 | $18.64 | 2.4× |
| Banner Thunderbird Medical Center | Glendale, AZ | $45.98 | $291 | $18.64 | 2.5× |
| Banner Estrella Medical Center | Phoenix, AZ | $45.98 | $291 | $18.64 | 2.5× |
| Adventist Health Ukiah Valley | Ukiah, CA | $46 | $230 | $18.64 | 2.5× |
| Piedmont Newton | Covington, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Piedmont Walton | Monroe, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Piedmont Athens Regional | Athens, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Piedmont Atlanta | Atlanta, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Piedmont Rockdale | Conyers, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Piedmont Henry Hospital | Stockbridge, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Piedmont Fayette | Fayetteville, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Piedmont Mountainside | Jasper, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Piedmont Newnan | Newnan, GA | $46.45 | $154.85 | $18.64 | 2.5× |
| Banner - University Medical Center Phoenix | Phoenix, AZ | $46.56 | $291 | $18.64 | 2.5× |
| TidalHealth Nanticoke | Seaford, DE | $46.60 | $46.60 | $18.64 | 2.5× |
| Banner - University Medical Center Tucson | Tucson, AZ | $47.14 | $291 | $18.64 | 2.5× |
| Banner Gateway Medical Center | Gilbert, AZ | $48.31 | $291 | $18.64 | 2.6× |
| ECU Health Medical Center range across 2 matching MRF lines |
Greenville, NC | $48.76–$127.73 | $92–$241 | $18.64 | varies |
| Piedmont Cartersville Medical Center | Cartersville, GA | $48.90 | $163 | $18.64 | 2.6× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $48.90 | $163 | $18.64 | 2.6× |
| Piedmont Macon Medical Center | Macon, GA | $48.90 | $163 | $18.64 | 2.6× |
| Piedmont Eastside | Snellville, GA | $48.90 | $163 | $18.64 | 2.6× |
| Piedmont Columbus Regional Northside | Columbus, GA | $48.90 | $163 | $18.64 | 2.6× |
| Piedmont Macon North | Macon, GA | $48.90 | $163 | $18.64 | 2.6× |
| Clifton-Fine Hospital | Star Lake, NY | $49.91 | $49.91 | $18.64 | 2.7× |
| PeaceHealth St. Joseph Medical Center | Bellingham, WA | $50.05 | $77 | $18.64 | 2.7× |
| Franciscan Health Munster | Munster, IN | $50.27 | $236 | $18.64 | 2.7× |
| Banner Ironwood Medical Center | Queen Creek, AZ | $50.34 | $291 | $18.64 | 2.7× |
| Gritman Medical Center | Moscow, ID | $51 | $51 | $18.64 | 2.7× |
| Essentia Health-Virginia | Virginia, MN | $51.50 | $82 | $18.64 | 2.8× |
| Christus Health-palestine | Palestine, TX | $52.40 | $262 | $18.64 | 2.8× |
| Arnot Ogden Medical Center | Elmira, NY | $52.50 | $262.50 | $18.64 | 2.8× |
| Ira Davenport Memorial Hospital | Bath, NY | $52.50 | $262.50 | $18.64 | 2.8× |
| St. Charles Parish Hospital | Luling, LA | $52.65 | $195 | $18.64 | 2.8× |
| UnityPoint Health - Meriter | Madison, WI | $52.72 | $65.89 | $18.64 | 2.8× |
| French Hospital Medical Center range across 6 matching MRF lines |
San Luis Obispo, CA | $52.92–$114.66 | $135–$292.50 | $18.64 | varies |
| Park Nicollet Methodist Hospital | Saint Louis Park, MN | $53.82 | $207 | $18.64 | 2.9× |
| Unity Hospital of Rochester | Rochester, NY | $54.04 | $67.55 | $18.64 | 2.9× |
| Unity Specialty Hospital | Rochester, NY | $54.04 | $67.55 | $18.64 | 2.9× |
| Essentia Health-St. Mary's Medical Center | Duluth, MN | $54.12 | $82 | $18.64 | 2.9× |
| Essentia Health-Duluth | Duluth, MN | $54.12 | $82 | $18.64 | 2.9× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $18.64 | 2.9× |
| Bellin Memorial Hospital range across 2 matching MRF lines |
Green Bay, WI | $54.17–$95.84 | $117–$207 | $18.64 | varies |
| MultiCare Capital Medical Center | Olympia, WA | $54.40 | $136 | $18.64 | 2.9× |
| Wyandot Memorial Hospital | Upper Sandusky, OH | $54.43 | $60.49 | $18.64 | 2.9× |
| Ochsner Medical Center - Kenner | Kenner, LA | $54.60 | $195 | $18.64 | 2.9× |
| Essentia Health-St. Joseph's Medical Center | Brainerd, MN | $55.19 | $82 | $18.64 | 3.0× |
| ProMedica Memorial Hospital | Fremont, OH | $55.25 | $85 | $18.64 | 3.0× |
| ProMedica Fostoria Community Hospital | Fostoria, OH | $55.25 | $85 | $18.64 | 3.0× |
| ProMedica Defiance Regional Hospital | Defiance, OH | $55.25 | $85 | $18.64 | 3.0× |
| Banner Goldfield Medical Center | Apache Junction, AZ | $55.29 | $291 | $18.64 | 3.0× |
| AdventHealth Sebring | Sebring, FL | $55.92 | $55.92 | $18.64 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $55.92 | — | $18.64 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $55.92 | — | $18.64 | 3.0× |
| Banner Ocotillo Medical Center | Chandler, AZ | $57.04 | $291 | $18.64 | 3.1× |
| ThedaCare Regional Medical Center - Neenah Inc | Neenah, WI | $57.06 | $101.90 | $18.64 | 3.1× |
| ThedaCare Regional Medical Center - Appleton Inc | Appleton, WI | $57.06 | $101.90 | $18.64 | 3.1× |
| ThedaCare Medical Center - Wild Rose Inc | Wild Rose, WI | $57.06 | $101.90 | $18.64 | 3.1× |
| ThedaCare Medical Center New London | New London, WI | $57.06 | $101.90 | $18.64 | 3.1× |
| ThedaCare Medical Center - Waupaca Inc | Waupaca, WI | $57.06 | $101.90 | $18.64 | 3.1× |
| ThedaCare Medical Center - Shawano Inc | Shawano, WI | $57.06 | $101.90 | $18.64 | 3.1× |
| ThedaCare Medical Center - Berlin Inc | Berlin, WI | $57.06 | $101.90 | $18.64 | 3.1× |
| Franciscan Health Crown Point | Crown Point, IN | $57.28 | $222 | $18.64 | 3.1× |
| Franciscan Health Michigan City | Michigan City, IN | $57.62 | $277 | $18.64 | 3.1× |
| Marian Regional Medical Center range across 6 matching MRF lines |
Santa Maria, CA | $57.78–$125.19 | $135–$292.50 | $18.64 | varies |
| New England Baptist Hospital | Boston, MA | $58 | $58 | $18.64 | 3.1× |
| Bridgeport Hospital | Bridgeport, CT | $58.16 | $111.84 | $18.64 | 3.1× |
| Greenwich Hospital | Greenwich, CT | $58.16 | $111.84 | $18.64 | 3.1× |
| West Boca Medical Center | Boca Raton, FL | $58.50 | $78 | $18.64 | 3.1× |
| MetroHealth System | Cleveland, OH | $59.50 | $170 | $18.64 | 3.2× |
| Gundersen Boscobel Area Hospital and Clinics | Boscobel, WI | $60.26 | $117 | $18.64 | 3.2× |
| Essentia Health-Sandstone | Sandstone, MN | $60.60 | $82 | $18.64 | 3.3× |
| Essentia Health-Ada | Ada, MN | $60.60 | $82 | $18.64 | 3.3× |
| Essentia Health-Holy Trinity Hospital | Graceville, MN | $60.60 | $82 | $18.64 | 3.3× |
| Essentia Health-Northern Pines | Aurora, MN | $60.60 | $82 | $18.64 | 3.3× |
| Essentia Health-Moose Lake | Moose Lake, MN | $60.60 | $82 | $18.64 | 3.3× |
| Essentia Health-Fosston | Fosston, MN | $60.60 | $82 | $18.64 | 3.3× |
| Essentia Health-Deer River | Deer River, MN | $60.60 | $82 | $18.64 | 3.3× |
| Essentia Health St. Mary's Hospital - Superior | Superior, WI | $60.60 | $82 | $18.64 | 3.3× |
| Essentia Health Fargo | Fargo, ND | $61.50 | $82 | $18.64 | 3.3× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $62.40 | $195 | $18.64 | 3.3× |
| St. Bernard Parish Hospital | Chalmette, LA | $62.40 | $195 | $18.64 | 3.3× |
| HealthAlliance Hospital Mary's Avenue Campus | Kingston, NY | $63 | $63 | $18.64 | 3.4× |
| Margaretville Memorial Hospital | Margaretville, NY | $63 | $63 | $18.64 | 3.4× |
| Bayou Bend Health System | Franklin, LA | $63.70 | $91 | $18.64 | 3.4× |
| Franciscan Health Dyer | Dyer, IN | $63.72 | $236 | $18.64 | 3.4× |
| Bon Secours Southside Medical Center | Petersburg, VA | $63.90 | $213 | $18.64 | 3.4× |
| Bon Secours Southampton Medical Center | Franklin, VA | $63.90 | $213 | $18.64 | 3.4× |
| Bon Secours Southern Virginia Medical Center | Emporia, VA | $63.90 | $213 | $18.64 | 3.4× |
| MUSC Health Marion Medical Center | Mullins, SC | $64 | $128 | $18.64 | 3.4× |
| Yale New Haven Hospital | New Haven, CT | $65.99 | $111.84 | $18.64 | 3.5× |
| ProMedica Charles and Virginia Hickman Hospital | Adrian, MI | $66.30 | $102 | $18.64 | 3.6× |
| ProMedica Monroe Regional Hospital | Monroe, MI | $66.30 | $102 | $18.64 | 3.6× |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| Trinity Muscatine | Muscatine, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| Trinity Regional Medical Center | Fort Dodge, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| St. Lukes Hospital | Cedar Rapids, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| UnityPoint Health Des Moines Iowa Methodist Medical Center | Des Moines, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| Trinity Bettendorf | Bettendorf, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| Allen Hospital | Waterloo, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| Finley Hospital | Dubuque, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| St. Lukes Regional Medical Center | Sioux City, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| Grinnell Regional Medical Center | Grinnell, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| Jones Regional Medical Center | Anamosa, IA | $66.43 | $83.03 | $18.64 | 3.6× |
| Trinity Rock Island | Rock Island, IL | $66.43 | $83.03 | $18.64 | 3.6× |
| Cayuga Medical Center at Ithaca | Ithaca, NY | $67.41 | $337.05 | $18.64 | 3.6× |
| Cherry County Hospital range across 2 matching MRF lines |
Valentine, NE | $68.25–$385.90 | $68.25–$385.90 | $18.64 | varies |
| Sarasota Memorial Hospital | Sarasota, FL | $68.40 | $171 | $18.64 | 3.7× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $68.40 | $171 | $18.64 | 3.7× |
| Memorial Hospital Gulfport | Gulfport, MS | $69.27 | $98.95 | $18.64 | 3.7× |
| Memorial Hospital Biloxi | Biloxi, MS | $69.27 | $98.95 | $18.64 | 3.7× |
| Marion General Hospital | Columbia, MS | $69.30 | $346.50 | $18.64 | 3.7× |
| Highland Community Hospital | Picayune, MS | $69.30 | $346.50 | $18.64 | 3.7× |
| Medical City Alliance | Fort Worth, TX | $71.83 | $71.83 | $18.64 | 3.9× |
| Aspirus St. Luke's Hospital | Duluth, MN | $73.98 | $136 | $18.64 | 4.0× |
| Ochsner Medical Center - Hancock | Bay St. Louis, MS | $74.10 | $195 | $18.64 | 4.0× |
| Unity Health - White County Medical Center | Searcy, AR | $74.25 | $297 | $18.64 | 4.0× |
| Unity Health - Jacksonville | Jacksonville, AR | $74.25 | $297 | $18.64 | 4.0× |
| Unity Health - Newport | Newport, AR | $74.25 | $297 | $18.64 | 4.0× |
| Stamford Hospital | Stamford, CT | $74.56 | $74.56 | $18.64 | 4.0× |
| Graham Regional Medical Center | Graham, TX | $75 | $75 | $18.64 | 4.0× |
| MUSC Health Florence Medical Center | Florence, SC | $75 | $150 | $18.64 | 4.0× |
| Carle Health Proctor Hospital | Peoria, IL | $75 | $75 | $18.64 | 4.0× |
| Carle Health Pekin Hospital | Pekin, IL | $75 | $75 | $18.64 | 4.0× |
| Carle Health Methodist Hospital | Peoria, IL | $75 | $75 | $18.64 | 4.0× |
| Cape Cod Hospital | Hyannis, MA | $75.67 | $178.04 | $18.64 | 4.1× |
| Falmouth Hospital | Falmouth, MA | $75.67 | $178.04 | $18.64 | 4.1× |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $77 | $154 | $18.64 | 4.1× |
| Riverside Medical Center | Kankakee, IL | $77.73 | $292 | $18.64 | 4.2× |
| MUSC Health Black River Medical Center | Cades, SC | $78 | $156 | $18.64 | 4.2× |
| Duke University Hospital | Durham, NC | $78.03 | $289 | $18.64 | 4.2× |
| Duke Regional Hospital | Durham, NC | $78.03 | $289 | $18.64 | 4.2× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $78.20 | $92 | $18.64 | 4.2× |
| Saint Francis Hospital | Wilmington, DE | $78.65 | $121 | $18.64 | 4.2× |
| Insight Hospital and Medical Center Coldwater | Coldwater, MI | $79.20 | $99 | $18.64 | 4.2× |
| Dorminy Medical Center | Fitzgerald, GA | $80.50 | $161 | $18.64 | 4.3× |
| ProMedica Toledo Hospital | Toledo, OH | $80.60 | $124 | $18.64 | 4.3× |
| ProMedica Bay Park Hospital | Oregon, OH | $80.60 | $124 | $18.64 | 4.3× |
| Lexington Medical Center | West Columbia, SC | $81 | $81 | $18.64 | 4.3× |
| Cheshire Medical Center | Keene, NH | $81.70 | $296 | $18.64 | 4.4× |
| Beth Israel Deaconess Medical Center | Boston, MA | $82 | $82 | $18.64 | 4.4× |
| Union Hospital | Dover, OH | $83.85 | $129 | $18.64 | 4.5× |
| Akron General | Akron, OH | $83.85 | $129 | $18.64 | 4.5× |
| Mercy Hospital | Canton, OH | $83.85 | $129 | $18.64 | 4.5× |
| Fairview Hospital | Cleveland, OH | $83.85 | $129 | $18.64 | 4.5× |
| Euclid Hospital | Euclid, OH | $83.85 | $129 | $18.64 | 4.5× |
| Lutheran Hospital | Cleveland, OH | $83.85 | $129 | $18.64 | 4.5× |
| Medina Hospital | Medina, OH | $83.85 | $129 | $18.64 | 4.5× |
| Marymount Hospital | Garfield Heights, OH | $83.85 | $129 | $18.64 | 4.5× |
| South Pointe Hospital | Warrensville Heights, OH | $83.85 | $129 | $18.64 | 4.5× |
| Cleveland Clinic | Cleveland, OH | $83.85 | $129 | $18.64 | 4.5× |
| Hillcrest Hospital | Mayfield Heights, OH | $83.85 | $129 | $18.64 | 4.5× |
| Cleveland Clinic Avon Hospital | Avon, OH | $83.85 | $129 | $18.64 | 4.5× |
| MUSC Health University Medical Center | Charleston, SC | $84 | $168 | $18.64 | 4.5× |
| Memorial Health Meadows Hospital | Vidalia, GA | $85.36 | $85.36 | $18.64 | 4.6× |
| Heart of America Medical Center | Rugby, ND | $85.50 | $114 | $18.64 | 4.6× |
| Ochsner St. Anne Hospital | Raceland, LA | $85.80 | $195 | $18.64 | 4.6× |
| LaSalle General Hospital | Jena, LA | $87 | $145 | $18.64 | 4.7× |
| Hennepin County Medical Center range across 2 matching MRF lines |
Minneapolis, MN | $87.75–$191.25 | $195–$425 | $18.64 | varies |
| Aspirus Iron River Hospital | Iron River, MI | $88.40 | $136 | $18.64 | 4.7× |
| Aspirus Keweenaw Hospital | Laurium, MI | $88.40 | $136 | $18.64 | 4.7× |
| Aspirus Ironwood Hospital | Ironwood, MI | $88.40 | $136 | $18.64 | 4.7× |
| FirstHealth Moore Regional Hospital range across 2 matching MRF lines |
Pinehurst, NC | $89.25–$103.50 | $89.25–$103.50 | $18.64 | varies |
| FirstHealth Montgomery Memorial Hospital range across 2 matching MRF lines |
Troy, NC | $89.25–$103.50 | $89.25–$103.50 | $18.64 | varies |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $90.58 | $296 | $18.64 | 4.9× |
| Leonard J. Chabert Medical Center | Houma, LA | $91.65 | $195 | $18.64 | 4.9× |
| Memorial Satilla Health | Waycross, GA | $93 | $93 | $18.64 | 5.0× |
| Forrest General Hospital | Hattiesburg, MS | $97.02 | $346.50 | $18.64 | 5.2× |
| Walthall General Hospital | Tylertown, MS | $97.02 | $346.50 | $18.64 | 5.2× |
| Atrium Medical Center | Franklin, OH | $98 | $98 | $18.64 | 5.3× |
| Byrd Regional Hospital | Leesville, LA | $99 | $330 | $18.64 | 5.3× |
| Pih Health Good Samaritan Hospital | Los Angeles, CA | $100 | $100 | $18.64 | 5.4× |
| Great Plains Health | North Platte, NE | $101 | $168 | $18.64 | 5.4× |
| MUSC Health Chester Medical Center | Chester, SC | $102.50 | $205 | $18.64 | 5.5× |
| Lahey Hospital & Medical Center | Burlington, MA | $104 | $104 | $18.64 | 5.6× |
| Holy Cross Hospital range across 2 matching MRF lines |
Fort Lauderdale, FL | $104.65–$130 | $161–$200 | $18.64 | varies |
| Memorial Health University Medical Center | Savannah, GA | $106 | $106 | $18.64 | 5.7× |
| Garnet Health Medical Center | Middletown, NY | $106.25 | $425 | $18.64 | 5.7× |
| Winchester Hospital | Winchester, MA | $107 | $107 | $18.64 | 5.7× |
| Lakeview Hospital | Stillwater, MN | $111.74 | $302 | $18.64 | 6.0× |
| Aspirus Lake View Hospital | Two Harbors, MN | $111.93 | $136 | $18.64 | 6.0× |
| Westchester Medical Center | Valhalla, NY | $114 | $114 | $18.64 | 6.1× |
| Highland Hospital | Rochester, NY | $114.75 | — | $18.64 | 6.2× |
| Strong Memorial Hospital | Rochester, NY | $114.75 | — | $18.64 | 6.2× |
| Highpoint Health – Sumner with Ascension Saint Thomas | Gallatin, TN | $115.97 | $497.73 | $18.64 | 6.2× |
| Salem Hospital | Salem, MA | $116.25 | $155 | $18.64 | 6.2× |
| Limestone Medical Center range across 2 matching MRF lines |
Groesbeck, TX | $116.55–$450 | $194.25–$750 | $18.64 | varies |
| Bonner General Health | Sandpoint, ID | $119.68 | $149.60 | $18.64 | 6.4× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $121 | $242 | $18.64 | 6.5× |
| Jefferson Davis Community Hospital | Prentiss, MS | $121.28 | $346.50 | $18.64 | 6.5× |
| Bon Secours St. Francis Downtown | Greenville, SC | $121.80 | $203 | $18.64 | 6.5× |
| Bon Secours St. Francis Hospital | Charleston, SC | $121.80 | $203 | $18.64 | 6.5× |
| Bon Secours Rappahannock General Hospital | Kilmarnock, VA | $121.80 | $203 | $18.64 | 6.5× |
| University of Illinois Hospital and Clinics | Chicago, IL | $123 | $410 | $18.64 | 6.6× |
| Imperial Valley Health - El Centro Hospital | El Centro, CA | $123.20 | $176 | $18.64 | 6.6× |
| Sierra View Medical Center | Porterville, CA | $123.20 | $176 | $18.64 | 6.6× |
| Perry County General Hospital | Richton, MS | $124.74 | $346.50 | $18.64 | 6.7× |
| Bon Secours Maryview Medical Center | Portsmouth, VA | $127.80 | $213 | $18.64 | 6.9× |
| Bon Secours Mary Immaculate Hospital | Newport News, VA | $127.80 | $213 | $18.64 | 6.9× |
| Bon Secours St. Mary's Hospital | Richmond, VA | $127.80 | $213 | $18.64 | 6.9× |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | $127.80 | $213 | $18.64 | 6.9× |
| Bon Secours Richmond Community Hospital | Richmond, VA | $127.80 | $213 | $18.64 | 6.9× |
| Bon Secours St. Francis Medical Center | Midlothian, VA | $127.80 | $213 | $18.64 | 6.9× |
| Bon Secours Harbour View Medical Center | Suffolk, VA | $127.80 | $213 | $18.64 | 6.9× |
| Monument Health Spearfish Hospital | Spearfish, SD | $128.80 | $161 | $18.64 | 6.9× |
| Monument Health Rapid City Hospital | Rapid City, SD | $128.80 | $161 | $18.64 | 6.9× |
| Monument Health Sturgis Hospital | Sturgis, SD | $128.80 | $161 | $18.64 | 6.9× |
| Mayo Clinic Health System in Red Wing | Red Wing, MN | $129.98 | $194 | $18.64 | 7.0× |
| Trinity Health Livonia Hospital range across 2 matching MRF lines |
Livonia, MI | $130–$152.75 | $200–$235 | $18.64 | varies |
| Trinity Health Oakland Hospital range across 2 matching MRF lines |
Pontiac, MI | $130–$152.75 | $200–$235 | $18.64 | varies |
| Trinity Health Grand Rapids Hospital range across 2 matching MRF lines |
Grand Rapids, MI | $130–$135.85 | $200–$209 | $18.64 | varies |
| Trinity Health Muskegon Hospital range across 2 matching MRF lines |
Muskegon, MI | $130–$135.85 | $200–$209 | $18.64 | varies |
| Trinity Health Livingston Hospital range across 2 matching MRF lines |
Howell, MI | $130–$152.75 | $200–$235 | $18.64 | varies |
| Trinity Health Ann Arbor range across 2 matching MRF lines |
Ypsilanti, MI | $130–$152.75 | $200–$235 | $18.64 | varies |
| Chelsea Hospital range across 2 matching MRF lines |
Chelsea, MI | $130–$152.75 | $200–$235 | $18.64 | varies |
| Trinity Health Shelby Hospital range across 2 matching MRF lines |
Shelby, MI | $130–$135.85 | $200–$209 | $18.64 | varies |
| Steele Memorial Medical Center | Salmon, ID | $132 | $176 | $18.64 | 7.1× |
| Princeton Community Hospital | Princeton, WV | $132 | $264 | $18.64 | 7.1× |
| New London Hospital | New London, NH | $135.27 | $296 | $18.64 | 7.3× |
| Banner Payson Medical Center | Payson, AZ | $136.77 | $291 | $18.64 | 7.3× |
| Mayo Clinic Health System - New Prague | New Prague, MN | $145.50 | $194 | $18.64 | 7.8× |
| Garnet Health Medical Center - Catskills | Harris, NY | $145.78 | $788 | $18.64 | 7.8× |
| Garnet Health Medical Center - Catskills - Grover M. Hermann Hospital | Callicoon, NY | $145.78 | $788 | $18.64 | 7.8× |
| Miami Valley Hospital | Dayton, OH | $146 | $146 | $18.64 | 7.8× |
| Upper Valley Medical Center | Troy, OH | $146 | $146 | $18.64 | 7.8× |
| City of Hope Helford Clinical Research Hospital | Duarte, CA | $146.25 | $292.50 | $18.64 | 7.8× |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $147.56 | $238 | $18.64 | 7.9× |
| Citizens Memorial Hospital | Bolivar, MO | $148 | $185 | $18.64 | 7.9× |
| Carthage Area Hospital | Carthage, NY | $150 | $500 | $18.64 | 8.0× |
| Banner Lassen Medical Center | Susanville, CA | $150.87 | $241 | $18.64 | 8.1× |
| Desoto Memorial Hospital | Arcadia, FL | $151 | $302 | $18.64 | 8.1× |
| Fairview Park Hospital | Dublin, GA | $152 | $152 | $18.64 | 8.2× |
| St. Andrews Health Center - Cah | Bottineau, ND | $153 | $170 | $18.64 | 8.2× |
| UK Albert B. Chandler Hospital | Lexington, KY | $155.72 | $389.30 | $18.64 | 8.4× |
| Alice Peck Day Memorial Hospital | Lebanon, NH | $159.54 | $296 | $18.64 | 8.6× |
| Highpoint Health – Riverview with Ascension Saint Thomas | Carthage, TN | $159.72 | $489.95 | $18.64 | 8.6× |
| Thomas Memorial Hospital | South Charleston, WV | $160.50 | $321 | $18.64 | 8.6× |
| Riverside University Health System-medical Center | Moreno Valley, CA | $162.33 | $162.33 | $18.64 | 8.7× |
| Page Hospital | Page, AZ | $163.25 | $291 | $18.64 | 8.8× |
| Putnam County Hospital | Greencastle, IN | $164.42 | $193.44 | $18.64 | 8.8× |
| Huggins Hospital | Wolfeboro, NH | $164.50 | $329 | $18.64 | 8.8× |
| Merit Health Natchez | Natchez, MS | $164.79 | $915.50 | $18.64 | 8.8× |
| Massachusetts General Hospital | Boston, MA | $165.75 | $221 | $18.64 | 8.9× |
| Brigham and Women's Hospital | Boston, MA | $165.75 | $221 | $18.64 | 8.9× |
| North Valley Health Center | Warren, MN | $168 | $168 | $18.64 | 9.0× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $170.40 | $426 | $18.64 | 9.1× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $170.40 | $426 | $18.64 | 9.1× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $170.40 | $426 | $18.64 | 9.1× |
| Orlando Health South Lake Hospital | Clermont, FL | $170.40 | $426 | $18.64 | 9.1× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $170.40 | $426 | $18.64 | 9.1× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $170.40 | $426 | $18.64 | 9.1× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $170.40 | $426 | $18.64 | 9.1× |
| Mayo Clinic Health System - Albert Lea and Austin | Albert Lea, MN | $170.72 | $194 | $18.64 | 9.2× |
| Mayo Clinic Health System - Mankato | Mankato, MN | $170.72 | $194 | $18.64 | 9.2× |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | $170.72 | $194 | $18.64 | 9.2× |
| Mayo Clinic Health System - St. James | St. James, MN | $170.72 | $194 | $18.64 | 9.2× |
| Mayo Clinic Health System - Lake City | Lake City, MN | $170.72 | $194 | $18.64 | 9.2× |
| Mayo Clinic Health System - Waseca | Waseca, MN | $170.72 | $194 | $18.64 | 9.2× |
| Mayo Clinic Health System - Cannon Falls | Cannon Falls, MN | $170.72 | $194 | $18.64 | 9.2× |
| Inova Alexandria Hospital | Alexandria, VA | $173 | $346 | $18.64 | 9.3× |
| Inova Loudoun Hospital | Leesburg, VA | $173 | $346 | $18.64 | 9.3× |
| Inova Fairfax Hospital | Falls Church, VA | $173 | $346 | $18.64 | 9.3× |
| Inova Fair Oaks Hospital | Fairfax, VA | $173 | $346 | $18.64 | 9.3× |
| Inova Mount Vernon Hospital | Alexandria, VA | $173 | $346 | $18.64 | 9.3× |
| Delray Medical Center | Delray Beach, FL | $173.25 | $231 | $18.64 | 9.3× |
| Florida Coast Medical Center | Port St. Lucie, FL | $173.25 | $231 | $18.64 | 9.3× |
| Mayo Clinic Health System In Eau Claire | Eau Claire, WI | $174.60 | $194 | $18.64 | 9.4× |
| Mayo Clinic Health System-oakridge | Osseo, WI | $174.60 | $194 | $18.64 | 9.4× |
| Mayo Clinic Health System-chippewa Valley | Bloomer, WI | $174.60 | $194 | $18.64 | 9.4× |
| Mayo Clinic Health System-northland | Barron, WI | $174.60 | $194 | $18.64 | 9.4× |
| Mayo Clinic Health System-red Cedar | Menomonie, WI | $174.60 | $194 | $18.64 | 9.4× |
| Goleta Valley Cottage Hospital | Santa Barbara, CA | $175 | $250 | $18.64 | 9.4× |
| Santa Barbara Cottage Hospital | Santa Barbara, CA | $175 | $250 | $18.64 | 9.4× |
| Santa Ynez Valley Cottage Hospital | Solvang, CA | $175 | $250 | $18.64 | 9.4× |
| Mayo Clinic Health System In La Crosse | La Crosse, WI | $177.30 | $197 | $18.64 | 9.5× |
| Mayo Clinic Health System In Sparta | Sparta, WI | $177.30 | $197 | $18.64 | 9.5× |
| MUSC Health Kershaw Medical Center | Camden, SC | $179.50 | $359 | $18.64 | 9.6× |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $180.44 | $694 | $18.64 | 9.7× |
| Palos Community Hospital range across 2 matching MRF lines |
Palos Heights, IL | $183.40–$367.50 | $262–$525 | $18.64 | varies |
| Northwestern Medicine Mchenry Hospital range across 3 matching MRF lines |
Mchenry, IL | $183.40–$409.50 | $262–$585 | $18.64 | varies |
| Northwestern Lake Forest Hospital range across 3 matching MRF lines |
Lake Forest, IL | $183.40–$409.50 | $262–$585 | $18.64 | varies |
| Northwestern Medicine Delnor Community Hospital range across 3 matching MRF lines |
Geneva, IL | $183.40–$367.50 | $262–$525 | $18.64 | varies |
| Northwestern Medicine Central Dupage Hospital range across 3 matching MRF lines |
Winfield, IL | $183.40–$367.50 | $262–$525 | $18.64 | varies |
| Northwestern Memorial Hospital range across 3 matching MRF lines |
Chicago, IL | $183.40–$367.50 | $262–$525 | $18.64 | varies |
| Northwestern Medicine Kishwaukee Hospital range across 2 matching MRF lines |
Dekalb, IL | $183.40–$367.50 | $262–$525 | $18.64 | varies |
| Northwestern Medicine Valley West Hospital range across 2 matching MRF lines |
Sandwich, IL | $183.40–$367.50 | $262–$525 | $18.64 | varies |
| UAMS Medical Center | Little Rock, AR | $184.86 | $308.10 | $18.64 | 9.9× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $185.02 | $638 | $18.64 | 9.9× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $185.02 | $638 | $18.64 | 9.9× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $185.02 | $638 | $18.64 | 9.9× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $186.50 | $373 | $18.64 | 10.0× |
| Willis Knighton North range across 4 matching MRF lines |
Shreveport, LA | $188.06–$300 | $235.07–$375 | $18.64 | varies |
| Jefferson County Health Center | Fairfield, IA | $188.40 | $314 | $18.64 | 10.1× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $189.41 | $611 | $18.64 | 10.2× |
| UCHealth University of Colorado Hospital | Aurora, CO | $190.79 | $545.09 | $18.64 | 10.2× |
| Kingman Regional Medical Center | Kingman, AZ | $191.10 | $546 | $18.64 | 10.3× |
| UConn John Dempsey Hospital | Farmington, CT | $192.60 | $321 | $18.64 | 10.3× |
| Saint Alphonsus Regional Medical Center | Boise, ID | $193.70 | $298 | $18.64 | 10.4× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $194.58 | $423 | $18.64 | 10.4× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $194.58 | $423 | $18.64 | 10.4× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $194.58 | $423 | $18.64 | 10.4× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $194.58 | $423 | $18.64 | 10.4× |
| Marshall Browning Hospital | Du Quoin, IL | $195.30 | $279 | $18.64 | 10.5× |
| WakeMed Raleigh Campus range across 2 matching MRF lines |
Raleigh, NC | $199.50–$310.08 | $525–$816 | $18.64 | varies |
| WakeMed Cary Hospital range across 2 matching MRF lines |
Cary, NC | $199.50–$310.08 | $525–$816 | $18.64 | varies |
| Newman Memorial Hospital | Shattuck, OK | $200 | $250 | $18.64 | 10.7× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $202.50 | $750 | $18.64 | 10.9× |
| Liberty Regional Medical Center | Hinesville, GA | $202.50 | $270 | $18.64 | 10.9× |
| Mayo Clinic Hospital - Rochester | Rochester, MN | $202.92 | $228 | $18.64 | 10.9× |
| Munson Healthcare Grayling Hospital | Grayling, MI | $204.23 | $240.26 | $18.64 | 11.0× |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | $204.23 | $240.26 | $18.64 | 11.0× |
| Munson Medical Center | Traverse City, MI | $204.23 | $240.26 | $18.64 | 11.0× |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | $204.23 | $240.26 | $18.64 | 11.0× |
| Munson Healthcare Manistee Hospital | Manistee, MI | $204.23 | $240.26 | $18.64 | 11.0× |
| Munson Healthcare Paul Oliver Memorial Hospital | Frankfort, MI | $204.23 | $240.26 | $18.64 | 11.0× |
| Kalkaska Memorial Health Center | Kalkaska, MI | $204.23 | $240.26 | $18.64 | 11.0× |
| Munson Healthcare Charlevoix Hospital | Charlevoix, MI | $204.23 | $240.26 | $18.64 | 11.0× |
| Mesa View Regional Hospital | Mesquite, NV | $204.42 | $340.70 | $18.64 | 11.0× |
| Torrance Memorial Medical Center | Torrance, CA | $206.89 | $252.30 | $18.64 | 11.1× |
| Thibodaux Regional Health System | Thibodaux, LA | $207 | $207 | $18.64 | 11.1× |
| UVA Health Culpeper Medical Center | Culpeper, VA | $207 | $414 | $18.64 | 11.1× |
| UVA Health Prince William Medical Center | Manassas, VA | $207 | $414 | $18.64 | 11.1× |
| UVA Health Haymarket Medical Center | Haymarket, VA | $207 | $414 | $18.64 | 11.1× |
| Memorial Healthcare | Owosso, MI | $208 | $260 | $18.64 | 11.2× |
| Box Butte General Hospital | Alliance, NE | $208.80 | $232 | $18.64 | 11.2× |
| Weston County Health Services | Newcastle, WY | $212 | $212 | $18.64 | 11.4× |
| Arkansas Children's Hospital range across 2 matching MRF lines |
Little Rock, AR | $214.41–$307.24 | $238.23–$341.38 | $18.64 | varies |
| Arkansas Children's Northwest | Springdale, AR | $214.41 | $238.23 | $18.64 | 11.5× |
| MetroWest Medical Center | Framingham, MA | $214.50 | $286 | $18.64 | 11.5× |
| Candler Hospital | Savannah, GA | $218.70 | $729 | $18.64 | 11.7× |
| St. Joseph's Hospital | Savannah, GA | $218.70 | $729 | $18.64 | 11.7× |
| UK St. Claire Regional Medical Center | Morehead, KY | $223.50 | $298 | $18.64 | 12.0× |
| Mayo Clinic Hospital — Phoenix | Phoenix, AZ | $225 | $300 | $18.64 | 12.1× |
| St. Anthonys Memorial Hospital | Effingham, IL | $225.36 | $313 | $18.64 | 12.1× |
| Amery Hospital & Clinic | Amery, WI | $227.85 | $437 | $18.64 | 12.2× |
| Houston Methodist Hospital | Houston, TX | $230 | $460 | $18.64 | 12.3× |
| Houston Methodist Baytown Hospital | Baytown, TX | $230 | $460 | $18.64 | 12.3× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $230 | $460 | $18.64 | 12.3× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $230 | $460 | $18.64 | 12.3× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $230 | $460 | $18.64 | 12.3× |
| Houston Methodist West Hospital | Houston, TX | $230 | $460 | $18.64 | 12.3× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $230 | $460 | $18.64 | 12.3× |
| Houston Methodist Cypress Hospital | Cypress, TX | $230 | $460 | $18.64 | 12.3× |
| Berkshire Medical Center | Pittsfield, MA | $230 | $242.10 | $18.64 | 12.3× |
| Fairview Hospital | Great Barrington, MA | $230 | $242.10 | $18.64 | 12.3× |
| North Adams Regional Hospital | North Adams, MA | $230 | $242.10 | $18.64 | 12.3× |
| Sarah Bush Lincoln Health Center | Mattoon, IL | $230 | $230 | $18.64 | 12.3× |
| HCA Florida Trinity Hospital | Trinity, FL | $231 | $231 | $18.64 | 12.4× |
| Mercy Health - Anderson Hospital | Cincinnati, OH | $234.60 | $391 | $18.64 | 12.6× |
| The Jewish Hospital - Mercy Health | Cincinnati, OH | $234.60 | $391 | $18.64 | 12.6× |
| Mercy Health - Fairfield Hospital | Fairfield, OH | $234.60 | $391 | $18.64 | 12.6× |
| Mercy Health - St. Rita's Medical Center | Lima, OH | $234.60 | $391 | $18.64 | 12.6× |
| Mercy Health - West Hospital | Cincinnati, OH | $234.60 | $391 | $18.64 | 12.6× |
| Mercy Health - Clermont Hospital | Batavia, OH | $234.60 | $391 | $18.64 | 12.6× |
| Mercy Health Kings Mills Hospital LLC | Mason, OH | $234.60 | $391 | $18.64 | 12.6× |
| Kittitas Valley Healthcare | Ellensburg, WA | $238 | $280 | $18.64 | 12.8× |
| Berkeley Medical Center | Martinsburg, WV | $238.32 | $476.63 | $18.64 | 12.8× |
| Hospital for Special Surgery | New York, NY | $238.78 | $335 | $18.64 | 12.8× |
| Good Samaritan Regional Medical Center | Corvallis, OR | $239.20 | $299 | $18.64 | 12.8× |
| Samaritan Albany General Hospital | Albany, OR | $239.20 | $299 | $18.64 | 12.8× |
| Samaritan North Lincoln Hospital | Lincoln City, OR | $239.20 | $299 | $18.64 | 12.8× |
| Samaritan Pacific Community Hospital | Newport, OR | $239.20 | $299 | $18.64 | 12.8× |
| Samaritan Lebanon Community Hospital | Lebanon, OR | $239.20 | $299 | $18.64 | 12.8× |
| North Shore Health | Grand Marais, MN | $246.56 | $268 | $18.64 | 13.2× |
| Highpoint Health – Trousdale with Ascension Saint Thomas | Hartsville, TN | $248.40 | $489.95 | $18.64 | 13.3× |
| UVA Health University Medical Center | Charlottesville, VA | $248.40 | $414 | $18.64 | 13.3× |
| Sturdy Memorial Hospital | Attleboro, MA | $248.90 | $507.96 | $18.64 | 13.4× |
| UMass Memorial Health–Milford Regional Medical Center | Milford, MA | $250 | $250 | $18.64 | 13.4× |
| University Medical Center range across 2 matching MRF lines |
Lubbock, TX | $252–$334 | $252–$334 | $18.64 | varies |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $252.20 | $388 | $18.64 | 13.5× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $252.20 | $388 | $18.64 | 13.5× |
| Cleveland Clinic Hospital | Weston, FL | $252.20 | $388 | $18.64 | 13.5× |
| Southwest Healthcare Services | Bowman, ND | $252.90 | $281 | $18.64 | 13.6× |
| M Health Fairview Lakes Medical Center | Wyoming, MN | $253.04 | $631 | $18.64 | 13.6× |
| M Health Fairview Southdale Hospital | Edina, MN | $253.04 | $631 | $18.64 | 13.6× |
| M Health Fairview University of Minnesota Medical Center | Minneapolis, MN | $253.04 | $631 | $18.64 | 13.6× |
| M Health Fairview Northland Medical Center | Princeton, MN | $253.04 | $631 | $18.64 | 13.6× |
| M Health Fairview St. John's Hospital | Maplewood, MN | $253.04 | $631 | $18.64 | 13.6× |
| M Health Fairview Woodwinds Hospital | Woodbury, MN | $253.04 | $631 | $18.64 | 13.6× |
| MUSC Health Columbia Medical Center Downtown | Columbia, SC | $255 | $510 | $18.64 | 13.7× |
| Denver Health Medical Center range across 4 matching MRF lines |
Denver, CO | $257.60–$291.06 | $736–$831.60 | $18.64 | varies |
| Community Hospital Grand Junction | Grand Junction, CO | $257.60 | $460 | $18.64 | 13.8× |
| Munising Memorial Hospital | Munising, MI | $260 | $260 | $18.64 | 13.9× |
| Trinity Hospitals | Minot, ND | $262.40 | $328 | $18.64 | 14.1× |
| Kenmare Community Hospital | Kenmare, ND | $262.40 | $328 | $18.64 | 14.1× |
| University of Cincinnati Medical Center, LLC | Cincinnati, OH | $263.40 | $439 | $18.64 | 14.1× |
| West Chester Hospital | West Chester, OH | $263.40 | $439 | $18.64 | 14.1× |
| Conway Medical Center | Conway, SC | $264 | $264 | $18.64 | 14.2× |
| M Health Fairview Ridges Hospital | Burnsville, MN | $268.18 | $631 | $18.64 | 14.4× |
| Mercy Health - Tiffin Hospital | Tiffin, OH | $270 | $450 | $18.64 | 14.5× |
| Mercy Health St. Vincent Medical Center | Toledo, OH | $270 | $450 | $18.64 | 14.5× |
| Mercy Health - Defiance Hospital | Defiance, OH | $270 | $450 | $18.64 | 14.5× |
| Mercy Health - Willard Hospital | Willard, OH | $270 | $450 | $18.64 | 14.5× |
| Miller County Hospital | Colquitt, GA | $270.48 | $483 | $18.64 | 14.5× |
| HCA Houston Healthcare Tomball | Tomball, TX | $271.93 | $271.93 | $18.64 | 14.6× |
| Samaritan Medical Center | Watertown, NY | $275 | $275 | $18.64 | 14.8× |
| Harrison County Community Hospital | Bethany, MO | $279.50 | $430 | $18.64 | 15.0× |
| MountainView Hospital | Las Vegas, NV | $280 | $280 | $18.64 | 15.0× |
| Clinch Valley Medical Center | Richlands, VA | $283.36 | $708.40 | $18.64 | 15.2× |
| Greeley County Health Services | Tribune, KS | $297.50 | $425 | $18.64 | 16.0× |
| Beebe Medical Center range across 2 matching MRF lines |
Lewes, DE | $299.20–$314.50 | $352–$370 | $18.64 | varies |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $305.50 | $470 | $18.64 | 16.4× |
| Rush Copley Medical Center | Aurora, IL | $312.50 | $625 | $18.64 | 16.8× |
| Javon Bea Hospital | Rockford, IL | $312.66 | $416.88 | $18.64 | 16.8× |
| Wickenburg Community Hospital | Wickenburg, AZ | $313.30 | $482 | $18.64 | 16.8× |
| Tift Regional Medical Center | Tifton, GA | $316.50 | $633 | $18.64 | 17.0× |
| Southwell Medical | Adel, GA | $316.50 | $633 | $18.64 | 17.0× |
| White River Medical Center | Batesville, AR | $318.75 | $425 | $18.64 | 17.1× |
| WhidbeyHealth Medical Center | Coupeville, WA | $320 | $320 | $18.64 | 17.2× |
| Lewis County General Hospital | Lowville, NY | $320.67 | $390 | $18.64 | 17.2× |
| USA Health University Hospital | Mobile, AL | $322 | $322 | $18.64 | 17.3× |
| USA Health Providence Hospital | Mobile, AL | $322 | $322 | $18.64 | 17.3× |
| USA Health Children's & Women's Hospital | Mobile, AL | $322 | $322 | $18.64 | 17.3× |
| St. Catherine Hospital Inc | East Chicago, IN | $340.80 | $568 | $18.64 | 18.3× |
| St. Mary Medical Center Inc | Hobart, IN | $340.80 | $568 | $18.64 | 18.3× |
| Community Hospital | Munster, IN | $340.80 | $568 | $18.64 | 18.3× |
| Vanderbilt University Hospital | Nashville, TN | $344.52 | $638 | $18.64 | 18.5× |
| UCHealth Greeley Hospital | Greeley, CO | $345 | $575 | $18.64 | 18.5× |
| Aurora Medical Ctr Manitowoc County | Two Rivers, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Medical Ctr Washington County | Hartford, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Medical Center Burlington | Burlington, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Lakeland Medical Center | Elkhorn, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Medical Center Bay Area | Marinette, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora St. Lukes Medical Center | Milwaukee, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora West Allis Medical Center | West Allis, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Medical Ctr Kenosha | Kenosha, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora BayCare Medical Ctr | Green Bay, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Medical Center Summit | Summit, WI | $345 | $690 | $18.64 | 18.5× |
| Aurora Medical Center | Grafton, WI | $345 | $690 | $18.64 | 18.5× |
| Advocate Sherman Hospital | Elgin, IL | $345 | $690 | $18.64 | 18.5× |
| Advocate Trinity Hospital | Chicago, IL | $345 | $690 | $18.64 | 18.5× |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $345 | $690 | $18.64 | 18.5× |
| Advocate Condell Medical Center | Libertyville, IL | $345 | $690 | $18.64 | 18.5× |
| Advocate Christ Hospital & Medical Center | Oak Lawn, IL | $345 | $690 | $18.64 | 18.5× |
| Advocate Lutheran General Hospital | Park Ridge, IL | $345 | $690 | $18.64 | 18.5× |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $345 | $690 | $18.64 | 18.5× |
| Advocate Good Shepherd Hospital | Barrington, IL | $345 | $690 | $18.64 | 18.5× |
| Freeman Neosho Hospital | Neosho, MO | $355.20 | $592 | $18.64 | 19.1× |
| WinnMed | Decorah, IA | $355.60 | $508 | $18.64 | 19.1× |
| Sibley Memorial Hospital | Washington, DC | $356 | $356 | $18.64 | 19.1× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $356.47 | $792.14 | $18.64 | 19.1× |
| Whitesburg ARH Hospital | Whitesburg, KY | $363.60 | $606 | $18.64 | 19.5× |
| Bacon County Hospital and Health System | Alma, GA | $369.60 | $462 | $18.64 | 19.8× |
| Daviess Community Hospital | Washington, IN | $371.35 | $530.50 | $18.64 | 19.9× |
| Boone Hospital Center | Columbia, MO | $375 | $625 | $18.64 | 20.1× |
| Cape Fear Valley Medical Center | Fayetteville, NC | $375 | $625 | $18.64 | 20.1× |
| Cape Fear Valley Betsy Johnson Hospital | Dunn, NC | $375 | $625 | $18.64 | 20.1× |
| Cape Fear Valley Hoke Hospital | Raeford, NC | $375 | $625 | $18.64 | 20.1× |
| Cape Fear Valley Bladen County Hospital | Elizabethtown, NC | $375 | $625 | $18.64 | 20.1× |
| Iberia Medical Center | New Iberia, LA | $376.80 | $628 | $18.64 | 20.2× |
| Valley Baptist Medical Center- Brownsville | Brownsville, TX | $378 | $504 | $18.64 | 20.3× |
| Perkins County Health Services | Grant, NE | $378 | $378 | $18.64 | 20.3× |
| HCA Florida Westside Hospital | Plantation, FL | $389 | $389 | $18.64 | 20.9× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Richland Hospital | Columbia, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Laurens County Hospital | Clinton, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Tuomey Hospital | Sumter, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Baptist Hospital | Columbia, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Patewood Hospital | Greenville, SC | $397.15 | $611 | $18.64 | 21.3× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $397.15 | $611 | $18.64 | 21.3× |
| Genesis Hospital | Zanesville, OH | $400.75 | $667.91 | $18.64 | 21.5× |
| Poudre Valley Hospital | Fort Collins, CO | $402.50 | $575 | $18.64 | 21.6× |
| Medical Center of the Rockies | Loveland, CO | $402.50 | $575 | $18.64 | 21.6× |
| Adena Regional Medical Center | Chillicothe, OH | $402.50 | $805 | $18.64 | 21.6× |
| Adena Greenfield Medical Center | Greenfield, OH | $402.50 | $805 | $18.64 | 21.6× |
| Adena Fayette Medical Center range across 2 matching MRF lines |
Washington Ch, OH | $402.50–$805 | $805 | $18.64 | varies |
| Adena Pike Medical Center | Waverly, OH | $402.50 | $805 | $18.64 | 21.6× |
| Harrison Memorial Hospital | Cynthiana, KY | $404.25 | $577.50 | $18.64 | 21.7× |
| Paris Community Hospital | Paris, IL | $405.60 | $540.80 | $18.64 | 21.8× |
| Sheridan County Hospital | Hoxie, KS | $406 | $406 | $18.64 | 21.8× |
| Seymour Hospital | Seymour, TX | $420 | $600 | $18.64 | 22.5× |
| Pike County Memorial Hospital | Louisiana, MO | $422.40 | $528 | $18.64 | 22.7× |
| T.J. Samson Community Hospital | Glasgow, KY | $427.05 | $657 | $18.64 | 22.9× |
| T.J. Health Columbia | Columbia, KY | $427.05 | $657 | $18.64 | 22.9× |
| Dundy County Hospital | Benkelman, NE | $435 | $483 | $18.64 | 23.3× |
| Berger Hospital | Circleville, OH | $436.15 | $671 | $18.64 | 23.4× |
| Southeastern Medical Center | Cambridge, OH | $436.15 | $671 | $18.64 | 23.4× |
| Rio Grande Regional Hospital | Mcallen, TX | $437.70 | $437.70 | $18.64 | 23.5× |
| Gordon Memorial Hospital District | Gordon, NE | $448 | $448 | $18.64 | 24.0× |
| Mercy Health System Corp | Janesville, WI | $462.73 | $616.97 | $18.64 | 24.8× |
| Mccamey Hospital | Mccamey, TX | $464 | $464 | $18.64 | 24.9× |
| Hardin Memorial Hospital | Kenton, OH | $471.25 | $725 | $18.64 | 25.3× |
| Riverside Methodist Hospital | Columbus, OH | $472.55 | $727 | $18.64 | 25.4× |
| Grant Medical Center | Columbus, OH | $472.55 | $727 | $18.64 | 25.4× |
| Doctors Hospital | Columbus, OH | $472.55 | $727 | $18.64 | 25.4× |
| Dublin Methodist Hospital | Dublin, OH | $472.55 | $727 | $18.64 | 25.4× |
| Van Wert Hospital | Van Wert, OH | $475.15 | $731 | $18.64 | 25.5× |
| Marion General Hospital | Marion, OH | $481.65 | $741 | $18.64 | 25.8× |
| Minden Medical Center | Minden, LA | $485.10 | $1,617 | $18.64 | 26.0× |
| University Hospitals Geneva Medical Center range across 2 matching MRF lines |
Geneva, OH | $492–$511.50 | $656–$682 | $18.64 | varies |
| University Hospitals Conneaut Medical Center range across 2 matching MRF lines |
Conneaut, OH | $492–$511.50 | $656–$682 | $18.64 | varies |
| Children's Hospital Colorado range across 2 matching MRF lines |
Aurora, CO | $497.90–$598 | $766–$920 | $18.64 | varies |
| Children's Hospital Colorado - Colorado Springs range across 2 matching MRF lines |
Colorado Springs, CO | $497.90–$598 | $766–$920 | $18.64 | varies |
| Chase County Community Hospital | Imperial, NE | $498 | $498 | $18.64 | 26.7× |
| Exeter Hospital | Exeter, NH | $508 | $508 | $18.64 | 27.3× |
| University Hospitals Samaritan Medical Center range across 2 matching MRF lines |
Ashland, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| University Hospitals Parma Medical Center range across 2 matching MRF lines |
Parma, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| University Hospitals Regional Hospitals - Geauga Medical Center range across 2 matching MRF lines |
Chardon, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| University Hospitals Portage Medical Center range across 2 matching MRF lines |
Ravenna, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| Lake Health range across 2 matching MRF lines |
Concord, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| University Hospitals St. John Medical Center range across 2 matching MRF lines |
Westlake, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| University Hospitals Cleveland Medical Center range across 2 matching MRF lines |
Cleveland, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| University Hospitals Elyria Medical Center range across 2 matching MRF lines |
Elyria, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| University Hospitals Ahuja Medical Center range across 2 matching MRF lines |
Beachwood, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| University Hospitals Beachwood Medical Center range across 2 matching MRF lines |
Beachwood, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| UH Rainbow Babies & Children's Hospital range across 2 matching MRF lines |
Cleveland, OH | $511.50–$531.75 | $682–$709 | $18.64 | varies |
| OhioHealth O'Bleness Hospital | Athens, OH | $519.35 | $799 | $18.64 | 27.9× |
| Lake Cumberland Regional Hospital | Somerset, KY | $526.44 | $1,316.10 | $18.64 | 28.2× |
| Baptist Medical Center South | Montgomery, AL | $526.50 | $877.50 | $18.64 | 28.2× |
| University Hospital | Columbia, MO | $534.36 | $890.60 | $18.64 | 28.7× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $537.60 | $597.33 | $18.64 | 28.8× |
| Clay County Memorial Hospital | Henrietta, TX | $539 | $770 | $18.64 | 28.9× |
| Fayette Medical Center | Fayette, AL | $561.88 | $1,123.75 | $18.64 | 30.1× |
| DCH Regional Medical Center | Tuscaloosa, AL | $561.88 | $1,123.75 | $18.64 | 30.1× |
| OhioHealth Mansfield Hospital | Mansfield, OH | $576.55 | $887 | $18.64 | 30.9× |
| OhioHealth Shelby Hospital | Shelby, OH | $576.55 | $887 | $18.64 | 30.9× |
| HealthAlliance-Clinton Hospital (Leominster and Clinton campuses) | Leominster, MA | $590 | $590 | $18.64 | 31.7× |
| UMass Memorial Health–Harrington Hospital | Southbridge, MA | $590 | $590 | $18.64 | 31.7× |
| UMass Memorial Medical Center | Worcester, MA | $590 | $590 | $18.64 | 31.7× |
| Bayhealth Hospital, Kent Campus | Dover, DE | $611.52 | $728 | $18.64 | 32.8× |
| Bayhealth Hospital, Sussex Campus | Milford, DE | $611.52 | $728 | $18.64 | 32.8× |
| Timpanogos Regional Hospital | Orem, UT | $617.93 | $617.93 | $18.64 | 33.2× |
| Hamilton Hospital | Olney, TX | $636 | $909 | $18.64 | 34.1× |
| Salina Regional Health Center | Salina, KS | $650.51 | $929.30 | $18.64 | 34.9× |
| North Central Kansas Medical Center | Concordia, KS | $650.51 | $929.30 | $18.64 | 34.9× |
| Lindsborg Community Hospital | Lindsborg, KS | $650.51 | $929.30 | $18.64 | 34.9× |
| Phelps Memorial Health Center | Holdrege, NE | $721.80 | $802 | $18.64 | 38.7× |
| Baptist Health Hardin | Elizabethtown, KY | $765.26 | $1,020.35 | $18.64 | 41.1× |
| Baptist Health Richmond | Richmond, KY | $765.26 | $1,020.35 | $18.64 | 41.1× |
| Baptist Health Corbin | Corbin, KY | $765.26 | $1,020.35 | $18.64 | 41.1× |
| Baptist Health Lexington | Lexington, KY | $765.26 | $1,020.35 | $18.64 | 41.1× |
| Baptist Health Paducah | Paducah, KY | $765.26 | $1,020.35 | $18.64 | 41.1× |
| Baptist Health Louisville | Louisville, KY | $765.26 | $1,020.35 | $18.64 | 41.1× |
| Baptist Health La Grange | La Grange, KY | $765.26 | $1,020.35 | $18.64 | 41.1× |
| Baptist Health Floyd | New Albany, IN | $765.26 | $1,020.35 | $18.64 | 41.1× |
| Scotland County Hospital | Memphis, MO | $770 | $1,100 | $18.64 | 41.3× |
| AdventHealth Orlando | Orlando, FL | $915 | $915 | $18.64 | 49.1× |
| Memorial Hospital | Abilene, KS | $929.30 | $929.30 | $18.64 | 49.9× |
| The Hospitals of Providence Memorial Campus | El Paso, TX | $1,138.50 | $1,518 | $18.64 | 61.1× |
| Avera McKennan Hospital & University Health Center | Sioux Falls, SD | $1,408.50 | $1,565 | $18.64 | 75.6× |
| Sierra Medical Center | El Paso, TX | $3,333.75 | $4,445 | $18.64 | 178.8× |
| Ohio State University Hospitals | Columbus, OH | — | $44 | $18.64 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $44 | $18.64 | — |
| Jackson Medical Center | Jackson, AL | — | $50 | $18.64 | — |
| Valley Hospital Medical Center | Las Vegas, NV | — | $56 | $18.64 | — |
| Oaklawn Hospital | Marshall, MI | — | $62 | $18.64 | — |
| White Plains Hospital Center | White Plains, NY | — | $71 | $18.64 | — |
| UAB Hospital range across 3 matching MRF lines |
Birmingham, AL | — | $187–$468 | $18.64 | — |
| Prairie Lakes Hospital | Watertown, SD | — | $309 | $18.64 | — |
| Canyon Vista Medical Center | Sierra Vista, AZ | — | $310 | $18.64 | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $416 | $18.64 | — |
| Montefiore Medical Center | Bronx, NY | — | $422 | $18.64 | — |
| Stormont Vail Hospital | Topeka, KS | — | $427.21 | $18.64 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $756.90 | $18.64 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $756.90 | $18.64 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $756.90 | $18.64 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $756.90 | $18.64 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $756.90 | $18.64 | — |
| Intermountain Health St. James Hospital | Butte, MT | — | $756.90 | $18.64 | — |
| Intermountain Health St. Vincent Regional Hospital | Billings, MT | — | $756.90 | $18.64 | — |
| Holy Rosary Healthcare | Miles City, MT | — | $756.90 | $18.64 | — |
| Children's Nebraska | Omaha, NE | — | $868 | $18.64 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.