Cytogenom Const Microarray Copy Number Variants (CPT 81228)
81228 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.
602 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 |
|---|---|---|---|---|---|
| Adventist Health Lodi Memorial range across 5 matching MRF lines |
Lodi, CA | $38.15–$78.05 | $545–$1,115 | $900 | varies |
| Torrance Memorial Medical Center range across 22 matching MRF lines |
Torrance, CA | $45.97–$7,209.44 | $53–$8,792 | $900 | varies |
| Southern Hills Hospital and Medical Center | Las Vegas, NV | $48 | $48 | $900 | 0.1× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $900 | 0.1× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $80 | $200 | $900 | 0.1× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $80 | $200 | $900 | 0.1× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $80 | $200 | $900 | 0.1× |
| Orlando Health South Lake Hospital | Clermont, FL | $80 | $200 | $900 | 0.1× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $80 | $200 | $900 | 0.1× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $80 | $200 | $900 | 0.1× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $80 | $200 | $900 | 0.1× |
| Adventist Health St. Helena range across 4 matching MRF lines |
Saint Helena, CA | $81.75–$180 | $545–$1,200 | $900 | varies |
| OU Health University of Oklahoma Medical Center range across 5 matching MRF lines |
Oklahoma City, OK | $90–$789.70 | $900–$7,897 | $900 | varies |
| Summit Medical Center | Casper, WY | $91.43 | $223 | $900 | 0.1× |
| Adventist Health Sonora range across 3 matching MRF lines |
Sonora, CA | $92.65–$173.40 | $545–$1,020 | $900 | varies |
| Adventist Health White Memorial range across 3 matching MRF lines |
Los Angeles, CA | $98.10–$183.60 | $545–$1,020 | $900 | varies |
| Adventist Health White Memorial Montebello range across 3 matching MRF lines |
Montebello, CA | $98.10–$183.60 | $545–$1,020 | $900 | varies |
| MedStar Georgetown University Hospital | Washington, DC | $110.46 | $169.94 | $900 | 0.1× |
| Texas Health Hospital Mansfield range across 3 matching MRF lines |
Mansfield, TX | $153.23–$9,501.86 | $153.23–$9,501.86 | $900 | varies |
| Womans Hospital of Texas,the | Houston, TX | $157.56 | $157.56 | $900 | 0.2× |
| Augusta Health range across 3 matching MRF lines |
Fishersville, VA | $165–$1,323.50 | $330–$2,647 | $900 | varies |
| Lee Memorial Hospital | Fort Myers, FL | $165.80 | $829 | $900 | 0.2× |
| Gulf Coast Medical Center | Fort Myers, FL | $165.80 | $829 | $900 | 0.2× |
| Cape Coral Hospital | Cape Coral, FL | $165.80 | $829 | $900 | 0.2× |
| Children's Minnesota - Minneapolis Hospital range across 13 matching MRF lines |
Minneapolis, MN | $176–$40,392 | $176–$40,392 | $900 | varies |
| Adventist Health Clearlake range across 3 matching MRF lines |
Clearlake, CA | $196.20–$367.20 | $545–$1,020 | $900 | varies |
| Memorial Hermann Hospital System range across 2 matching MRF lines |
Houston, TX | $200.56–$1,191.36 | $626.75–$3,723 | $900 | varies |
| Memorial Hermann Memorial City Medical Center range across 2 matching MRF lines |
Houston, TX | $200.56–$1,191.36 | $626.75–$3,723 | $900 | varies |
| Memorial Hermann Northeast Hospital range across 2 matching MRF lines |
Humble, TX | $200.56–$1,191.36 | $626.75–$3,723 | $900 | varies |
| Memorial Hermann Katy Hospital range across 2 matching MRF lines |
Katy, TX | $200.56–$1,191.36 | $626.75–$3,723 | $900 | varies |
| Memorial Hermann Sugar Land Hospital range across 2 matching MRF lines |
Sugar Land, TX | $200.56–$1,191.36 | $626.75–$3,723 | $900 | varies |
| Missouri Delta Medical Center range across 3 matching MRF lines |
Sikeston, MO | $202.81–$931.50 | $811.25–$3,726 | $900 | varies |
| Adventist Health Ukiah Valley | Ukiah, CA | $223 | $1,115 | $900 | 0.2× |
| Adventist Health Howard Memorial range across 2 matching MRF lines |
Willits, CA | $229.50–$334.50 | $765–$1,115 | $900 | varies |
| Ochsner Medical Center - Kenner | Kenner, LA | $234.08 | $836 | $900 | 0.3× |
| HCA Houston Healthcare Conroe | Conroe, TX | $249.23 | $249.23 | $900 | 0.3× |
| Memorial Hermann Texas Medical Center range across 2 matching MRF lines |
Houston, TX | $251.12–$1,491.76 | $784.75–$4,661.75 | $900 | varies |
| Niagara Falls Memorial Medical Center | Niagara Falls, NY | $252.76 | $361.08 | $900 | 0.3× |
| Vanderbilt Bedford Hospital range across 3 matching MRF lines |
Shelbyville, TN | $299.28–$1,146.37 | $1,032–$3,953 | $900 | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 3 matching MRF lines |
Tullahoma, TN | $299.28–$1,146.37 | $1,032–$3,953 | $900 | varies |
| Vanderbilt Wilson County Hospital range across 3 matching MRF lines |
Lebanon, TN | $299.28–$1,146.37 | $1,032–$3,953 | $900 | varies |
| Chi St. Lukes Health Memorial Lufkin | Lufkin, TX | $305.27 | $2,035.10 | $900 | 0.3× |
| Chi St. Lukes Health Memorial Livingston | Livingston, TX | $305.27 | $2,035.10 | $900 | 0.3× |
| Chi St. Lukes Health Memorial San Augustine | San Augustine, TX | $305.27 | $2,035.10 | $900 | 0.3× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $324 | $1,200 | $900 | 0.4× |
| Ochsner Laird Hospital | Union, MS | $343.80 | $563.60 | $900 | 0.4× |
| Memorial Regional Hospital | Hollywood, FL | $346.50 | $495 | $900 | 0.4× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $346.50 | $495 | $900 | 0.4× |
| Memorial Hospital West | Pembroke Pines, FL | $346.50 | $495 | $900 | 0.4× |
| Memorial Hospital Miramar | Miramar, FL | $346.50 | $495 | $900 | 0.4× |
| Ochsner Scott Regional | Morton, MS | $355.07 | $563.60 | $900 | 0.4× |
| Mercy General Hospital | Sacramento, CA | $365.11 | $1,674.80 | $900 | 0.4× |
| Ochsner Watkins Hospital | Quitman, MS | $377.61 | $563.60 | $900 | 0.4× |
| Ochsner Stennis Hospital | De Kalb, MS | $388.88 | $563.60 | $900 | 0.4× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) range across 2 matching MRF lines |
Fort Worth, TX | $399–$444 | $665–$740 | $900 | varies |
| Wamego Health Center range across 2 matching MRF lines |
Wamego, KS | $413.60–$594 | $1,034–$1,485 | $900 | varies |
| Kaleida Health | Buffalo, NY | $423 | $423 | $900 | 0.5× |
| Henry Ford Rochester Hospital | Rochester, MI | $423 | $900 | $900 | 0.5× |
| Ochsner Choctaw General | Butler, AL | $428.34 | $563.60 | $900 | 0.5× |
| Franciscan Health Munster | Munster, IN | $444.11 | $2,085 | $900 | 0.5× |
| Woodland Memorial Hospital | Woodland, CA | $458.90 | $1,674.80 | $900 | 0.5× |
| Mercy San Juan Medical Center | Carmichael, CA | $458.90 | $1,674.80 | $900 | 0.5× |
| Concord Hospital | Concord, NH | $462.60 | $1,542 | $900 | 0.5× |
| Concord Hospital – Laconia | Laconia, NH | $462.60 | $1,542 | $900 | 0.5× |
| Concord Hospital – Franklin | Franklin, NH | $462.60 | $1,542 | $900 | 0.5× |
| Sky Lakes Medical Center | Klamath Falls, OR | $471.68 | $628.90 | $900 | 0.5× |
| Banner Gateway Medical Center | Gilbert, AZ | $477.90 | $2,700 | $900 | 0.5× |
| Cass County Memorial Hospital range across 2 matching MRF lines |
Atlantic, IA | $480.20–$917 | $686–$1,310 | $900 | varies |
| Methodist Hospital of Sacramento | Sacramento, CA | $482.35 | $1,674.80 | $900 | 0.5× |
| St. Tammany Parish Hospital | Covington, LA | $490.25 | $817.08 | $900 | 0.5× |
| MultiCare Auburn Medical Center | Auburn, WA | $519.60 | $1,299 | $900 | 0.6× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $519.60 | $1,299 | $900 | 0.6× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $519.60 | $1,299 | $900 | 0.6× |
| MultiCare Capital Medical Center | Olympia, WA | $519.60 | $1,299 | $900 | 0.6× |
| MultiCare Covington Medical Center | Covington, WA | $519.60 | $1,299 | $900 | 0.6× |
| Mary Bridge Children's Hospital | Tacoma, WA | $519.60 | $1,299 | $900 | 0.6× |
| Hancock County Hospital | Sneedville, TN | $522.33 | $2,271 | $900 | 0.6× |
| Bristol Regional Medical Center | Bristol, TN | $532.35 | $3,549 | $900 | 0.6× |
| Holston Valley Medical Center | Kingsport, TN | $532.35 | $3,549 | $900 | 0.6× |
| Hawkins County Memorial Hospital | Rogersville, TN | $532.35 | $3,549 | $900 | 0.6× |
| Greeneville Community Hospital | Greeneville, TN | $532.35 | $3,549 | $900 | 0.6× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $532.35 | $3,549 | $900 | 0.6× |
| Franciscan Health Crown Point | Crown Point, IN | $537.93 | $2,085 | $900 | 0.6× |
| Candler Hospital | Savannah, GA | $540.90 | $1,803 | $900 | 0.6× |
| St. Joseph's Hospital | Savannah, GA | $540.90 | $1,803 | $900 | 0.6× |
| Franciscan Health Michigan City | Michigan City, IN | $542.26 | $2,607 | $900 | 0.6× |
| Bsa Hospital | Amarillo, TX | $550.90 | $5,509 | $900 | 0.6× |
| Vanderbilt University Hospital range across 3 matching MRF lines |
Nashville, TN | $557.28–$2,134.62 | $1,032–$3,953 | $900 | varies |
| Gordon Memorial Hospital District | Gordon, NE | $574 | $574 | $900 | 0.6× |
| Franciscan Health Lafayette | Lafayette, IN | $576.15 | $2,607 | $900 | 0.6× |
| Erlanger Bledsoe Hospital range across 2 matching MRF lines |
Pikeville, TN | $578–$787.81 | $2,000–$2,726 | $900 | varies |
| University Hospital – UMMC | Jackson, MS | $582.80 | $1,457 | $900 | 0.6× |
| UMMC Madison | Canton, MS | $582.80 | $1,457 | $900 | 0.6× |
| Banner Thunderbird Medical Center | Glendale, AZ | $585.90 | $2,700 | $900 | 0.7× |
| Denver Health Medical Center range across 2 matching MRF lines |
Denver, CO | $620.93–$1,878.96 | $1,774.08–$5,368.44 | $900 | varies |
| SSM Health St. Joseph Hospital - St. Charles range across 2 matching MRF lines |
St. Charles, MO | $623.70–$4,225.10 | $1,134–$7,682 | $900 | varies |
| SSM Health St. Clare Hospital - Fenton range across 2 matching MRF lines |
Fenton, MO | $623.70–$4,225.10 | $1,134–$7,682 | $900 | varies |
| SSM Health St. Mary's Hospital - St. Louis range across 2 matching MRF lines |
Richmond Heights, MO | $623.70–$4,225.10 | $1,134–$7,682 | $900 | varies |
| SSM Health DePaul Hospital - St. Louis range across 2 matching MRF lines |
Bridgeton, MO | $623.70–$4,225.10 | $1,134–$7,682 | $900 | varies |
| SSM Health St. Joseph Hospital - Lake Saint Louis range across 2 matching MRF lines |
Lake Saint Louis, MO | $623.70–$4,225.10 | $1,134–$7,682 | $900 | varies |
| Tanner Medical Center/Carrollton range across 2 matching MRF lines |
Carrollton, GA | $624–$880 | $1,560–$2,200 | $900 | varies |
| Higgins General Hospital range across 2 matching MRF lines |
Bremen, GA | $624–$880 | $1,560–$2,200 | $900 | varies |
| Ascension St. John Jane Phillips | Bartlesville, OK | $629.65 | $1,701.75 | $900 | 0.7× |
| Ascension St. John Medical Center | Tulsa, OK | $629.65 | $1,701.75 | $900 | 0.7× |
| Ascension St. John Owasso | Owasso, OK | $629.65 | $1,701.75 | $900 | 0.7× |
| Ascension St. John Nowata | Nowata, OK | $629.65 | $1,701.75 | $900 | 0.7× |
| Ascension St. John Sapulpa | Sapulpa, OK | $629.65 | $1,701.75 | $900 | 0.7× |
| Vanderbilt Clarksville Hospital | Clarksville, TN | $643.76 | $3,318.29 | $900 | 0.7× |
| Permian Regional Medical Center Andrews County Ho range across 2 matching MRF lines |
Andrews, TX | $646–$878 | $1,292–$1,756 | $900 | varies |
| Mercy Hospital of Folsom | Folsom, CA | $651.50 | $1,674.80 | $900 | 0.7× |
| Banner - University Medical Center Tucson | Tucson, AZ | $656.10 | $2,700 | $900 | 0.7× |
| Arkansas Children's Hospital range across 2 matching MRF lines |
Little Rock, AR | $657.28–$897.62 | $730.31–$997.35 | $900 | varies |
| Arkansas Children's Northwest range across 2 matching MRF lines |
Springdale, AR | $657.28–$897.62 | $730.31–$997.35 | $900 | varies |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $688.10 | $2,991.74 | $900 | 0.8× |
| Freeman Neosho Hospital | Neosho, MO | $690 | $1,150 | $900 | 0.8× |
| Tift Regional Medical Center | Tifton, GA | $694 | $1,388 | $900 | 0.8× |
| Southwell Medical | Adel, GA | $694 | $1,388 | $900 | 0.8× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $694.11 | $1,361 | $900 | 0.8× |
| Altru Hospital range across 6 matching MRF lines |
Grand Forks, ND | $694.18–$1,153.51 | $1,138–$1,891 | $900 | varies |
| MyMichigan Medical Center Alpena | Alpena, MI | $700.80 | $1,168 | $900 | 0.8× |
| Manatee Memorial Hospital | Bradenton, FL | $701.60 | $1,754 | $900 | 0.8× |
| Lakewood Ranch Medical Center | Bradenton, FL | $701.60 | $1,754 | $900 | 0.8× |
| Franciscan Health Dyer | Dyer, IN | $703.89 | $2,607 | $900 | 0.8× |
| Wellstar West Georgia Medical Center range across 2 matching MRF lines |
LaGrange, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Wellstar Spalding Medical Center range across 2 matching MRF lines |
Griffin, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Wellstar MCG Health Medical Center range across 2 matching MRF lines |
Augusta, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Wellstar Kennestone Regional Medical Center range across 2 matching MRF lines |
Marietta, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Wellstar Paulding Medical Center range across 2 matching MRF lines |
Hiram, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Wellstar Cobb Medical Center range across 2 matching MRF lines |
Austell, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Wellstar Douglas Medical Center range across 2 matching MRF lines |
Douglasville, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Wellstar North Fulton Medical Center range across 2 matching MRF lines |
Roswell, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Wellstar Sylvan Grove Medical Center range across 2 matching MRF lines |
Jackson, GA | $705.16–$1,564.68 | $1,808.10–$4,012 | $900 | varies |
| Franciscan Health Crawfordsville | Crawfordsville, IN | $706.50 | $2,607 | $900 | 0.8× |
| McKenzie Health System | Sandusky, MI | $707.20 | $884 | $900 | 0.8× |
| Kingman Regional Medical Center | Kingman, AZ | $707.70 | $2,022 | $900 | 0.8× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $749.33 | $2,497.76 | $900 | 0.8× |
| St. James Hospital | Hornell, NY | $755 | — | $900 | 0.8× |
| INTEGRIS Miami Hospital | Miami, OK | $755.20 | $3,776 | $900 | 0.8× |
| INTEGRIS Grove Hospital | Grove, OK | $755.20 | $3,776 | $900 | 0.8× |
| OHSU Hospital and Clinics range across 2 matching MRF lines |
Portland, OR | $757.90–$1,895.40 | $1,166–$2,916 | $900 | varies |
| Presbyterian Hospital range across 2 matching MRF lines |
Albuquerque, NM | $764.40–$973 | $1,092–$1,390 | $900 | varies |
| Connecticut Children's Medical Center | Hartford, CT | $788.40 | $1,314 | $900 | 0.9× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $814.05 | $5,427 | $900 | 0.9× |
| Froedtert Memorial Lutheran Hospital range across 3 matching MRF lines |
Milwaukee, WI | $820.05–$1,705 | $1,491–$3,100 | $900 | varies |
| El Paso Children's Hospital | El Paso, TX | $827.20 | $4,136 | $900 | 0.9× |
| Methodist Dallas Medical Center range across 2 matching MRF lines |
Dallas, TX | $828–$971.50 | $1,656–$1,943 | $900 | varies |
| Methodist Richardson Medical Center range across 2 matching MRF lines |
Richardson, TX | $828–$971.50 | $1,656–$1,943 | $900 | varies |
| Methodist Charlton Medical Center range across 2 matching MRF lines |
Dallas, TX | $828–$971.50 | $1,656–$1,943 | $900 | varies |
| Methodist Mansfield Medical Center range across 2 matching MRF lines |
Mansfield, TX | $828–$971.50 | $1,656–$1,943 | $900 | varies |
| Methodist Southlake Medical Center range across 2 matching MRF lines |
Southlake, TX | $828–$971.50 | $1,656–$1,943 | $900 | varies |
| Methodist Midlothian Medical Center range across 2 matching MRF lines |
Midlothian, TX | $828–$971.50 | $1,656–$1,943 | $900 | varies |
| Methodist Celina Medical Center range across 2 matching MRF lines |
Celina, TX | $828–$971.50 | $1,656–$1,943 | $900 | varies |
| University Hospital | Columbia, MO | $855.36 | $1,425.60 | $900 | 1.0× |
| Grandview Medical Center | Birmingham, AL | $855.45 | $5,703 | $900 | 1.0× |
| UP Health System - Marquette | Marquette, MI | $858.60 | $1,431 | $900 | 1.0× |
| Good Samaritan Hospital | Vincennes, IN | $859.20 | $1,432 | $900 | 1.0× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $859.98 | $3,909 | $900 | 1.0× |
| Oswego Hospital | Oswego, NY | $862.87 | $1,150.49 | $900 | 1.0× |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $864 | $1,080 | $900 | 1.0× |
| Trinity Muscatine | Muscatine, IA | $864 | $1,080 | $900 | 1.0× |
| Trinity Regional Medical Center | Fort Dodge, IA | $864 | $1,080 | $900 | 1.0× |
| St. Lukes Hospital | Cedar Rapids, IA | $864 | $1,080 | $900 | 1.0× |
| UnityPoint Health Des Moines Iowa Methodist Medical Center | Des Moines, IA | $864 | $1,080 | $900 | 1.0× |
| Trinity Bettendorf | Bettendorf, IA | $864 | $1,080 | $900 | 1.0× |
| Allen Hospital | Waterloo, IA | $864 | $1,080 | $900 | 1.0× |
| Finley Hospital | Dubuque, IA | $864 | $1,080 | $900 | 1.0× |
| St. Lukes Regional Medical Center | Sioux City, IA | $864 | $1,080 | $900 | 1.0× |
| Grinnell Regional Medical Center | Grinnell, IA | $864 | $1,080 | $900 | 1.0× |
| Jones Regional Medical Center | Anamosa, IA | $864 | $1,080 | $900 | 1.0× |
| Trinity Rock Island | Rock Island, IL | $864 | $1,080 | $900 | 1.0× |
| Mercy Health - Tiffin Hospital | Tiffin, OH | $868.20 | $1,447 | $900 | 1.0× |
| Osf Saint Anthony's Health Center range across 3 matching MRF lines |
Alton, IL | $873–$1,300.80 | $1,455–$2,168 | $900‡ | varies |
| Longs Peak Hospital | Longmont, CO | $874.22 | $2,497.76 | $900 | 1.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $874.22 | $2,497.76 | $900 | 1.0× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $874.22 | $2,497.76 | $900 | 1.0× |
| Mercy Medical Center - Cedar Rapids | Cedar Rapids, IA | $880.80 | $1,468 | $900 | 1.0× |
| St. John's Medical Center | Jackson, WY | $900 | $900 | $900 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $900 | — | $900 | 1.0× |
| Griffin Hospital | Derby, CT | $900 | — | $900 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $900 | — | $900 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $900 | $2,700 | $900 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $900 | $2,700 | $900 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $900 | $2,700 | $900 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $900 | $2,700 | $900 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $900 | $2,700 | $900 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $900 | $2,700 | $900 | 1.0× |
| Bellevue Hospital Center | New York, NY | $900 | $2,700 | $900 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $900 | $2,700 | $900 | 1.0× |
| Harlem Hospital Center | New York, NY | $900 | $2,700 | $900 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $900 | $2,700 | $900 | 1.0× |
| Mercy Hospital Watonga, Inc | Watonga, OK | $906.10 | $1,394 | $900 | 1.0× |
| Mercy Hospital Kingfisher, Inc | Kingfisher, OK | $906.10 | $1,394 | $900 | 1.0× |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $912.77 | $1,674.80 | $900 | 1.0× |
| CHRISTUS Santa Rosa Medical Center | San Antonio, TX | $913.44 | $2,768 | $900 | 1.0× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $923.95 | $1,087 | $900 | 1.0× |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | $933.31 | $2,607 | $900 | 1.0× |
| Mountrail County Medical Center Inc | Stanley, ND | $955 | $1,061 | $900 | 1.1× |
| Community Hospital Grand Junction | Grand Junction, CO | $957.60 | $1,710 | $900 | 1.1× |
| Regions Hospital | Saint Paul, MN | $959.14 | $3,689 | $900 | 1.1× |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | $968.48 | $4,564 | $900 | 1.1× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $971 | $4,855 | $900 | 1.1× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $971 | $4,855 | $900 | 1.1× |
| Merrick Medical Center | Central City, NE | $979.20 | $1,632 | $900 | 1.1× |
| Crete Area Medical Center | Crete, NE | $979.20 | $1,632 | $900 | 1.1× |
| Valley Medical Center | Renton, WA | $988.40 | $1,412 | $900 | 1.1× |
| Mercy Hospital St. Louis | St. Louis, MO | $999.70 | $1,538 | $900 | 1.1× |
| Good Samaritan Regional Medical Center range across 2 matching MRF lines |
Corvallis, OR | $1,016–$2,920 | $1,270–$3,650 | $900 | varies |
| Samaritan Albany General Hospital range across 2 matching MRF lines |
Albany, OR | $1,016–$2,920 | $1,270–$3,650 | $900 | varies |
| Samaritan North Lincoln Hospital range across 2 matching MRF lines |
Lincoln City, OR | $1,016–$2,920 | $1,270–$3,650 | $900 | varies |
| Samaritan Pacific Community Hospital range across 2 matching MRF lines |
Newport, OR | $1,016–$2,920 | $1,270–$3,650 | $900 | varies |
| Samaritan Lebanon Community Hospital range across 2 matching MRF lines |
Lebanon, OR | $1,016–$2,920 | $1,270–$3,650 | $900 | varies |
| United Regional Health Care System | Wichita Falls, TX | $1,026 | $1,080 | $900 | 1.1× |
| Dolly Parton Children’s Hospital | Knoxville, TN | $1,033.80 | $1,723 | $900 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $1,035 | — | $900 | 1.2× |
| Liberty Hospital | Liberty, MO | $1,035 | $3,713 | $900 | 1.2× |
| Osf Saint Luke Medical Center range across 3 matching MRF lines |
Kewanee, IL | $1,040.80–$1,550.40 | $1,301–$1,938 | $900‡ | varies |
| Mercy Hospital Perry | Perryville, MO | $1,046.50 | $1,610 | $900 | 1.2× |
| Lawrence + Memorial Hospital | New London, CT | $1,055.16 | $2,931 | $900 | 1.2× |
| Mercy Hospital Berryville | Berryville, AR | $1,067.30 | $1,642 | $900 | 1.2× |
| Mercy Hospital Aurora | Aurora, MO | $1,077.70 | $1,658 | $900 | 1.2× |
| Mercy Hospital Cassville | Cassville, MO | $1,077.70 | $1,658 | $900 | 1.2× |
| Mercy St. Francis Hospital | Mountain View, MO | $1,077.70 | $1,658 | $900 | 1.2× |
| Delta County Memorial Hospital | Delta, CO | $1,080 | $1,800 | $900 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $1,080 | — | $900 | 1.2× |
| Long Island Community Hospital | Patchogue, NY | $1,080 | $7,818.08 | $900 | 1.2× |
| NYU Langone Hospitals | New York, NY | $1,080 | $7,818.08 | $900 | 1.2× |
| NEA Baptist Memorial Hospital | Jonesboro, AR | $1,080.91 | $5,689 | $900 | 1.2× |
| Baptist Memorial Hospital-DeSoto | Southaven, MS | $1,085.40 | $5,427 | $900 | 1.2× |
| Fairbanks Memorial Hospital | Fairbanks, AK | $1,089.97 | $1,147.34 | $900 | 1.2× |
| Nebraska Medical Center | Omaha, NE | $1,092 | $1,680 | $900 | 1.2× |
| Bellevue Medical Center | Bellevue, NE | $1,092 | $1,680 | $900 | 1.2× |
| Rady Children's Hospital Orange County | Orange, CA | $1,100 | $1,100 | $900 | 1.2× |
| Lima Memorial Health System | Lima, OH | $1,106.10 | $1,229 | $900 | 1.2× |
| Iu Health Bloomington Hospital | Bloomington, IN | $1,123.66 | $4,564 | $900 | 1.2× |
| Mercy Health - St. Elizabeth Youngstown Hospital | Youngstown, OH | $1,135.20 | $1,892 | $900 | 1.3× |
| Mercy Health - St. Joseph Warren Hospital | Warren, OH | $1,135.20 | $1,892 | $900 | 1.3× |
| Mercy Health - St. Elizabeth Boardman Hospital | Boardman, OH | $1,135.20 | $1,892 | $900 | 1.3× |
| Osf Saint Paul Medical Center range across 3 matching MRF lines |
Mendota, IL | $1,139.20–$1,697.60 | $1,424–$2,122 | $900‡ | varies |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $1,139.67 | $5,427 | $900 | 1.3× |
| Indiana University Health Arnett Hospital | Lafayette, IN | $1,140.54 | $4,564 | $900 | 1.3× |
| INTEGRIS Health Enid Hospital | Enid, OK | $1,149 | $5,745 | $900 | 1.3× |
| Lakeside Women's Hospital, A Member of INTEGRIS He | Oklahoma City, OK | $1,149 | $5,745 | $900 | 1.3× |
| INTEGRIS Canadian Valley Hospital | Yukon, OK | $1,149 | $5,745 | $900 | 1.3× |
| INTEGRIS Health Edmond Hospital | Edmond, OK | $1,149 | $5,745 | $900 | 1.3× |
| Yale New Haven Hospital range across 12 matching MRF lines |
New Haven, CT | $1,150.50–$1,729.29 | $1,950–$2,931 | $900 | varies |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $1,151.54 | $4,429 | $900 | 1.3× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $1,159 | $2,318 | $900 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $1,170 | — | $900 | 1.3× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $1,188.48 | $3,714 | $900 | 1.3× |
| Hurley Medical Center | Flint, MI | $1,197 | $1,197 | $900 | 1.3× |
| Texas Childrens Hospital range across 9 matching MRF lines |
Houston, TX | $1,217.39–$3,622.69 | $1,817–$5,407 | $900 | varies |
| Texas Childrens Hospital North Austin Campus range across 9 matching MRF lines |
Austin, TX | $1,217.39–$3,622.69 | $1,817–$5,407 | $900 | varies |
| Mount Sinai Hospital | New York, NY | $1,220.40 | $1,356 | $900 | 1.4× |
| Mount Sinai West | New York, NY | $1,220.40 | $1,356 | $900 | 1.4× |
| Mount Sinai Brooklyn | Brooklyn, NY | $1,220.40 | $1,356 | $900 | 1.4× |
| Ucsf Benioff Children's Hospital Oakland | Oakland, CA | $1,231.20 | $4,104 | $900 | 1.4× |
| Mercy Hospital Lincoln | Troy, MO | $1,235.65 | $1,901 | $900 | 1.4× |
| Essentia Health-St. Joseph's Medical Center | Brainerd, MN | $1,236.30 | $1,837 | $900 | 1.4× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $1,240.12 | $4,429 | $900 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $1,242 | — | $900 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $1,242 | $1,200 | $900 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $1,242 | — | $900 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $1,242 | $1,200 | $900 | 1.4× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $1,248.21 | $5,427 | $900 | 1.4× |
| Inova Alexandria Hospital | Alexandria, VA | $1,264 | $2,528 | $900 | 1.4× |
| Inova Loudoun Hospital | Leesburg, VA | $1,264 | $2,528 | $900 | 1.4× |
| Inova Fairfax Hospital | Falls Church, VA | $1,264 | $2,528 | $900 | 1.4× |
| Inova Fair Oaks Hospital | Fairfax, VA | $1,264 | $2,528 | $900 | 1.4× |
| Inova Mount Vernon Hospital | Alexandria, VA | $1,264 | $2,528 | $900 | 1.4× |
| Mercy Hospital Jefferson | Festus, MO | $1,274 | $1,960 | $900 | 1.4× |
| Mercy Hospital Washington | Washington, MO | $1,274 | $1,960 | $900 | 1.4× |
| Mercy Hospital South | St. Louis, MO | $1,274 | $1,960 | $900 | 1.4× |
| Norton Hospital | Louisville, KY | $1,278 | $6,390 | $900 | 1.4× |
| Ascension Seton Hays range across 3 matching MRF lines |
Kyle, TX | $1,289.79–$2,735.46 | $3,582.75–$7,598.50 | $900 | varies |
| Mt Sinai Hospital Medical Center | Chicago, IL | $1,291.50 | $1,845 | $900 | 1.4× |
| Holy Cross Hospital | Chicago, IL | $1,291.50 | $1,845 | $900 | 1.4× |
| UCHealth University of Colorado Hospital | Aurora, CO | $1,294.53 | $3,698.63 | $900 | 1.4× |
| St. Catherine Hospital Inc range across 2 matching MRF lines |
East Chicago, IN | $1,294.80–$1,908 | $2,158–$3,180 | $900 | varies |
| St. Mary Medical Center Inc range across 2 matching MRF lines |
Hobart, IN | $1,294.80–$1,908 | $2,158–$3,180 | $900 | varies |
| Community Hospital range across 2 matching MRF lines |
Munster, IN | $1,294.80–$1,908 | $2,158–$3,180 | $900 | varies |
| Indiana University Health | Indianapolis, IN | $1,295.72 | $4,564 | $900 | 1.4× |
| Onvida Health Yuma Medical Center range across 2 matching MRF lines |
Yuma, AZ | $1,297.40–$2,189.20 | $1,996–$3,368 | $900 | varies |
| Baptist Memorial Hospital-Union County | New Albany, MS | $1,302.48 | $5,427 | $900 | 1.4× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $1,302.48 | $5,427 | $900 | 1.4× |
| Indiana University Health Bedford Hospital | Bedford, IN | $1,303.02 | $4,564 | $900 | 1.4× |
| Bronson Methodist Hospital | Kalamazoo, MI | $1,303.16 | $1,628.95 | $900 | 1.4× |
| Bronson Battle Creek Hospital | Battle Creek, MI | $1,303.16 | $1,628.95 | $900 | 1.4× |
| Bronson South Haven Hospital | South Haven, MI | $1,303.16 | $1,628.95 | $900 | 1.4× |
| Bronson Lakeview Hospital | Paw Paw, MI | $1,303.16 | $1,628.95 | $900 | 1.4× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $1,307.80 | $2,012 | $900 | 1.5× |
| Cleveland Clinic Hospital | Weston, FL | $1,307.80 | $2,012 | $900 | 1.5× |
| Ascension Seton Medical Center Austin | Austin, TX | $1,341.36 | $3,726 | $900 | 1.5× |
| Dell Seton Med Center at The University of Tx | Austin, TX | $1,341.36 | $3,726 | $900 | 1.5× |
| Ascension Seton Southwest | Austin, TX | $1,341.36 | $3,726 | $900 | 1.5× |
| Ascension Seton Northwest | Austin, TX | $1,341.36 | $3,726 | $900 | 1.5× |
| Ascension Seton Smithville range across 2 matching MRF lines |
Smithville, TX | $1,341.36–$2,735.46 | $3,726–$7,598.50 | $900 | varies |
| Cape Fear Valley Medical Center range across 2 matching MRF lines |
Fayetteville, NC | $1,350–$1,428 | $2,250–$2,380 | $900 | varies |
| Cape Fear Valley Betsy Johnson Hospital range across 2 matching MRF lines |
Dunn, NC | $1,350–$1,428 | $2,250–$2,380 | $900 | varies |
| Cape Fear Valley Hoke Hospital range across 2 matching MRF lines |
Raeford, NC | $1,350–$1,428 | $2,250–$2,380 | $900 | varies |
| Cape Fear Valley Bladen County Hospital range across 2 matching MRF lines |
Elizabethtown, NC | $1,350–$1,428 | $2,250–$2,380 | $900 | varies |
| M Health Fairview Lakes Medical Center range across 2 matching MRF lines |
Wyoming, MN | $1,363–$1,364.21 | $3,399–$3,402 | $900 | varies |
| M Health Fairview Southdale Hospital range across 2 matching MRF lines |
Edina, MN | $1,363–$1,364.21 | $3,399–$3,402 | $900 | varies |
| M Health Fairview University of Minnesota Medical Center range across 4 matching MRF lines |
Minneapolis, MN | $1,363–$1,364.21 | $3,399–$3,402 | $900 | varies |
| M Health Fairview Northland Medical Center range across 2 matching MRF lines |
Princeton, MN | $1,363–$1,364.21 | $3,399–$3,402 | $900 | varies |
| M Health Fairview St. John's Hospital range across 2 matching MRF lines |
Maplewood, MN | $1,363–$1,364.21 | $3,399–$3,402 | $900 | varies |
| M Health Fairview Woodwinds Hospital range across 2 matching MRF lines |
Woodbury, MN | $1,363–$1,364.21 | $3,399–$3,402 | $900 | varies |
| Virginia Mason Medical Center | Seattle, WA | $1,363.23 | $2,673 | $900 | 1.5× |
| Highland Hospital | Rochester, NY | $1,370.20 | — | $900 | 1.5× |
| Strong Memorial Hospital | Rochester, NY | $1,370.20 | — | $900 | 1.5× |
| Essentia Health-Sandstone | Sandstone, MN | $1,384.89 | $1,874 | $900 | 1.5× |
| Essentia Health-Ada | Ada, MN | $1,384.89 | $1,874 | $900 | 1.5× |
| Essentia Health-Holy Trinity Hospital | Graceville, MN | $1,384.89 | $1,874 | $900 | 1.5× |
| Essentia Health-Northern Pines | Aurora, MN | $1,384.89 | $1,874 | $900 | 1.5× |
| Essentia Health-Moose Lake | Moose Lake, MN | $1,384.89 | $1,874 | $900 | 1.5× |
| Essentia Health-Fosston | Fosston, MN | $1,384.89 | $1,874 | $900 | 1.5× |
| Essentia Health-Deer River | Deer River, MN | $1,384.89 | $1,874 | $900 | 1.5× |
| Essentia Health St. Mary's Hospital - Superior | Superior, WI | $1,384.89 | $1,874 | $900 | 1.5× |
| Ferrell Hospital Community Foundations | Eldorado, IL | $1,390.50 | $1,854 | $900 | 1.5× |
| F F Thompson Hospital | Canandaigua, NY | $1,392 | — | $900 | 1.5× |
| Indiana University Health White Memorial Hospital | Monticello, IN | $1,423.06 | $4,564 | $900 | 1.6× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Scott & White Hospital-round Rock | Round Rock, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $1,433.77 | $2,389.61 | $900 | 1.6× |
| Erlanger Baroness Hospital | Chattanooga, TN | $1,439.33 | $2,726 | $900 | 1.6× |
| M Health Fairview Ridges Hospital range across 2 matching MRF lines |
Burnsville, MN | $1,444.58–$1,445.85 | $3,399–$3,402 | $900 | varies |
| Dunes Surgical Hospital | Dakota Dunes, SD | $1,445.85 | — | $900 | 1.6× |
| Ascension Seton Highland Lakes | Burnet, TX | $1,454.22 | $4,039.50 | $900 | 1.6× |
| Ascension Seton Edgar B Davis | Luling, TX | $1,454.22 | $4,039.50 | $900 | 1.6× |
| Phelps Health Hospital | Rolla, MO | $1,460.69 | $2,086.70 | $900 | 1.6× |
| Osf Holy Family Medical Center range across 3 matching MRF lines |
Monmouth, IL | $1,476–$2,196.80 | $1,845–$2,746 | $900‡ | varies |
| St. Louis Children’s Hospital | St. Louis, MO | $1,480.80 | $2,468 | $900 | 1.6× |
| Christian Hospital | St. Louis, MO | $1,484.40 | $2,474 | $900 | 1.6× |
| Alton Memorial Hospital | Alton, IL | $1,484.40 | $2,474 | $900 | 1.6× |
| St. Johns Hospital | Springfield, IL | $1,490.40 | $2,070 | $900 | 1.7× |
| Union General Hospital | Farmerville, LA | $1,494 | $1,992 | $900 | 1.7× |
| Bridgeport Hospital | Bridgeport, CT | $1,524.12 | $2,931 | $900 | 1.7× |
| Greenwich Hospital | Greenwich, CT | $1,524.12 | $2,931 | $900 | 1.7× |
| Essentia Health Fargo | Fargo, ND | $1,530 | $2,040 | $900 | 1.7× |
| OSF St. Francis Hospital range across 4 matching MRF lines |
Escanaba, MI | $1,572–$5,864 | $1,965–$7,330 | $900‡ | varies |
| Mercy Hospital Springfield | Springfield, MO | $1,592.50 | $2,450 | $900 | 1.8× |
| WinnMed | Decorah, IA | $1,608.60 | $2,298 | $900 | 1.8× |
| UNC Health Johnston | Smithfield, NC | $1,616.40 | $2,694 | $900 | 1.8× |
| Ascension St. Vincent Evansville | Evansville, IN | $1,632.60 | $2,721 | $900 | 1.8× |
| Tufts Medical Center | Boston, MA | $1,666 | $2,380 | $900 | 1.9× |
| Manning Family Children's | New Orleans, LA | $1,678.86 | $6,218 | $900 | 1.9× |
| Barnes-Jewish Hospital | St. Louis, MO | $1,680 | $2,800 | $900 | 1.9× |
| War Memorial Hospital | Berkeley Springs, WV | $1,682.80 | $2,404 | $900 | 1.9× |
| Hampshire Memorial Hospital | Romney, WV | $1,682.80 | $2,404 | $900 | 1.9× |
| Winchester Medical Center | Winchester, VA | $1,682.80 | $2,404 | $900 | 1.9× |
| Warren Memorial Hospital | Front Royal, VA | $1,682.80 | $2,404 | $900 | 1.9× |
| Shenandoah Memorial Hospital | Woodstock, VA | $1,682.80 | $2,404 | $900 | 1.9× |
| Page Memorial Hospital | Luray, VA | $1,682.80 | $2,404 | $900 | 1.9× |
| Monroe Surgical Hospital | Monroe, LA | $1,687.50 | $2,250 | $900 | 1.9× |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | $1,718.80 | $4,564 | $900 | 1.9× |
| Mount Carmel St. Ann's | Westerville, OH | $1,725.75 | $2,655 | $900 | 1.9× |
| Mount Carmel East | Columbus, OH | $1,725.75 | $2,655 | $900 | 1.9× |
| Mount Carmel Dublin Hospital | Dublin, OH | $1,725.75 | $2,655 | $900 | 1.9× |
| Nationwide Children's Hospital | Columbus, OH | $1,730.70 | $1,923 | $900 | 1.9× |
| Indiana University Health Paoli Hospital | Paoli, IN | $1,751.21 | $4,564 | $900 | 1.9× |
| Franciscan Health Indianapolis | Indianapolis, IN | $1,752.83 | $7,588 | $900 | 1.9× |
| Nicholas H Noyes Memorial Hospital | Dansville, NY | $1,755 | — | $900 | 2.0× |
| Dundy County Hospital | Benkelman, NE | $1,760 | $1,955 | $900 | 2.0× |
| SSM Health Saint Louis University Hospital range across 2 matching MRF lines |
St. Louis, MO | $1,787.50–$3,630 | $3,250–$6,600 | $900 | varies |
| INTEGRIS Health Woodward | Woodward, OK | $1,829 | $9,145 | $900 | 2.0× |
| INTEGRIS Health Ponca City | Ponca City, OK | $1,829 | $9,145 | $900 | 2.0× |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $1,829.88 | $7,038 | $900 | 2.0× |
| Indiana University Health Frankfort Inc | Frankfort, IN | $1,842.94 | $4,564 | $900 | 2.0× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $1,843.50 | $4,096.65 | $900 | 2.0× |
| Ascension St. Vincent Kokomo | Kokomo, IN | $1,849.20 | $3,082 | $900 | 2.1× |
| Houston Methodist Hospital | Houston, TX | $1,854 | $3,708 | $900 | 2.1× |
| Houston Methodist Baytown Hospital | Baytown, TX | $1,854 | $3,708 | $900 | 2.1× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $1,854 | $3,708 | $900 | 2.1× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $1,854 | $3,708 | $900 | 2.1× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $1,854 | $3,708 | $900 | 2.1× |
| Houston Methodist West Hospital | Houston, TX | $1,854 | $3,708 | $900 | 2.1× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $1,854 | $3,708 | $900 | 2.1× |
| Houston Methodist Cypress Hospital | Cypress, TX | $1,854 | $3,708 | $900 | 2.1× |
| Lake Charles Memorial Hospital | Lake Charles, LA | $1,898.40 | $3,164 | $900 | 2.1× |
| Erlanger Western Carolina Hospital | Murphy, NC | $1,908.20 | $2,726 | $900 | 2.1× |
| Franciscan Health Mooresville | Mooresville, IN | $1,927.35 | $7,588 | $900 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $1,927.80 | — | $900 | 2.1× |
| St. Mary's Regional Medical Center | Enid, OK | $1,952.40 | $4,881 | $900 | 2.2× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $1,968.50 | $3,937 | $900 | 2.2× |
| UNM Hospital | Albuquerque, NM | $1,975.05 | $3,591 | $900 | 2.2× |
| The University of Chicago Medical Center | Chicago, IL | $1,993 | $1,993 | $900 | 2.2× |
| Ucsf Medical Center | San Francisco, CA | $2,000.40 | $6,668 | $900 | 2.2× |
| St. Nicholas Hospital | Sheboygan, WI | $2,001.78 | $3,033 | $900 | 2.2× |
| St. Vincent Hospital | Green Bay, WI | $2,001.78 | $3,033 | $900 | 2.2× |
| St. Marys Hospital Medical Ctr | Green Bay, WI | $2,001.78 | $3,033 | $900 | 2.2× |
| Seattle Children's Hospital | Seattle, WA | $2,019.50 | $2,019.50 | $900 | 2.2× |
| Iu Health Jay | Portland, IN | $2,041.93 | $4,564 | $900 | 2.3× |
| Ascension St. Vincent Jennings | North Vernon, IN | $2,053.80 | $3,423 | $900 | 2.3× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital | San Rafael, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $2,055.20 | $3,670 | $900 | 2.3× |
| Ascension St. Vincent Carmel | Carmel, IN | $2,056.80 | $3,428 | $900 | 2.3× |
| Bristol Hospital | Bristol, CT | $2,079 | $3,780 | $900 | 2.3× |
| Rochelle Community Hospital | Rochelle, IL | $2,107 | $2,107 | $900 | 2.3× |
| Hammond Henry Hospital | Geneseo, IL | $2,154.60 | $2,394 | $900 | 2.4× |
| Dana-Farber Cancer Institute | Boston, MA | $2,156.25 | $2,875 | $900 | 2.4× |
| Willis Knighton North range across 8 matching MRF lines |
Shreveport, LA | $2,160–$3,898.40 | $2,700–$4,873 | $900 | varies |
| Children's Hospital Colorado range across 2 matching MRF lines |
Aurora, CO | $2,237.95–$3,182.40 | $3,443–$4,896 | $900 | varies |
| Children's Hospital Colorado - Colorado Springs range across 2 matching MRF lines |
Colorado Springs, CO | $2,237.95–$3,182.40 | $3,443–$4,896 | $900 | varies |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $2,291.80 | $3,274 | $900 | 2.5× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $2,291.80 | $3,274 | $900 | 2.5× |
| Thomas Memorial Hospital | South Charleston, WV | $2,298 | $4,596 | $900 | 2.6× |
| UNC Health Blue Ridge – Morganton | Morganton, NC | $2,316.60 | $3,861 | $900 | 2.6× |
| Harrisburg Medical Center | Harrisburg, IL | $2,335.20 | $2,919 | $900 | 2.6× |
| St. Joseph Memorial Hospital | Murphysboro, IL | $2,335.20 | $2,919 | $900 | 2.6× |
| Harborview Medical Center | Seattle, WA | $2,345.07 | $3,350.10 | $900 | 2.6× |
| Dayton Children's Hospital | Dayton, OH | $2,421.30 | $3,459 | $900 | 2.7× |
| Stillwater Medical Center | Stillwater, OK | $2,469.60 | $3,087 | $900 | 2.7× |
| Stillwater Medical - Perry | Perry, OK | $2,469.60 | $3,087 | $900 | 2.7× |
| Stillwater Medical-blackwell | Blackwell, OK | $2,469.60 | $3,087 | $900 | 2.7× |
| UW Medical Center | Seattle, WA | $2,532.68 | $3,618.11 | $900 | 2.8× |
| ThedaCare Regional Medical Center - Neenah Inc | Neenah, WI | $2,541.06 | $4,537.60 | $900 | 2.8× |
| ThedaCare Regional Medical Center - Appleton Inc | Appleton, WI | $2,541.06 | $4,537.60 | $900 | 2.8× |
| ThedaCare Medical Center - Wild Rose Inc | Wild Rose, WI | $2,541.06 | $4,537.60 | $900 | 2.8× |
| ThedaCare Medical Center New London | New London, WI | $2,541.06 | $4,537.60 | $900 | 2.8× |
| ThedaCare Medical Center - Waupaca Inc | Waupaca, WI | $2,541.06 | $4,537.60 | $900 | 2.8× |
| ThedaCare Medical Center - Shawano Inc | Shawano, WI | $2,541.06 | $4,537.60 | $900 | 2.8× |
| ThedaCare Medical Center - Berlin Inc | Berlin, WI | $2,541.06 | $4,537.60 | $900 | 2.8× |
| Salem Hospital | Salem, OR | $2,550.36 | $4,812 | $900 | 2.8× |
| Salem Health West Valley | Dallas, OR | $2,550.36 | $4,812 | $900 | 2.8× |
| Bellin Memorial Hospital | Green Bay, WI | $2,604.38 | $5,625 | $900 | 2.9× |
| Dell Children's Medical Center range across 2 matching MRF lines |
Austin, TX | $2,608.20–$5,318.95 | $3,726–$7,598.50 | $900 | varies |
| Lahey Hospital & Medical Center | Burlington, MA | $2,612 | $2,612 | $900 | 2.9× |
| Norman Regional range across 2 matching MRF lines |
Norman, OK | $2,614.20–$4,391.40 | $4,357–$7,319 | $900 | varies |
| Newark-Wayne Community Hospital | Newark, NY | $2,638.16 | $4,058.70 | $900 | 2.9× |
| United Memorial Medical Center | Batavia, NY | $2,638.16 | $4,058.70 | $900 | 2.9× |
| Rochester General Hospital | Rochester, NY | $2,638.16 | $4,058.70 | $900 | 2.9× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $2,638.16 | $4,058.70 | $900 | 2.9× |
| Boca Raton Regional Hospital | Boca Raton, FL | $2,643.55 | $4,067 | $900 | 2.9× |
| UnityPoint Health - Meriter | Madison, WI | $2,673.48 | $3,341.85 | $900 | 3.0× |
| Jackson County Memorial Hospital Authority | Altus, OK | $2,700 | $2,700 | $900 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $2,700 | — | $900 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $2,700 | — | $900 | 3.0× |
| Harmon Memorial Hospital | Hollis, OK | $2,700 | $2,700 | $900 | 3.0× |
| MedStar Washington Hospital Center | Washington, DC | $2,731.05 | $4,201.62 | $900 | 3.0× |
| Trinity Hospitals | Minot, ND | $2,744 | $3,430 | $900 | 3.0× |
| Kenmare Community Hospital | Kenmare, ND | $2,744 | $3,430 | $900 | 3.0× |
| Wetzel County Hospital | New Martinsville, WV | $2,807 | $5,614 | $900 | 3.1× |
| Doctors Hospital | Augusta, GA | $2,807.20 | $2,807.20 | $900 | 3.1× |
| Erie County Medical Center | Buffalo, NY | $2,810.23 | — | $900 | 3.1× |
| Danbury Hospital | Danbury, CT | $2,817 | $2,817 | $900 | 3.1× |
| Norwalk Hospital | Norwalk, CT | $2,817 | $2,817 | $900 | 3.1× |
| Ann & Robert H Lurie Childrens Hospital of Chicago | Chicago, IL | $2,883.30 | $4,119 | $900 | 3.2× |
| Maniilaq Health Center | Kotzebue, AK | $2,923 | $2,923 | $900 | 3.2× |
| Piedmont Newton | Covington, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Walton | Monroe, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Athens Regional | Athens, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Atlanta | Atlanta, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Rockdale | Conyers, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Henry Hospital | Stockbridge, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Columbus Regional Northside | Columbus, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Fayette | Fayetteville, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Mountainside | Jasper, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Piedmont Newnan | Newnan, GA | $2,971.12 | $9,903.75 | $900 | 3.3× |
| Westover Hills Baptist Hospital | San Antonio, TX | $2,994 | $3,992 | $900 | 3.3× |
| Piedmont Cartersville Medical Center | Cartersville, GA | $3,127.50 | $10,425 | $900 | 3.5× |
| Piedmont Macon Medical Center | Macon, GA | $3,127.50 | $10,425 | $900 | 3.5× |
| Piedmont Eastside | Snellville, GA | $3,127.50 | $10,425 | $900 | 3.5× |
| Piedmont Macon North | Macon, GA | $3,127.50 | $10,425 | $900 | 3.5× |
| MultiCare Deaconess Hospital | Spokane, WA | $3,220.40 | $8,051 | $900 | 3.6× |
| MultiCare Valley Hospital | Spokane, WA | $3,220.40 | $8,051 | $900 | 3.6× |
| Berger Hospital | Circleville, OH | $3,234.40 | $4,976 | $900 | 3.6× |
| Southeastern Medical Center | Cambridge, OH | $3,234.40 | $4,976 | $900 | 3.6× |
| Akron Children's Hospital | Akron, OH | $3,236.25 | $4,315 | $900 | 3.6× |
| Unity Hospital of Rochester | Rochester, NY | $3,246.96 | $4,058.70 | $900 | 3.6× |
| Unity Specialty Hospital | Rochester, NY | $3,246.96 | $4,058.70 | $900 | 3.6× |
| Fred Hutch Cancer Center | Seattle, WA | $3,256.30 | $3,618.11 | $900 | 3.6× |
| Maimonides Medical Center | Brooklyn, NY | $3,300 | $3,300 | $900 | 3.7× |
| ProMedica Monroe Regional Hospital | Monroe, MI | $3,326.70 | $5,118 | $900 | 3.7× |
| Beebe Medical Center | Lewes, DE | $3,355.80 | $3,948 | $900 | 3.7× |
| University Medical Center range across 2 matching MRF lines |
Lubbock, TX | $3,375–$4,716 | $3,375–$4,716 | $900 | varies |
| Elliot Hospital | Manchester, NH | $3,406.22 | $9,206 | $900 | 3.8× |
| Marion General Hospital | Marion, OH | $3,570.45 | $5,493 | $900 | 4.0× |
| Riverside Methodist Hospital | Columbus, OH | $3,700.45 | $5,693 | $900 | 4.1× |
| Grant Medical Center | Columbus, OH | $3,700.45 | $5,693 | $900 | 4.1× |
| Doctors Hospital | Columbus, OH | $3,700.45 | $5,693 | $900 | 4.1× |
| Dublin Methodist Hospital | Dublin, OH | $3,700.45 | $5,693 | $900 | 4.1× |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $3,749.90 | $6,818 | $900 | 4.2× |
| Hoopeston Community Memorial Hospital | Hoopeston, IL | $3,770 | $3,770 | $900 | 4.2× |
| OhioHealth Mansfield Hospital | Mansfield, OH | $3,790.80 | $5,832 | $900 | 4.2× |
| OhioHealth Shelby Hospital | Shelby, OH | $3,790.80 | $5,832 | $900 | 4.2× |
| Memorial Satilla Health | Waycross, GA | $3,806.50 | $3,806.50 | $900 | 4.2× |
| Wesley Medical Center | Wichita, KS | $3,849 | $3,849 | $900 | 4.3× |
| Insight Hospital and Medical Center Coldwater | Coldwater, MI | $3,897.60 | $4,872 | $900 | 4.3× |
| Sharon Hospital | Sharon, CT | $3,920 | $3,920 | $900 | 4.4× |
| Vassar Brothers Medical Center | Poughkeepsie, NY | $3,920 | $3,920 | $900 | 4.4× |
| Northern Dutchess Hospital | Rhinebeck, NY | $3,920 | $3,920 | $900 | 4.4× |
| Putnam Hospital Center | Carmel, NY | $3,920 | $3,920 | $900 | 4.4× |
| Osf Sacred Heart Medical Center | Danville, IL | $3,984.60 | $6,641 | $900 | 4.4× |
| Osf Heart of Mary Medical Center | Urbana, IL | $3,984.60 | $6,641 | $900 | 4.4× |
| ProMedica Toledo Hospital | Toledo, OH | $3,989.05 | $6,137 | $900 | 4.4× |
| Cleveland Clinic | Cleveland, OH | $4,036.50 | $6,210 | $900 | 4.5× |
| Box Butte General Hospital | Alliance, NE | $4,089.60 | $4,544 | $900 | 4.5× |
| Alaska Native Medical Center | Anchorage, AK | $4,095 | $4,095 | $900 | 4.6× |
| Ogden Regional Medical Center | Ogden, UT | $4,095.52 | $4,095.52 | $900 | 4.6× |
| Baptist Health Hardin | Elizabethtown, KY | $4,099.64 | $5,466.19 | $900 | 4.6× |
| Baptist Health Richmond | Richmond, KY | $4,099.64 | $5,466.19 | $900 | 4.6× |
| Baptist Health Corbin | Corbin, KY | $4,099.64 | $5,466.19 | $900 | 4.6× |
| Baptist Health Lexington | Lexington, KY | $4,099.64 | $5,466.19 | $900 | 4.6× |
| Baptist Health Paducah | Paducah, KY | $4,099.64 | $5,466.19 | $900 | 4.6× |
| Baptist Health Louisville | Louisville, KY | $4,099.64 | $5,466.19 | $900 | 4.6× |
| Baptist Health La Grange | La Grange, KY | $4,099.64 | $5,466.19 | $900 | 4.6× |
| Baptist Health Floyd | New Albany, IN | $4,099.64 | $5,466.19 | $900 | 4.6× |
| Alta Vista Regional Hospital | Las Vegas, NM | $4,132.21 | $8,264.42 | $900 | 4.6× |
| St. Joseph Medical Center | Bloomington, IL | $4,185.60 | $6,976 | $900 | 4.7× |
| Van Wert Hospital | Van Wert, OH | $4,333.55 | $6,667 | $900 | 4.8× |
| Hardin Memorial Hospital | Kenton, OH | $4,457.05 | $6,857 | $900 | 5.0× |
| Lucile Salter Packard Children's Hsp at Stanford range across 3 matching MRF lines |
Palo Alto, CA | $4,459–$5,549 | $62.40–$11,098 | $900 | varies |
| St. Mary Medical Center | Galesburg, IL | $4,584 | $7,640 | $900 | 5.1× |
| Gundersen Tri-county Hospital and Clinics | Whitehall, WI | $4,650.39 | $7,335 | $900 | 5.2× |
| Grady Memorial Hospital | Delaware, OH | $4,975.75 | $7,655 | $900 | 5.5× |
| Osf Saint Elizabeth Medical Center | Peru, IL | $4,978.80 | $8,298 | $900 | 5.5× |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $5,079.25 | $9,235 | $900 | 5.6× |
| Saint Anthony Medical Center | Rockford, IL | $5,089.20 | $8,482 | $900 | 5.7× |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $5,252.50 | $9,550 | $900 | 5.8× |
| Southwest Health Center | Platteville, WI | $5,282.25 | $7,043 | $900 | 5.9× |
| Saint Francis Medical Center | Peoria, IL | $5,299.20 | $8,832 | $900 | 5.9× |
| OhioHealth O'Bleness Hospital | Athens, OH | $5,374.20 | $8,268 | $900 | 6.0× |
| Methodist Hospital | Atascosa | Jourdanton, TX | $5,561.27 | $5,561.27 | $900 | 6.2× |
| Methodist Hospital | San Antonio, TX | $5,561.27 | $5,561.27 | $900 | 6.2× |
| Methodist Hospital Stone Oak | San Antonio, TX | $5,561.27 | $5,561.27 | $900 | 6.2× |
| Osf Little Company of Mary Medical Center | Evergreen Park, IL | $5,657.40 | $9,429 | $900 | 6.3× |
| Eastern Idaho Regional Medical Center | Idaho Falls, ID | $5,692.78 | $5,692.78 | $900 | 6.3× |
| Memorial Health University Medical Center | Savannah, GA | $6,062 | $6,062 | $900 | 6.7× |
| Corpus Christi Medical Center,the | Corpus Christi, TX | $6,457.02 | $6,457.02 | $900 | 7.2× |
| Marshfield Medical Center - Rice Lake | Rice Lake, WI | $7,231.40 | $7,612 | $900 | 8.0× |
| Marshfield Medical Center | Marshfield, WI | $7,231.40 | $7,612 | $900 | 8.0× |
| Marshfield Medical Center - Weston | Weston, WI | $7,231.40 | $7,612 | $900 | 8.0× |
| Marshfield Medical Center - Eau Claire | Eau Claire, WI | $7,231.40 | $7,612 | $900 | 8.0× |
| Marshfield Medical Center - Minocqua | Minocqua, WI | $7,231.40 | $7,612 | $900 | 8.0× |
| Marshfield Medical Center - Neillsville | Neillsville, WI | $7,231.40 | $7,612 | $900 | 8.0× |
| Marshfield Medical Center - Park Falls | Park Falls, WI | $7,231.40 | $7,612 | $900 | 8.0× |
| Marshfield Medical Center - Ladysmith | Ladysmith, WI | $7,231.40 | $7,612 | $900 | 8.0× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $7,404.75 | $7,404.75 | $900 | 8.2× |
| Northside Hospital Forsyth | Cumming, GA | $7,413.75 | $9,885 | $900 | 8.2× |
| Northside Hospital Cherokee | Canton, GA | $7,413.75 | $9,885 | $900 | 8.2× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $7,413.75 | $9,885 | $900 | 8.2× |
| Northside Hospital Atlanta | Atlanta, GA | $7,413.75 | $9,885 | $900 | 8.2× |
| Northside Hospital Duluth | Duluth, GA | $7,413.75 | $9,885 | $900 | 8.2× |
| Saint James Hospital | Pontiac, IL | $7,576.80 | $9,471 | $900 | 8.4× |
| AdventHealth Orlando | Orlando, FL | $9,221 | $9,221 | $900 | 10.2× |
| Medical City Las Colinas | Irving, TX | $9,851.34 | $9,851.34 | $900 | 10.9× |
| Coralvita Richardson | Richardson, TX | $10,395 | $10,395 | $900‡ | 11.6× |
| AdventHealth Ottawa | Ottawa, KS | $10,884.62 | $10,884.62 | $900 | 12.1× |
| AdventHealth Shawnee Mission | Shawnee Mission, KS | $10,884.62 | $10,884.62 | $900 | 12.1× |
| AdventHealth South Overland Park, Inc | Overland Park, KS | $10,884.62 | $10,884.62 | $900 | 12.1× |
| Marshfield Medical Center - Beaver Dam | Beaver Dam, WI | $11,208.10 | $11,798 | $900 | 12.5× |
| AdventHealth Carrollwood | Tampa, FL | $13,891.50 | $13,891.50 | $900 | 15.4× |
| HCA HealthOne Rose Medical Center | Denver, CO | $15,584 | $15,584 | $900 | 17.3× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $15,989.10 | $15,989.10 | $900 | 17.8× |
| St. David's Medical Center | Austin, TX | $16,296 | $16,296 | $900 | 18.1× |
| Medical City Dallas | Dallas, TX | $16,770.84 | $16,770.84 | $900 | 18.6× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $20,919.56 | $20,919.56 | $900 | 23.2× |
| Prairie Lakes Hospital | Watertown, SD | — | $1,143 | $900 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $1,855 | $900 | — |
| The Medical Center at Bowling Green range across 3 matching MRF lines |
Bowling Green, KY | — | $2,019–$3,300 | $900 | — |
| The Medical Center at Russellville range across 3 matching MRF lines |
Russellville, KY | — | $2,019–$3,300 | $900 | — |
| The Medical Center at Caverna range across 3 matching MRF lines |
Horse Cave, KY | — | $2,019–$3,300 | $900 | — |
| The Medical Center at Franklin range across 3 matching MRF lines |
Franklin, KY | — | $2,019–$3,300 | $900 | — |
| The Medical Center at Scottsville range across 3 matching MRF lines |
Scottsville, KY | — | $2,019–$3,300 | $900 | — |
| The Medical Center at Albany range across 3 matching MRF lines |
Albany, KY | — | $2,019–$3,300 | $900 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $2,486.54 | $900 | — |
| Ottumwa Regional Health Center | Ottumwa, IA | — | $2,656.38 | $900 | — |
| Intermountain Health St. Vincent Regional Hospital | Billings, MT | — | $2,686.50 | $900 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $2,752.14 | $900 | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $3,601 | $900 | — |
| Holy Rosary Healthcare | Miles City, MT | — | $4,536 | $900 | — |
| St. Jude Children's Research Hospital | Memphis, TN | — | $4,950 | $900 | — |
| Children's Nebraska | Omaha, NE | — | $5,684 | $900 | — |
| Intermountain Health St. James Hospital | Butte, MT | — | $5,807.25 | $900 | — |
| Tallahatchie General Hospital | Charleston, MS | — | $5,925 | $900 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $6,488.85 | $900 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $6,514.28 | $900 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $6,596.01 | $900 | — |
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.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.