Hla ii typing 1 locus lr (CPT 81376)
81376 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.
768 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Baptist Hospital | Pensacola, FL | $7.69 | $51.25 | $122.22 | 0.1× |
| Gulf Breeze Hospital | Gulf Breeze, FL | $7.69 | $51.25 | $122.22 | 0.1× |
| Jay Hospital | Jay, FL | $7.69 | $51.25 | $122.22 | 0.1× |
| Banner Heart Hospital | Mesa, AZ | $24.59 | $367 | $122.22 | 0.2× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $25.40 | $254 | $122.22 | 0.2× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $29.60 | $80 | $122.22 | 0.2× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $29.60 | $80 | $122.22 | 0.2× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $29.60 | $80 | $122.22 | 0.2× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $29.60 | $80 | $122.22 | 0.2× |
| Tampa General Hospital | Tampa, FL | $30.62 | $87.50 | $122.22 | 0.3× |
| Lee Memorial Hospital | Fort Myers, FL | $31.60 | $158 | $122.22 | 0.3× |
| Gulf Coast Medical Center | Fort Myers, FL | $31.60 | $158 | $122.22 | 0.3× |
| Cape Coral Hospital | Cape Coral, FL | $31.60 | $158 | $122.22 | 0.3× |
| Baldwin Health | Foley, AL | $32.11 | $178.41 | $122.22 | 0.3× |
| University Medical Center of El Paso | El Paso, TX | $32.55 | $162.75 | $122.22 | 0.3× |
| Novant Health Pender Medical Center | Burgaw, NC | $33.75 | $75 | $122.22 | 0.3× |
| Novant Health Rowan Medical Center | Salisbury, NC | $37.50 | $75 | $122.22 | 0.3× |
| Novant Health Brunswick Medical Center | Bolivia, NC | $37.50 | $75 | $122.22 | 0.3× |
| Novant Health Matthews Medical Center | Matthews, NC | $37.50 | $75 | $122.22 | 0.3× |
| Novant Health Huntersville Medical Center | Huntersville, NC | $37.50 | $75 | $122.22 | 0.3× |
| Novant Health Mint Hill Medical Center | Charlotte, NC | $37.50 | $75 | $122.22 | 0.3× |
| Novant Health Ballantyne Medical Center | Charlotte, NC | $37.50 | $75 | $122.22 | 0.3× |
| Grandview Medical Center | Birmingham, AL | $39.45 | $263 | $122.22 | 0.3× |
| Wayne Memorial Hospital | Jesup, GA | $40 | $80 | $122.22 | 0.3× |
| Memorial Regional Hospital | Hollywood, FL | $40.60 | $58 | $122.22 | 0.3× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $40.60 | $58 | $122.22 | 0.3× |
| Memorial Hospital West | Pembroke Pines, FL | $40.60 | $58 | $122.22 | 0.3× |
| Memorial Hospital Miramar | Miramar, FL | $40.60 | $58 | $122.22 | 0.3× |
| UT Health East Texas Tyler Regional Hospital | Tyler, TX | $43.80 | $438 | $122.22 | 0.4× |
| Novant Health Thomasville Medical Center | Thomasville, NC | $45 | $75 | $122.22 | 0.4× |
| Novant Health Medical Park Hospital | Winston-Salem, NC | $45 | $75 | $122.22 | 0.4× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $45.50 | $60.67 | $122.22 | 0.4× |
| Florida Coast Medical Center | Port St. Lucie, FL | $45.50 | $60.67 | $122.22 | 0.4× |
| Holy Cross Hospital | Fort Lauderdale, FL | $46.45 | $71.46 | $122.22 | 0.4× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $48.84 | $222 | $122.22 | 0.4× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $48.84 | $222 | $122.22 | 0.4× |
| Novant Health Presbyterian Medical Center | Charlotte, NC | $50 | $100 | $122.22 | 0.4× |
| Memorial Hospital Gulfport | Gulfport, MS | $50.23 | $71.75 | $122.22 | 0.4× |
| Memorial Hospital Biloxi | Biloxi, MS | $50.23 | $71.75 | $122.22 | 0.4× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $51.01 | $367 | $122.22 | 0.4× |
| Mississippi Baptist Medical Center | Jackson, MS | $51.45 | $245 | $122.22 | 0.4× |
| Naples Community Hospital | Naples, FL | $53.60 | $134 | $122.22 | 0.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $122.22 | 0.4× |
| Jackson Hospital | Marianna, FL | $56.50 | $84 | $122.22 | 0.5× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $56.73 | $91.50 | $122.22 | 0.5× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $56.73 | $91.50 | $122.22 | 0.5× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $56.73 | $91.50 | $122.22 | 0.5× |
| Marion General Hospital | Columbia, MS | $57.12 | $285.56 | $122.22 | 0.5× |
| Summit Medical Center | Casper, WY | $57.81 | $141 | $122.22 | 0.5× |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $57.99 | $367 | $122.22 | 0.5× |
| Novant Health Forsyth Medical Center | Winston-Salem, NC | $60 | $100 | $122.22 | 0.5× |
| St. Mary's Medical Center | West Palm Beach, FL | $62.63 | $83.50 | $122.22 | 0.5× |
| Touro | New Orleans, LA | $63.42 | $453 | $122.22 | 0.5× |
| Fitzgibbon Hospital | Marshall, MO | $64.68 | $80.85 | $122.22 | 0.5× |
| Baptist Beaumont Hospital | Beaumont, TX | $64.87 | $499 | $122.22 | 0.5× |
| Banner Gateway Medical Center | Gilbert, AZ | $64.96 | $367 | $122.22 | 0.5× |
| Banner Del E. Webb Medical Center | Sun City West, AZ | $65.33 | $367 | $122.22 | 0.5× |
| NEA Baptist Memorial Hospital | Jonesboro, AR | $65.36 | $344 | $122.22 | 0.5× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $66 | $165 | $122.22 | 0.5× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $66 | $165 | $122.22 | 0.5× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $66 | $165 | $122.22 | 0.5× |
| JPS Health Network | Fort Worth, TX | $67.80 | $113 | $122.22 | 0.6× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $67.80 | $452 | $122.22 | 0.6× |
| East Jefferson General Hospital | Metairie, LA | $68.46 | $489 | $122.22 | 0.6× |
| Banner Estrella Medical Center | Phoenix, AZ | $68.63 | $367 | $122.22 | 0.6× |
| Baptist Health Medical Center-Arkadelphia | Arkadelphia, AR | $71.24 | $284.96 | $122.22 | 0.6× |
| Medical Center Enterprise | Enterprise, AL | $71.28 | $791.99 | $122.22 | 0.6× |
| CHRISTUS Santa Rosa Medical Center | San Antonio, TX | $74.58 | $226 | $122.22 | 0.6× |
| Columbus Community Hospital | Columbus, TX | $75 | $100 | $122.22 | 0.6× |
| Baptist Health Medical Center-North Little Rock | North Little Rock, AR | $77.48 | $309.92 | $122.22 | 0.6× |
| Baptist Health Medical Center-Conway | Conway, AR | $77.48 | $309.92 | $122.22 | 0.6× |
| Baptist Health Medical Center-Magnolia | Magnolia, AR | $77.48 | $309.92 | $122.22 | 0.6× |
| Poplar Bluff Regional Medical Center | Poplar Bluff, MO | $77.52 | $369.11 | $122.22 | 0.6× |
| Norton Hospital | Louisville, KY | $77.80 | $389 | $122.22 | 0.6× |
| Mease Dunedin Hospital | Dunedin, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| Winter Haven Hospital | Winter Haven, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| St. Anthony's Hospital | Saint Petersburg, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| St. Joseph's Hospital | Tampa, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| Bartow Regional Medical Center | Bartow, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| Morton Plant Hospital | Clearwater, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| South Florida Baptist Hospital | Plant City, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| Mease Countryside Hospital | Safety Harbor, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $78.90 | $131.50 | $122.22 | 0.6× |
| University of Texas Health Science Center at Tyler | Tyler, TX | $79.50 | $795 | $122.22 | 0.7× |
| Banner Thunderbird Medical Center | Glendale, AZ | $79.64 | $367 | $122.22 | 0.7× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $79.72 | $379.60 | $122.22 | 0.7× |
| Forrest General Hospital | Hattiesburg, MS | $79.96 | $285.56 | $122.22 | 0.7× |
| Walthall General Hospital | Tylertown, MS | $79.96 | $285.56 | $122.22 | 0.7× |
| Bsa Hospital | Amarillo, TX | $80 | $800 | $122.22 | 0.7× |
| Banner Baywood Medical Center | Mesa, AZ | $80.01 | $367 | $122.22 | 0.7× |
| Permian Regional Medical Center Andrews County Ho | Andrews, TX | $82 | $164 | $122.22 | 0.7× |
| Banner Boswell Medical Center | Sun City, AZ | $83.31 | $367 | $122.22 | 0.7× |
| University Health Truman Medical Center | Kansas City, MO | $83.58 | $151.97 | $122.22 | 0.7× |
| University Health Lakewood Medical Center | Kansas City, MO | $83.58 | $151.97 | $122.22 | 0.7× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $84.80 | $212 | $122.22 | 0.7× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $84.80 | $212 | $122.22 | 0.7× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $84.80 | $212 | $122.22 | 0.7× |
| Orlando Health South Lake Hospital | Clermont, FL | $84.80 | $212 | $122.22 | 0.7× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $84.80 | $212 | $122.22 | 0.7× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $84.80 | $212 | $122.22 | 0.7× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $84.80 | $212 | $122.22 | 0.7× |
| Banner – University Medical Center South | Tucson, AZ | $85.84 | $502 | $122.22 | 0.7× |
| USA Health University Hospital | Mobile, AL | $86 | $86 | $122.22 | 0.7× |
| USA Health Providence Hospital | Mobile, AL | $86 | $86 | $122.22 | 0.7× |
| USA Health Children's & Women's Hospital | Mobile, AL | $86 | $86 | $122.22 | 0.7× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $86 | $344 | $122.22 | 0.7× |
| Baptist Memorial Hospital-Union City | Union City, TN | $87.60 | $438 | $122.22 | 0.7× |
| Cumberland Medical Center | Crossville, TN | $88.97 | $287 | $122.22 | 0.7× |
| Covenant Health Morristown-Hamblen | Morristown, TN | $88.97 | $287 | $122.22 | 0.7× |
| Covenant Health Roane | Harriman, TN | $88.97 | $287 | $122.22 | 0.7× |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $88.97 | $287 | $122.22 | 0.7× |
| Covenant Health LeConte | Sevierville, TN | $88.97 | $287 | $122.22 | 0.7× |
| Fort Sanders Regional Medical Center | Knoxville, TN | $88.97 | $287 | $122.22 | 0.7× |
| Banner Ironwood Medical Center | Queen Creek, AZ | $89.91 | $367 | $122.22 | 0.7× |
| Foothills Hospital | Boulder, CO | $90 | $180 | $122.22 | 0.7× |
| Parkwest Medical Center | Knoxville, TN | $90.60 | $302 | $122.22 | 0.7× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $91.52 | $416 | $122.22 | 0.7× |
| Covenant Health Fort Loudoun | Lenoir City, TN | $91.84 | $287 | $122.22 | 0.8× |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $92.72 | $253 | $122.22 | 0.8× |
| Bon Secours St. Francis Hospital | Charleston, SC | $92.95 | $143 | $122.22 | 0.8× |
| Roper Hospital | Charleston, SC | $92.95 | $143 | $122.22 | 0.8× |
| Roper St. Francis Mount Pleasant Hospital | Mount Pleasant, SC | $92.95 | $143 | $122.22 | 0.8× |
| Roper St. Francis Berkeley Hospital | Summerville, SC | $92.95 | $143 | $122.22 | 0.8× |
| HCA Florida Trinity Hospital | Trinity, FL | $93.61 | $93.61 | $122.22 | 0.8× |
| UT Medical Center | Knoxville, TN | $93.75 | $375 | $122.22 | 0.8× |
| Kingman Regional Medical Center | Kingman, AZ | $93.80 | $268 | $122.22 | 0.8× |
| Cedar County Memorial Hospital | El Dorado Springs, MO | $94.20 | $157 | $122.22 | 0.8× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $94.92 | $452 | $122.22 | 0.8× |
| Caldwell Regional Medical Center | Caldwell, KS | $95.06 | $111.83 | $122.22 | 0.8× |
| Candler Hospital | Savannah, GA | $95.10 | $317 | $122.22 | 0.8× |
| St. Joseph's Hospital | Savannah, GA | $95.10 | $317 | $122.22 | 0.8× |
| Cleveland Area Hospital | Cleveland, OK | $97.44 | $121.80 | $122.22 | 0.8× |
| ECU Health Medical Center | Greenville, NC | $97.52 | $184 | $122.22 | 0.8× |
| St. Charles Parish Hospital | Luling, LA | $99.09 | $367 | $122.22 | 0.8× |
| University Health System | San Antonio, TX | $99.75 | $399 | $122.22 | 0.8× |
| Jefferson Davis Community Hospital | Prentiss, MS | $99.95 | $285.56 | $122.22 | 0.8× |
| Banner - University Medical Center Phoenix | Phoenix, AZ | $102.39 | $367 | $122.22 | 0.8× |
| Perry County General Hospital | Richton, MS | $102.81 | $285.56 | $122.22 | 0.8× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $103.96 | $452 | $122.22 | 0.9× |
| Baxter Health | Mountain Home, AR | $104.40 | $174 | $122.22 | 0.9× |
| Conway Regional Medical Center | Conway, AR | $104.54 | $475.18 | $122.22 | 0.9× |
| Shannon Medical Center | San Angelo, TX | $105 | $210 | $122.22 | 0.9× |
| Scenic Mountain Medical Center | Big Spring, TX | $105 | $210 | $122.22 | 0.9× |
| Ochsner St. Mary Hospital | Morgan City, LA | $107.40 | $537 | $122.22 | 0.9× |
| UK King's Daughters Medical Center | Ashland, KY | $107.58 | $268.95 | $122.22 | 0.9× |
| Scotland County Hospital | Memphis, MO | $107.80 | $154 | $122.22 | 0.9× |
| Lamb Healthcare Center | Littlefield, TX | $108 | $269 | $122.22 | 0.9× |
| Baptist Memorial Hospital-Tipton | Covington, TN | $108.48 | $452 | $122.22 | 0.9× |
| Desoto Memorial Hospital | Arcadia, FL | $109 | $218 | $122.22 | 0.9× |
| Ascension Sacred Heart Bay | Panama City, FL | $109.25 | $273.12 | $122.22 | 0.9× |
| St. Tammany Parish Hospital | Covington, LA | $109.80 | $183 | $122.22 | 0.9× |
| Delta County Memorial Hospital | Delta, CO | $110 | $183.33 | $122.22 | 0.9× |
| Logan County Hospital | Oakley, KS | $111 | $555 | $122.22 | 0.9× |
| Banner Ocotillo Medical Center | Chandler, AZ | $111.94 | $367 | $122.22 | 0.9× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $112.48 | $148 | $122.22 | 0.9× |
| Sterling Regional MedCenter | Sterling, CO | $113.04 | $367 | $122.22 | 0.9× |
| El Paso Children's Hospital | El Paso, TX | $113.80 | $569 | $122.22 | 0.9× |
| Avoyelles Hospital | Marksville, LA | $115.50 | $385 | $122.22 | 0.9× |
| Owensboro Health Muhlenberg Community Hospital | Greenville, KY | $115.78 | $178.13 | $122.22 | 0.9× |
| Ochsner Medical Center - Kenner | Kenner, LA | $116.48 | $416 | $122.22 | 1.0× |
| Tennova Jefferson Memorial Hospital | Jefferson City, TN | $117 | $528.69 | $122.22 | 1.0× |
| Longmont United Hospital | Longmont, CO | $117.09 | $292.71 | $122.22 | 1.0× |
| St. Anthony Hospital | Lakewood, CO | $117.09 | $292.71 | $122.22 | 1.0× |
| Penrose Hospital | Colorado Springs, CO | $117.09 | $292.71 | $122.22 | 1.0× |
| St. Anthony North Health Campus | Westminster, CO | $117.09 | $292.71 | $122.22 | 1.0× |
| OrthoColorado Hospital | Lakewood, CO | $117.09 | $292.71 | $122.22 | 1.0× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $117.09 | $292.71 | $122.22 | 1.0× |
| Rio Grande Hospital | Del Norte, CO | $117.64 | $156.86 | $122.22 | 1.0× |
| Owensboro Health Regional Hospital | Owensboro, KY | $118.04 | $181.60 | $122.22 | 1.0× |
| ECU Health Edgecombe Hospital | Tarboro, NC | $118.16 | $211 | $122.22 | 1.0× |
| Calhoun-Liberty Hospital | Blountstown, FL | $118.30 | $169 | $122.22 | 1.0× |
| Ochsner American Legion Hospital | Jennings, LA | $119 | $350 | $122.22 | 1.0× |
| Owensboro Health Twin Lakes Medical Center | Leitchfield, KY | $119.12 | $183.26 | $122.22 | 1.0× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $119.60 | $184 | $122.22 | 1.0× |
| Tennova North Knoxville Medical Center | Powell, TN | $119.75 | $528.69 | $122.22 | 1.0× |
| UConn John Dempsey Hospital | Farmington, CT | $121.20 | $202 | $122.22 | 1.0× |
| Highland Community Hospital | Picayune, MS | $121.97 | $609.84 | $122.22 | 1.0× |
| Banner - University Medical Center Tucson | Tucson, AZ | $121.99 | $502 | $122.22 | 1.0× |
| Mission Regional Medical Center | Mission, TX | $122 | $2,000 | $122.22 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $122 | $838.30 | $122.22 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $122.22 | — | $122.22 | 1.0× |
| Griffin Hospital | Derby, CT | $122.22 | $324.18 | $122.22 | 1.0× |
| Powell Valley Healthcare | Powell, WY | $122.57 | $144.20 | $122.22 | 1.0× |
| Tennova Newport Medical Center | Newport, TN | $124.24 | $528.69 | $122.22 | 1.0× |
| Parkview Medical Center | Pueblo, CO | $125.32 | $313.30 | $122.22 | 1.0× |
| ECU Health Chowan Hospital | Edenton, NC | $125.44 | $224 | $122.22 | 1.0× |
| Rangely District Hospital | Rangely, CO | $126.33 | $194.36 | $122.22 | 1.0× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $126.72 | $396 | $122.22 | 1.0× |
| Piedmont Macon Medical Center | Macon, GA | $127.20 | $424 | $122.22 | 1.0× |
| Piedmont Eastside | Snellville, GA | $127.20 | $424 | $122.22 | 1.0× |
| Piedmont Macon North | Macon, GA | $127.20 | $424 | $122.22 | 1.0× |
| Guadalupe Regional Medical Center | Seguin, TX | $128.12 | $256.25 | $122.22 | 1.0× |
| St. Bernard Parish Hospital | Chalmette, LA | $133.12 | $416 | $122.22 | 1.1× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $133.47 | $444.87 | $122.22 | 1.1× |
| Val Verde Regional Medical Center | Del Rio, TX | $134.36 | $206.71 | $122.22 | 1.1× |
| New Orleans East Hospital | New Orleans, LA | $139.52 | $872 | $122.22 | 1.1× |
| Carrollton Regional Medical Center | Carrollton, TX | $140.24 | $233.74 | $122.22 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $140.55 | — | $122.22 | 1.1× |
| Tennova LaFollette Medical Center | LaFollette, TN | $142.75 | $528.69 | $122.22 | 1.2× |
| Tanner Medical Center/Carrollton | Carrollton, GA | $143.40 | $358.50 | $122.22 | 1.2× |
| Higgins General Hospital | Bremen, GA | $143.40 | $358.50 | $122.22 | 1.2× |
| Deaconess Union County Hospital | Morganfield, KY | $143.82 | $306 | $122.22 | 1.2× |
| University Medical Center New Orleans | New Orleans, LA | $144.54 | $657 | $122.22 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $146.66 | — | $122.22 | 1.2× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $147.56 | $476 | $122.22 | 1.2× |
| Washington County Memorial Hospital | Potosi, MO | $147.80 | $197.07 | $122.22 | 1.2× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $148 | $148 | $122.22 | 1.2× |
| Gordon Memorial Hospital District | Gordon, NE | $148 | $148 | $122.22 | 1.2× |
| Duke University Hospital | Durham, NC | $148.50 | $550 | $122.22 | 1.2× |
| Duke Regional Hospital | Durham, NC | $148.50 | $550 | $122.22 | 1.2× |
| Niobrara County Hospital District | Lusk, WY | $149.60 | $187 | $122.22 | 1.2× |
| Southwest Mississippi Regional Medical Center | McComb, MS | $149.80 | $249.67 | $122.22 | 1.2× |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $150 | $250 | $122.22 | 1.2× |
| Mercy Health — Marcum and Wallace Hospital | Irvine, KY | $150.90 | $251.50 | $122.22 | 1.2× |
| East Alabama Medical Center | Opelika, AL | $151.25 | $275 | $122.22 | 1.2× |
| St. Dominic Hospital | Jackson, MS | $152 | $304 | $122.22 | 1.2× |
| Ochsner Laird Hospital | Union, MS | $152.50 | $250 | $122.22 | 1.2× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $152.64 | $380 | $122.22 | 1.2× |
| Banner Wyoming Medical Center | Casper, WY | $154.14 | $367 | $122.22 | 1.3× |
| Golden Valley Memorial Healthcare | Clinton, MO | $154.22 | $257.02 | $122.22 | 1.3× |
| Southwest Memorial Hospital | Cortez, CO | $155 | $310 | $122.22 | 1.3× |
| Laredo Medical Center | Laredo, TX | $155.47 | $647.78 | $122.22 | 1.3× |
| Longs Peak Hospital | Longmont, CO | $155.71 | $444.87 | $122.22 | 1.3× |
| UCHealth Broomfield Hospital | Broomfield, CO | $155.71 | $444.87 | $122.22 | 1.3× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $155.71 | $444.87 | $122.22 | 1.3× |
| Ochsner Scott Regional | Morton, MS | $157.50 | $250 | $122.22 | 1.3× |
| Cody Regional Health | Cody, WY | $158.12 | $186.02 | $122.22 | 1.3× |
| Banner North Colorado Medical Center | Greeley, CO | $158.54 | $367 | $122.22 | 1.3× |
| Summit Medical Center, LLC | Edmond, OK | $158.89 | — | $122.22 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $158.89 | — | $122.22 | 1.3× |
| UMMC Greenwood | Greenwood, MS | $160 | $200 | $122.22 | 1.3× |
| Arkansas Children's Hospital | Little Rock, AR | $160.96 | $178.84 | $122.22 | 1.3× |
| Arkansas Children's Northwest | Springdale, AR | $160.96 | $178.84 | $122.22 | 1.3× |
| Banner Desert Medical Center | Mesa, AZ | $161.48 | $367 | $122.22 | 1.3× |
| Campbell County Health | Gillette, WY | $163.80 | $182 | $122.22 | 1.3× |
| Hillcrest Hospital Pryor | Pryor, OK | $163.80 | $546 | $122.22 | 1.3× |
| West Tennessee Healthcare Jackson-Madison County General Hospital | Jackson, TN | $163.80 | $546 | $122.22 | 1.3× |
| West Tennessee Healthcare Milan Hospital | Milan, TN | $163.80 | $546 | $122.22 | 1.3× |
| West Tennessee Healthcare Volunteer Hospital | Martin, TN | $163.80 | $546 | $122.22 | 1.3× |
| West Tennessee Healthcare Dyersburg Hospital | Dyersburg, TN | $163.80 | $546 | $122.22 | 1.3× |
| West Tennessee Healthcare Camden Hospital | Camden, TN | $163.80 | $546 | $122.22 | 1.3× |
| West Tennessee Healthcare Bolivar Hospital | Bolivar, TN | $163.80 | $546 | $122.22 | 1.3× |
| Banner Payson Medical Center | Payson, AZ | $164.42 | $367 | $122.22 | 1.3× |
| Piedmont Newton | Covington, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Cartersville Medical Center | Cartersville, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Walton | Monroe, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Athens Regional | Athens, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Atlanta | Atlanta, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Rockdale | Conyers, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Henry Hospital | Stockbridge, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Columbus Regional Northside | Columbus, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Fayette | Fayetteville, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Mountainside | Jasper, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Piedmont Newnan | Newnan, GA | $165.36 | $551.20 | $122.22 | 1.4× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $165.90 | $790 | $122.22 | 1.4× |
| SGMC Health Main | Valdosta, GA | $166.50 | $222 | $122.22 | 1.4× |
| SGMC Health Berrien | Nashville, GA | $166.50 | $222 | $122.22 | 1.4× |
| SGMC Health Lanier | Lakeland, GA | $166.50 | $222 | $122.22 | 1.4× |
| Missouri Delta Medical Center | Sikeston, MO | $167.16 | $668.62 | $122.22 | 1.4× |
| Ochsner Watkins Hospital | Quitman, MS | $167.50 | $250 | $122.22 | 1.4× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $168.20 | $580 | $122.22 | 1.4× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $168.20 | $580 | $122.22 | 1.4× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $168.20 | $580 | $122.22 | 1.4× |
| Manning Family Children's | New Orleans, LA | $168.21 | $623 | $122.22 | 1.4× |
| UAMS Medical Center | Little Rock, AR | $168.30 | $280.50 | $122.22 | 1.4× |
| West Jefferson Medical Center | Marrero, LA | $170.72 | $1,067 | $122.22 | 1.4× |
| Ochsner Stennis Hospital | De Kalb, MS | $172.50 | $250 | $122.22 | 1.4× |
| Norman Regional | Norman, OK | $173.40 | $289 | $122.22 | 1.4× |
| Chi St. Luke's Health Brazosport | Lake Jackson, TX | $173.68 | $496.21 | $122.22 | 1.4× |
| University Hospital – UMMC | Jackson, MS | $174 | $435 | $122.22 | 1.4× |
| UMMC Madison | Canton, MS | $174 | $435 | $122.22 | 1.4× |
| Ochsner Medical Center - Hancock | Bay St. Louis, MS | $174.42 | $459 | $122.22 | 1.4× |
| Oklahoma Heart Hospital, LLC | Oklahoma City, OK | $175.35 | $501 | $122.22 | 1.4× |
| Oklahoma Heart Hospital South, LLC | Oklahoma City, OK | $175.35 | $501 | $122.22 | 1.4× |
| Children's National Hospital | Washington, DC | $177 | $354 | $122.22 | 1.4× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $179.02 | $380 | $122.22 | 1.5× |
| Tift Regional Medical Center | Tifton, GA | $181 | $362 | $122.22 | 1.5× |
| Southwell Medical | Adel, GA | $181 | $362 | $122.22 | 1.5× |
| Ochsner Acadia General Hospital | Crowley, LA | $181.70 | $790 | $122.22 | 1.5× |
| Mccurtain Memorial Hospital | Idabel, OK | $183.33 | $366.66 | $122.22 | 1.5× |
| Baptist Memorial Hospital-Paragould | Paragould, AR | $183.38 | $366.75 | $122.22 | 1.5× |
| Lake Regional Hospital | Osage Beach, MO | $184.20 | $614 | $122.22 | 1.5× |
| Dardanelle Regional Medical Center | Dardanelle, AR | $185.32 | $475.18 | $122.22 | 1.5× |
| Mercy Hospital Stoddard | Dexter, MO | $185.90 | $286 | $122.22 | 1.5× |
| Children's Mercy Hospital Kansas | Overland Park, KS | $187.68 | $391 | $122.22 | 1.5× |
| Children’s Mercy Adele Hall | Kansas City, MO | $187.68 | $391 | $122.22 | 1.5× |
| Mercy Hospital Southeast | Cape Girardeau, MO | $187.85 | $289 | $122.22 | 1.5× |
| Regional West Medical Center | Scottsbluff, NE | $187.98 | $313.30 | $122.22 | 1.5× |
| Otto Kaiser Memorial Hospital | Kenedy, TX | $188 | $188 | $122.22 | 1.5× |
| Crisp Regional Hospital | Cordele, GA | $188.10 | $198 | $122.22 | 1.5× |
| Baptist Medical Center South | Montgomery, AL | $188.50 | $314.17 | $122.22 | 1.5× |
| Nebraska Medical Center | Omaha, NE | $188.70 | $290.30 | $122.22 | 1.5× |
| Bellevue Medical Center | Bellevue, NE | $188.70 | $290.30 | $122.22 | 1.5× |
| UCHealth University of Colorado Hospital | Aurora, CO | $189.75 | $542.14 | $122.22 | 1.6× |
| Ochsner Choctaw General | Butler, AL | $190 | $250 | $122.22 | 1.6× |
| CommonSpirit Saint Joseph Hospital - London | London, KY | $190.20 | $533 | $122.22 | 1.6× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $193.18 | $743 | $122.22 | 1.6× |
| Leonard J. Chabert Medical Center | Houma, LA | $195.52 | $416 | $122.22 | 1.6× |
| Nevada Regional Medical Center | Nevada, MO | $198 | $440 | $122.22 | 1.6× |
| St. John's Medical Center | Jackson, WY | $200 | $200 | $122.22 | 1.6× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $201.60 | $336 | $122.22 | 1.6× |
| East Georgia Regional Medical Center | Statesboro, GA | $202.77 | $751 | $122.22 | 1.7× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $205.40 | $790 | $122.22 | 1.7× |
| UofL Health – UofL Hospital | Louisville, KY | $205.68 | $857 | $122.22 | 1.7× |
| Ness County Hospital District #2 | Ness City, KS | $206.25 | $275 | $122.22 | 1.7× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Regional Medical Center at Plano | Plano, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| The Heart Hospital Baylor Denton | Denton, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $206.98 | $344.97 | $122.22 | 1.7× |
| Hays Medical Center | Hays, KS | $207.90 | $630 | $122.22 | 1.7× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $208.04 | $743 | $122.22 | 1.7× |
| Hancock County Hospital | Sneedville, TN | $209.76 | $912 | $122.22 | 1.7× |
| Citizens Medical Center | Victoria, TX | $210 | $420 | $122.22 | 1.7× |
| Seymour Hospital | Seymour, TX | $210 | $300 | $122.22 | 1.7× |
| Byrd Regional Hospital | Leesville, LA | $210 | $700 | $122.22 | 1.7× |
| Saint Mary's Hospital | Waterbury, CT | $210.10 | $382 | $122.22 | 1.7× |
| Mcalester Regional Health Center | Mcalester, OK | $210.40 | $526 | $122.22 | 1.7× |
| Southeast Health Medical Center | Dothan, AL | $211.17 | $527.93 | $122.22 | 1.7× |
| Ochsner St. Anne Hospital | Raceland, LA | $211.64 | $481 | $122.22 | 1.7× |
| Barnes-Jewish Hospital | St. Louis, MO | $211.80 | $353 | $122.22 | 1.7× |
| ECU Health Bertie Hospital | Windsor, NC | $212.80 | $380 | $122.22 | 1.7× |
| Bristol Regional Medical Center | Bristol, TN | $214.05 | $1,427 | $122.22 | 1.8× |
| Holston Valley Medical Center | Kingsport, TN | $214.05 | $1,427 | $122.22 | 1.8× |
| Sycamore Shoals Hospital | Elizabethton, TN | $214.05 | $1,427 | $122.22 | 1.8× |
| Hawkins County Memorial Hospital | Rogersville, TN | $214.05 | $1,427 | $122.22 | 1.8× |
| Greeneville Community Hospital | Greeneville, TN | $214.05 | $1,427 | $122.22 | 1.8× |
| Johnson City Medical Center | Johnson City, TN | $214.05 | $1,427 | $122.22 | 1.8× |
| Indian Path Community Hospital | Kingsport, TN | $214.05 | $1,427 | $122.22 | 1.8× |
| Franklin Woods Community Hospital | Johnson City, TN | $214.05 | $1,427 | $122.22 | 1.8× |
| Parkland Health Center – Bonne Terre | Bonne Terre, MO | $214.20 | $357 | $122.22 | 1.8× |
| Ascension Seton Hays | Kyle, TX | $214.34 | $595.38 | $122.22 | 1.8× |
| Ascension Seton Smithville | Smithville, TX | $214.34 | $595.38 | $122.22 | 1.8× |
| Montrose Regional Health | Montrose, CO | $218.25 | $291 | $122.22 | 1.8× |
| Outer Banks Health Hospital | Nags Head, NC | $221.20 | $395 | $122.22 | 1.8× |
| Platte County Hospital | Wheatland, WY | $221.30 | $367 | $122.22 | 1.8× |
| MUSC Health Black River Medical Center | Cades, SC | $222.75 | $445.50 | $122.22 | 1.8× |
| Boca Raton Regional Hospital | Boca Raton, FL | $226.20 | $348 | $122.22 | 1.9× |
| UCHealth Greeley Hospital | Greeley, CO | $229.77 | $382.94 | $122.22 | 1.9× |
| Spartanburg Medical Center | Spartanburg, SC | $231 | $385 | $122.22 | 1.9× |
| East Morgan County Hospital | Brush, CO | $231.94 | $367 | $122.22 | 1.9× |
| MUSC Health Chester Medical Center | Chester, SC | $232 | $464 | $122.22 | 1.9× |
| Denver Health Medical Center | Denver, CO | $232.85 | $665.28 | $122.22 | 1.9× |
| Self Regional Healthcare | Greenwood, SC | $232.97 | $388.29 | $122.22 | 1.9× |
| Edgefield County Healthcare | Edgefield, SC | $232.97 | $388.29 | $122.22 | 1.9× |
| ECU Health Roanoke-Chowan Hospital | Ahoskie, NC | $234.08 | $418 | $122.22 | 1.9× |
| ECU Health North Hospital | Roanoke Rapids, NC | $234.08 | $418 | $122.22 | 1.9× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $237 | $790 | $122.22 | 1.9× |
| Ellinwood District Hospital | Ellinwood, KS | $238 | $280 | $122.22 | 1.9× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $238.80 | $398 | $122.22 | 2.0× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $240.12 | $282.50 | $122.22 | 2.0× |
| City of Hope Cancer Center Phoenix | Goodyear, AZ | $240.30 | $534 | $122.22 | 2.0× |
| Chase County Community Hospital | Imperial, NE | $241 | $241 | $122.22 | 2.0× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $241.04 | $524 | $122.22 | 2.0× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $241.04 | $524 | $122.22 | 2.0× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $241.04 | $524 | $122.22 | 2.0× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $241.04 | $524 | $122.22 | 2.0× |
| Mercy Hospital Paris | Paris, AR | $243.10 | $374 | $122.22 | 2.0× |
| Mercy Hospital Ozark | Ozark, AR | $243.10 | $374 | $122.22 | 2.0× |
| Highland Hills Medical Center | Senatobia, MS | $244.05 | $488.10 | $122.22 | 2.0× |
| Mcpherson Hospital Inc | Mcpherson, KS | $244.20 | $330 | $122.22 | 2.0× |
| Atrium Health Cabarrus | Concord, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| Atrium Health Cleveland | Shelby, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| Atrium Health Anson | Wadesboro, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| Atrium Health Pineville | Charlotte, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| Atrium Health Stanly | Albemarle, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| Atrium Health Union | Monroe, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| Atrium Health Lincoln | Lincolnton, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| Atrium Health University City | Charlotte, NC | $244.45 | $488.90 | $122.22 | 2.0× |
| MUSC Health Florence Medical Center | Florence, SC | $245.50 | $491 | $122.22 | 2.0× |
| Children's of Alabama | Birmingham, AL | $245.90 | $571.88 | $122.22 | 2.0× |
| Parkland Health Center | Farmington, MO | $246.60 | $411 | $122.22 | 2.0× |
| Missouri Baptist Sullivan Hospital | Sullivan, MO | $246.60 | $411 | $122.22 | 2.0× |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $248.75 | $497.50 | $122.22 | 2.0× |
| Mercy Hospital Waldron | Waldron, AR | $250.25 | $385 | $122.22 | 2.0× |
| Mercy Hospital Booneville | Booneville, AR | $250.25 | $385 | $122.22 | 2.0× |
| Mercy Hospital Kingfisher, Inc | Kingfisher, OK | $250.90 | $386 | $122.22 | 2.1× |
| Mercy Hospital Logan County, Inc | Guthrie, OK | $250.90 | $386 | $122.22 | 2.1× |
| Pawnee Valley Community Hospital | Larned, KS | $252 | $630 | $122.22 | 2.1× |
| Northeastern Health System | Tahlequah, OK | $254.63 | $339.50 | $122.22‡ | 2.1× |
| MUSC Health Marion Medical Center | Mullins, SC | $255 | $510 | $122.22 | 2.1× |
| Mercy Hospital Perry | Perryville, MO | $256.75 | $395 | $122.22 | 2.1× |
| Ward Memorial Hospital | Monahans, TX | $257 | $367 | $122.22 | 2.1× |
| Mercy Hospital Watonga, Inc | Watonga, OK | $257.40 | $396 | $122.22 | 2.1× |
| Boone Hospital Center | Columbia, MO | $258 | $430 | $122.22 | 2.1× |
| Pascagoula Hospital | Pascagoula, MS | $258 | $860 | $122.22 | 2.1× |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | $259.35 | $399 | $122.22 | 2.1× |
| Pratt Regional Medical Center | Pratt, KS | $261 | $373 | $122.22 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $261.80 | — | $122.22 | 2.1× |
| Blue Ridge Medical Center | Blue Ridge, GA | $263.56 | $439.28 | $122.22 | 2.2× |
| Washakie Medical Center | Worland, WY | $263.87 | $367 | $122.22 | 2.2× |
| Mercy Hospital Aurora | Aurora, MO | $264.55 | $407 | $122.22 | 2.2× |
| Mercy Hospital Cassville | Cassville, MO | $264.55 | $407 | $122.22 | 2.2× |
| Mercy St. Francis Hospital | Mountain View, MO | $264.55 | $407 | $122.22 | 2.2× |
| Comanche County Hospital | Coldwater, KS | $265 | $265 | $122.22 | 2.2× |
| Mercy Hospital Berryville | Berryville, AR | $267.48 | $411.50 | $122.22 | 2.2× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $267.84 | $669.60 | $122.22 | 2.2× |
| Saint Francis Hospital, Inc | Tulsa, OK | $267.84 | $669.60 | $122.22 | 2.2× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $267.84 | $669.60 | $122.22 | 2.2× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $267.84 | $669.60 | $122.22 | 2.2× |
| Poudre Valley Hospital | Fort Collins, CO | $268.06 | $382.94 | $122.22 | 2.2× |
| Medical Center of the Rockies | Loveland, CO | $268.06 | $382.94 | $122.22 | 2.2× |
| Caldwell Memorial Hospital | Lenoir, NC | $269.40 | $449 | $122.22 | 2.2× |
| Clay County Memorial Hospital | Henrietta, TX | $270 | $386 | $122.22 | 2.2× |
| Ogallala Community Hospital | Ogallala, NE | $270.48 | $367 | $122.22 | 2.2× |
| Flowers Hospital | Dothan, AL | $271 | $1,806.65 | $122.22 | 2.2× |
| Lake Charles Memorial Hospital | Lake Charles, LA | $271.20 | $452 | $122.22 | 2.2× |
| Abbeville Area Medical Center | Abbeville, SC | $271.80 | $388.29 | $122.22 | 2.2× |
| North Oaks Medical Center | Hammond, LA | $272.03 | $1,084 | $122.22 | 2.2× |
| ECU Health Duplin Hospital | Kenansville, NC | $273.28 | $488 | $122.22 | 2.2× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $274.72 | $499.50 | $122.22 | 2.2× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $274.72 | $499.50 | $122.22 | 2.2× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $274.72 | $499.50 | $122.22 | 2.2× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $274.72 | $499.50 | $122.22 | 2.2× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $274.72 | $499.50 | $122.22 | 2.2× |
| Northern Cochise Community Hospital | Willcox, AZ | $274.80 | $458 | $122.22 | 2.2× |
| UK St. Claire Regional Medical Center | Morehead, KY | $279 | $372 | $122.22 | 2.3× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $279.34 | $465.56 | $122.22 | 2.3× |
| Scott & White Hospital-round Rock | Round Rock, TX | $279.34 | $465.56 | $122.22 | 2.3× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $279.34 | $465.56 | $122.22 | 2.3× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $279.34 | $465.56 | $122.22 | 2.3× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $279.34 | $465.56 | $122.22 | 2.3× |
| Mercy Hospital Tishomingo | Tishomingo, OK | $280.15 | $431 | $122.22 | 2.3× |
| Mercy Hospital Healdton, Inc. | Healdton, OK | $280.15 | $431 | $122.22 | 2.3× |
| Memorial Hermann Hospital System | Houston, TX | $280.72 | $877.25 | $122.22 | 2.3× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $280.72 | $877.25 | $122.22 | 2.3× |
| Memorial Hermann Northeast Hospital | Humble, TX | $280.72 | $877.25 | $122.22 | 2.3× |
| Memorial Hermann Katy Hospital | Katy, TX | $280.72 | $877.25 | $122.22 | 2.3× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $280.72 | $877.25 | $122.22 | 2.3× |
| White River Medical Center | Batesville, AR | $281.25 | $375 | $122.22 | 2.3× |
| Liberty Regional Medical Center | Hinesville, GA | $282.75 | $377 | $122.22 | 2.3× |
| HCA Florida West Hospital | Pensacola, FL | $284.90 | $284.90 | $122.22 | 2.3× |
| United Regional Health Care System | Wichita Falls, TX | $285 | $300 | $122.22 | 2.3× |
| Bethesda Hospital East | Boynton Beach, FL | $285.35 | $439 | $122.22 | 2.3× |
| Baptist Hospital of Miami | Miami, FL | $285.35 | $439 | $122.22 | 2.3× |
| Homestead Hospital | Homestead, FL | $285.35 | $439 | $122.22 | 2.3× |
| South Miami Hospital | South Miami, FL | $285.35 | $439 | $122.22 | 2.3× |
| Doctors Hospital | Coral Gables, FL | $285.35 | $439 | $122.22 | 2.3× |
| West Kendall Baptist Hospital | Miami, FL | $285.35 | $439 | $122.22 | 2.3× |
| Fishermen's Community Hospital | Marathon, FL | $285.35 | $439 | $122.22 | 2.3× |
| Mariners Hospital | Tavernier, FL | $285.35 | $439 | $122.22 | 2.3× |
| Mercy Hospital Fort Smith | Fort Smith, AR | $286.98 | $441.50 | $122.22 | 2.3× |
| Bristol Hospital | Bristol, CT | $287.98 | $523.59 | $122.22 | 2.4× |
| MUSC Health Columbia Medical Center Downtown | Columbia, SC | $288.25 | $576.50 | $122.22 | 2.4× |
| Memorial Hospital of Converse County | Douglas, WY | $288.42 | $506 | $122.22 | 2.4× |
| Faith Health | Norfolk, NE | $289.21 | $462 | $122.22 | 2.4× |
| Bradley Medical Center | Cleveland, TN | $290.70 | $484.50 | $122.22 | 2.4× |
| Hamilton Medical Center | Dalton, GA | $290.70 | $484.50 | $122.22 | 2.4× |
| Singing River Gulfport | Gulfport, MS | $290.70 | $1,453.50 | $122.22 | 2.4× |
| Mercy Hospital Carthage | Carthage, MO | $297.70 | $458 | $122.22 | 2.4× |
| Mercy Hospital Lebanon | Lebanon, MO | $300.95 | $463 | $122.22 | 2.5× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $301 | $602 | $122.22 | 2.5× |
| Children's Hospital Colorado | Aurora, CO | $302.25 | $465 | $122.22 | 2.5× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $302.25 | $465 | $122.22 | 2.5× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $302.50 | $605 | $122.22 | 2.5× |
| Ascension Seton Cedar Park | Cedar Park, TX | $303.09 | $841.92 | $122.22 | 2.5× |
| Arbuckle Memorial Hospital Authority | Sulphur, OK | $304 | $380 | $122.22 | 2.5× |
| Mercy Hospital Columbus | Columbus, KS | $306.80 | $472 | $122.22 | 2.5× |
| Mercy Hospital St. Louis | St. Louis, MO | $307.45 | $473 | $122.22 | 2.5× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Richland Hospital | Columbia, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Laurens County Hospital | Clinton, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Tuomey Hospital | Sumter, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Baptist Hospital | Columbia, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Patewood Hospital | Greenville, SC | $309.40 | $476 | $122.22 | 2.5× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $309.40 | $476 | $122.22 | 2.5× |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $310 | $310 | $122.22 | 2.5× |
| Sheridan Memorial Hospital | Sheridan, WY | $310.80 | $388.50 | $122.22 | 2.5× |
| Ivinson Memorial Hospital | Laramie, WY | $313 | $313 | $122.22 | 2.6× |
| Vanderbilt University Hospital | Nashville, TN | $313.20 | $580 | $122.22 | 2.6× |
| Sullivan County Memorial Hospital | Milan, MO | $315 | $315 | $122.22 | 2.6× |
| Missouri Baptist Medical Center | Town and Country, MO | $316.80 | $528 | $122.22 | 2.6× |
| Barnes-Jewish West County Hospital | Creve Coeur, MO | $316.80 | $528 | $122.22 | 2.6× |
| Christian Hospital | St. Louis, MO | $316.80 | $528 | $122.22 | 2.6× |
| Barnes-Jewish St. Peters Hospital | St. Peters, MO | $316.80 | $528 | $122.22 | 2.6× |
| Progress West Hospital | O'Fallon, MO | $316.80 | $528 | $122.22 | 2.6× |
| MUSC Health Kershaw Medical Center | Camden, SC | $317 | $634 | $122.22 | 2.6× |
| Mercy Hospital Lincoln | Troy, MO | $318.50 | $490 | $122.22 | 2.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $319.05 | $708.99 | $122.22 | 2.6× |
| Baylor Scott and White Surgical Hospital Fortworth | Fort Worth, TX | $319.80 | $533 | $122.22 | 2.6× |
| Mercy Hospital Springfield | Springfield, MO | $324.68 | $499.50 | $122.22 | 2.7× |
| AdventHealth Porter | Denver, CO | $325.13 | $325.13 | $122.22 | 2.7× |
| AdventHealth Avista | Louisville, CO | $325.13 | $325.13 | $122.22 | 2.7× |
| AdventHealth Littleton | Littleton, CO | $325.13 | $325.13 | $122.22 | 2.7× |
| AdventHealth Parker | Parker, CO | $325.13 | $325.13 | $122.22 | 2.7× |
| AdventHealth Castle Rock | Castle Rock, CO | $325.13 | $325.13 | $122.22 | 2.7× |
| UofL Health – Shelbyville Hospital | Shelbyville, KY | $325.66 | $857 | $122.22‡ | 2.7× |
| Mercy Hospital South | St. Louis, MO | $328.25 | $505 | $122.22 | 2.7× |
| Mercy Hospital Northwest Arkansas | Rogers, AR | $328.90 | $506 | $122.22 | 2.7× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $335.10 | $558.49 | $122.22 | 2.7× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $335.10 | $558.49 | $122.22 | 2.7× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $335.10 | $558.49 | $122.22 | 2.7× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $335.10 | $558.49 | $122.22 | 2.7× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $335.10 | $558.49 | $122.22 | 2.7× |
| Refugio County Memorial Hospital | Refugio, TX | $335.80 | $419.75 | $122.22 | 2.7× |
| Grand River Medical Center | Rifle, CO | $336.50 | $673 | $122.22 | 2.8× |
| Mercy Hospital Ada | Ada, OK | $338 | $520 | $122.22 | 2.8× |
| Mercy Hospital Joplin | Joplin, MO | $338.98 | $521.50 | $122.22 | 2.8× |
| Copiah County Medical Center | Hazlehurst, MS | $339.88 | $339.88 | $122.22 | 2.8× |
| TidalHealth Nanticoke | Seaford, DE | $340 | $340 | $122.22 | 2.8× |
| Wayne County Hospital | Monticello, KY | $342.45 | $526.85 | $122.22 | 2.8× |
| Memorial Hermann Texas Medical Center | Houston, TX | $344.20 | $1,075.62 | $122.22 | 2.8× |
| DeKalb Regional Medical Center | Fort Payne, AL | $349 | $349 | $122.22 | 2.9× |
| Athens-Limestone Hospital | Athens, AL | $349 | $349 | $122.22 | 2.9× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $354.25 | $545 | $122.22 | 2.9× |
| Cleveland Clinic Hospital | Weston, FL | $354.25 | $545 | $122.22 | 2.9× |
| Hillcrest Hospital Cushing | Cushing, OK | $354.60 | $1,182 | $122.22 | 2.9× |
| Southwest Medical Center | Liberal, KS | $354.80 | $443.50 | $122.22 | 2.9× |
| MUSC Health University Medical Center | Charleston, SC | $355 | $710 | $122.22 | 2.9× |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $355.50 | $790 | $122.22 | 2.9× |
| St. Louis Children’s Hospital | St. Louis, MO | $355.80 | $593 | $122.22 | 2.9× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $356.70 | $594.50 | $122.22 | 2.9× |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $356.70 | $594.50 | $122.22 | 2.9× |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $356.70 | $594.50 | $122.22 | 2.9× |
| Texas Health Harris Methodist Hospital Southwest F | Fort Worth, TX | $356.70 | $594.50 | $122.22 | 2.9× |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $356.70 | $594.50 | $122.22 | 2.9× |
| Mayo Clinic Hospital — Phoenix | Phoenix, AZ | $360 | $480 | $122.22 | 2.9× |
| Goodland Regional Medical Center | Goodland, KS | $364.50 | $405 | $122.22 | 3.0× |
| Hsa Port Arthur, LLC | Port Arthur, TX | $366.66 | $366.66 | $122.22 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $366.66 | — | $122.22 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $366.66 | — | $122.22 | 3.0× |
| Lawrence + Memorial Hospital | New London, CT | $366.66 | $1,018.50 | $122.22 | 3.0× |
| St. Elizabeth Healthcare Ft. Thomas Hospital | Fort Thomas, KY | $366.66 | $366.66 | $122.22 | 3.0× |
| St. Elizabeth Healthcare Edgewood Hospital | Edgewood, KY | $366.66 | $366.66 | $122.22 | 3.0× |
| St. Elizabeth Healthcare Florence Hospital | Florence, KY | $366.66 | $366.66 | $122.22 | 3.0× |
| St. Elizabeth Healthcare Grant Hospital | Williamstown, KY | $366.66 | $366.66 | $122.22 | 3.0× |
| Union General Hospital | Farmerville, LA | $368.25 | $491 | $122.22 | 3.0× |
| Pikeville Medical Center | Pikeville, KY | $369.90 | $1,233 | $122.22 | 3.0× |
| Abrazo Arrowhead Campus | Glendale, AZ | $371.25 | $495 | $122.22 | 3.0× |
| Springhill Medical Center | Mobile, AL | $371.48 | $437.04 | $122.22 | 3.0× |
| Coon Memorial Hospital | Dalhart, TX | $375 | $500 | $122.22 | 3.1× |
| Stafford County Hospital | Stafford, KS | $378.56 | $378.56 | $122.22 | 3.1× |
| Aspen Valley Hospital | Aspen, CO | $381 | $381 | $122.22 | 3.1× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $382.50 | $450 | $122.22 | 3.1× |
| Mosaic Medical Center - Maryville | Maryville, MO | $382.50 | $450 | $122.22 | 3.1× |
| Memorial Hospital | Seward, NE | $385 | $385 | $122.22 | 3.2× |
| Wayne UNC Health Care | Goldsboro, NC | $385.20 | $642 | $122.22 | 3.2× |
| UofL Health – Jewish Hospital | Louisville, KY | $385.65 | $857 | $122.22 | 3.2× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Wellstar Spalding Medical Center | Griffin, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Wellstar MCG Health Medical Center | Augusta, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Wellstar Paulding Medical Center | Hiram, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Wellstar Cobb Medical Center | Austell, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Wellstar Douglas Medical Center | Douglasville, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Wellstar North Fulton Medical Center | Roswell, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $390.39 | $1,001 | $122.22 | 3.2× |
| Bothwell Regional Health Center | Sedalia, MO | $391.50 | $522 | $122.22 | 3.2× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $394.16 | $367 | $122.22 | 3.2× |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $404.24 | $404.24 | $122.22 | 3.3× |
| Crook County Medical Services District | Sundance, WY | $405.38 | $540.50 | $122.22 | 3.3× |
| Boone County Health Center | Albion, NE | $411 | $411 | $122.22 | 3.4× |
| Glenwood Regional Medical Center | West Monroe, LA | $411.65 | $411.65 | $122.22 | 3.4× |
| Tippah County Hospital | Ripley, MS | $416 | $416 | $122.22 | 3.4× |
| Dell Children's Medical Center | Austin, TX | $416.76 | $595.38 | $122.22 | 3.4× |
| Columbus Community Hospital, Inc | Columbus, NE | $418.95 | $441 | $122.22 | 3.4× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $421.82 | $1,834 | $122.22 | 3.5× |
| Mercy Hospital Oklahoma City, Inc | Oklahoma City, OK | $422.50 | $650 | $122.22 | 3.5× |
| AdventHealth Fish Memorial | Orange City, FL | $424.45 | $424.45 | $122.22 | 3.5× |
| AdventHealth Palm Coast | Palm Coast, FL | $424.45 | $424.45 | $122.22 | 3.5× |
| Box Butte General Hospital | Alliance, NE | $424.80 | $472 | $122.22 | 3.5× |
| Page Hospital | Page, AZ | $425.35 | $367 | $122.22 | 3.5× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $427.50 | $855 | $122.22 | 3.5× |
| Osmond General Hospital | Osmond, NE | $432.50 | $432.50 | $122.22 | 3.5× |
| St. Vincent General Hospital District | Leadville, CO | $434 | $620 | $122.22 | 3.6× |
| Rawlins County Health Center | Atwood, KS | $434.35 | $511 | $122.22 | 3.6× |
| Hartford Hospital | Hartford, CT | $436 | $436 | $122.22 | 3.6× |
| Saint Francis Hospital | Wilmington, DE | $438.10 | $674 | $122.22 | 3.6× |
| Manchester Memorial Hospital | Manchester, CT | $445.25 | $445.25 | $122.22 | 3.6× |
| Pemiscot Memorial Hospital | Hayti, MO | $446.60 | $638 | $122.22 | 3.7× |
| Simpson General Hospital | Mendenhall, MS | $446.81 | $638.30 | $122.22 | 3.7× |
| Colquitt Regional Medical Center | Moultrie, GA | $450 | $450 | $122.22 | 3.7× |
| Eastern Oklahoma Medical Center | Poteau, OK | $450.12 | $450.12 | $122.22 | 3.7× |
| University of Kansas Hospital | Kansas City, KS | $457.60 | $2,288 | $122.22 | 3.7× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $457.60 | $2,288 | $122.22 | 3.7× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $457.60 | $2,288 | $122.22 | 3.7× |
| University of Kansas Health System Great Bend Campus | Great Bend, KS | $457.60 | $2,288 | $122.22 | 3.7× |
| Bayhealth Hospital, Kent Campus | Dover, DE | $463.68 | $552 | $122.22 | 3.8× |
| Bayhealth Hospital, Sussex Campus | Milford, DE | $463.68 | $552 | $122.22 | 3.8× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $466 | $466 | $122.22 | 3.8× |
| Cogdell Memorial Hospital | Snyder, TX | $467 | $467 | $122.22 | 3.8× |
| St. David's South Austin Medical Center | Austin, TX | $469 | $469 | $122.22 | 3.8× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $477 | $636 | $122.22 | 3.9× |
| Childrens Medical Center Plano | Plano, TX | $477 | $636 | $122.22 | 3.9× |
| Resolute Health Hospital | New Braunfels, TX | $477.75 | $637 | $122.22 | 3.9× |
| Salina Regional Health Center | Salina, KS | $483.98 | $691.40 | $122.22 | 4.0× |
| North Central Kansas Medical Center | Concordia, KS | $483.98 | $691.40 | $122.22 | 4.0× |
| Lindsborg Community Hospital | Lindsborg, KS | $483.98 | $691.40 | $122.22 | 4.0× |
| UF Health Leesburg Hospital | Leesburg, FL | $484 | $880 | $122.22 | 4.0× |
| Flagler Hospital | Saint Augustine, FL | $484 | $880 | $122.22 | 4.0× |
| UF Health Shands Hospital | Gainesville, FL | $484 | $880 | $122.22 | 4.0× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $484 | $880 | $122.22 | 4.0× |
| Yalobusha General Hospital | Water Valley, MS | $497 | $710 | $122.22 | 4.1× |
| Hillcrest Medical Center | Tulsa, OK | $501.30 | $1,671 | $122.22 | 4.1× |
| University Hospital | Columbia, MO | $502.35 | $837.25 | $122.22 | 4.1× |
| Dignity Health St. Joseph's Hospital and Medical Center | Phoenix, AZ | $502.72 | $1,316 | $122.22 | 4.1× |
| Doctors Hospital | Augusta, GA | $505.46 | $505.46 | $122.22 | 4.1× |
| McLeod Health Dillon | Dillon, SC | $516.88 | $728 | $122.22 | 4.2× |
| McLeod Regional Medical Center | Florence, SC | $516.88 | $728 | $122.22 | 4.2× |
| McLeod Health Loris | Loris, SC | $516.88 | $728 | $122.22 | 4.2× |
| McLeod Health Cheraw | Cheraw, SC | $516.88 | $728 | $122.22 | 4.2× |
| McLeod Health Clarendon | Manning, SC | $516.88 | $728 | $122.22 | 4.2× |
| Danbury Hospital | Danbury, CT | $519 | $519 | $122.22 | 4.2× |
| Norwalk Hospital | Norwalk, CT | $519 | $519 | $122.22 | 4.2× |
| Weston County Health Services | Newcastle, WY | $520 | $520 | $122.22 | 4.3× |
| St. Joseph Medical Center | Houston, TX | $527.67 | $1,353 | $122.22 | 4.3× |
| Bridgeport Hospital | Bridgeport, CT | $529.62 | $1,018.50 | $122.22 | 4.3× |
| Greenwich Hospital | Greenwich, CT | $529.62 | $1,018.50 | $122.22 | 4.3× |
| FirstHealth Moore Regional Hospital | Pinehurst, NC | $531.62 | $531.62 | $122.22 | 4.3× |
| FirstHealth Montgomery Memorial Hospital | Troy, NC | $531.62 | $531.62 | $122.22 | 4.3× |
| Sharon Hospital | Sharon, CT | $532 | $532 | $122.22 | 4.4× |
| Stamford Hospital | Stamford, CT | $538 | $538 | $122.22 | 4.4× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $539.82 | $830.50 | $122.22 | 4.4× |
| Emory Hospital Warner Robins | Warner Robins, GA | $562 | $562 | $122.22 | 4.6× |
| Emory Hospital Perry | Perry, GA | $562 | $562 | $122.22 | 4.6× |
| HCA Florida Ocala Hospital | Ocala, FL | $566.41 | $566.41 | $122.22 | 4.6× |
| York General Health Care Services | York, NE | $574.62 | $574.62 | $122.22 | 4.7× |
| Saint Francis Medical Center | Cape Girardeau, MO | $576.50 | $576.50 | $122.22 | 4.7× |
| Graham Regional Medical Center | Graham, TX | $578 | $578 | $122.22 | 4.7× |
| Phelps Memorial Health Center | Holdrege, NE | $581.40 | $646 | $122.22 | 4.8× |
| Nemours Children's Hospital, Florida | Orlando, FL | $583 | $583 | $122.22 | 4.8× |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $583 | $583 | $122.22 | 4.8× |
| Decatur Morgan Hospital | Decatur, AL | $587.16 | $587.16 | $122.22 | 4.8× |
| AdventHealth Orlando | Orlando, FL | $590 | $590 | $122.22 | 4.8× |
| Butler County Health | David City, NE | $594 | $594 | $122.22 | 4.9× |
| Yale New Haven Hospital | New Haven, CT | $600.92 | $1,018.50 | $122.22 | 4.9× |
| Marshall Medical Center South | Boaz, AL | $613.08 | $613.08 | $122.22 | 5.0× |
| Red Bay Hospital | Red Bay, AL | $613.08 | $613.08 | $122.22 | 5.0× |
| Stillwater Medical Center | Stillwater, OK | $625.20 | $781.50 | $122.22 | 5.1× |
| Stillwater Medical - Perry | Perry, OK | $625.20 | $781.50 | $122.22 | 5.1× |
| Stillwater Medical-blackwell | Blackwell, OK | $625.20 | $781.50 | $122.22 | 5.1× |
| Evanston Regional Hospital | Evanston, WY | $631.47 | $1,052.45 | $122.22 | 5.2× |
| Wickenburg Community Hospital | Wickenburg, AZ | $655.85 | $1,009 | $122.22 | 5.4× |
| Great Plains Health | North Platte, NE | $660 | $1,100 | $122.22 | 5.4× |
| MedStar Washington Hospital Center | Washington, DC | $668.32 | $1,028.18 | $122.22 | 5.5× |
| Memorial Hospital | Abilene, KS | $691.40 | $691.40 | $122.22 | 5.7× |
| Baptist Health Hardin | Elizabethtown, KY | $697.07 | $929.43 | $122.22 | 5.7× |
| Baptist Health Richmond | Richmond, KY | $697.07 | $929.43 | $122.22 | 5.7× |
| Baptist Health Corbin | Corbin, KY | $697.07 | $929.43 | $122.22 | 5.7× |
| Baptist Health Lexington | Lexington, KY | $697.07 | $929.43 | $122.22 | 5.7× |
| Baptist Health Paducah | Paducah, KY | $697.07 | $929.43 | $122.22 | 5.7× |
| Baptist Health Louisville | Louisville, KY | $697.07 | $929.43 | $122.22 | 5.7× |
| Baptist Health La Grange | La Grange, KY | $697.07 | $929.43 | $122.22 | 5.7× |
| Texas Childrens Hospital | Houston, TX | $701.49 | $1,047 | $122.22 | 5.7× |
| Texas Childrens Hospital North Austin Campus | Austin, TX | $701.49 | $1,047 | $122.22 | 5.7× |
| Mercy Hospital Jefferson | Festus, MO | $702 | $1,080 | $122.22 | 5.7× |
| Mercy Hospital Washington | Washington, MO | $702 | $1,080 | $122.22 | 5.7× |
| Willis Knighton North | Shreveport, LA | $709.60 | $887 | $122.22 | 5.8× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $715 | $715 | $122.22 | 5.9× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $715 | $715 | $122.22 | 5.9× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $715 | $715 | $122.22 | 5.9× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $715 | $715 | $122.22 | 5.9× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $715 | $715 | $122.22 | 5.9× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $715 | $715 | $122.22 | 5.9× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $715 | $715 | $122.22 | 5.9× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $715 | $715 | $122.22 | 5.9× |
| Sidney Regional Medical Center | Sidney, NE | $720 | $720 | $122.22 | 5.9× |
| Ascension Seton Medical Center Austin | Austin, TX | $724.14 | $2,011.50 | $122.22 | 5.9× |
| Dell Seton Med Center at The University of Tx | Austin, TX | $724.14 | $2,011.50 | $122.22 | 5.9× |
| Ascension Seton Southwest | Austin, TX | $724.14 | $2,011.50 | $122.22 | 5.9× |
| Ascension Seton Northwest | Austin, TX | $724.14 | $2,011.50 | $122.22 | 5.9× |
| Vanderbilt Clarksville Hospital | Clarksville, TN | $729.46 | $3,760.04 | $122.22 | 6.0× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $737.55 | $1,341 | $122.22 | 6.0× |
| Memorial Health University Medical Center | Savannah, GA | $761 | $761 | $122.22 | 6.2× |
| SCK Health | Arkansas City, KS | $774.09 | $774.09 | $122.22 | 6.3× |
| Methodist Dallas Medical Center | Dallas, TX | $779.50 | $1,559 | $122.22 | 6.4× |
| Methodist Richardson Medical Center | Richardson, TX | $779.50 | $1,559 | $122.22 | 6.4× |
| Methodist Charlton Medical Center | Dallas, TX | $779.50 | $1,559 | $122.22 | 6.4× |
| Methodist Mansfield Medical Center | Mansfield, TX | $779.50 | $1,559 | $122.22 | 6.4× |
| Methodist Southlake Medical Center | Southlake, TX | $779.50 | $1,559 | $122.22 | 6.4× |
| Methodist Midlothian Medical Center | Midlothian, TX | $779.50 | $1,559 | $122.22 | 6.4× |
| Methodist Celina Medical Center | Celina, TX | $779.50 | $1,559 | $122.22 | 6.4× |
| Ascension Saint Thomas Hospital West | Nashville, TN | $793.19 | $2,643.95 | $122.22 | 6.5× |
| Memorial Hospital | Aurora, NE | $811.20 | $845 | $122.22 | 6.6× |
| Emory University Hospital | Atlanta, GA | $817 | $817 | $122.22 | 6.7× |
| Emory Decatur Hospital | Decatur, GA | $817 | $817 | $122.22 | 6.7× |
| Emory University Hospital Midtown | Atlanta, GA | $817 | $817 | $122.22 | 6.7× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $817 | $817 | $122.22 | 6.7× |
| Emory Hillandale Hospital | Lithonia, GA | $817 | $817 | $122.22 | 6.7× |
| Emory Johns Creek Hospital | Johns Creek, GA | $817 | $817 | $122.22 | 6.7× |
| Freeman Neosho Hospital | Neosho, MO | $835.80 | $1,393 | $122.22 | 6.8× |
| Freeman Hospital West | Joplin, MO | $836.40 | $1,394 | $122.22 | 6.8× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $841.96 | $841.96 | $122.22 | 6.9× |
| St. David's Medical Center | Austin, TX | $915 | $915 | $122.22 | 7.5× |
| Cherry County Hospital | Valentine, NE | $915.10 | $915.10 | $122.22 | 7.5× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $919.17 | $919.17 | $122.22 | 7.5× |
| Ascension Seton Highland Lakes | Burnet, TX | $920.66 | $2,557.38 | $122.22 | 7.5× |
| Ascension Seton Edgar B Davis | Luling, TX | $920.66 | $2,557.38 | $122.22 | 7.5× |
| UNC Hospitals | Chapel Hill, NC | $924 | $1,540 | $122.22 | 7.6× |
| Texas Health Hospital Mansfield | Mansfield, TX | $974.70 | $974.70 | $122.22 | 8.0× |
| Boys Town National Research Hospital | Boys Town, NE | $978.40 | $1,223 | $122.22 | 8.0× |
| UK Albert B. Chandler Hospital | Lexington, KY | $1,043.48 | $2,608.71 | $122.22 | 8.5× |
| Middle Park Medical Center | Kremmling, CO | $1,052.98 | $1,316.22 | $122.22 | 8.6× |
| Merit Health Wesley | Hattiesburg, MS | $1,096.35 | $5,220.72 | $122.22 | 9.0× |
| Las Palmas Medical Center A Campus of Lpds Healthc | El Paso, TX | $1,270 | $1,270 | $122.22 | 10.4× |
| Huntsville Hospital | Huntsville, AL | $1,295.29 | $1,295.29 | $122.22 | 10.6× |
| CHI St. Vincent Hot Springs | Hot Springs, AR | $1,376 | $1,376 | $122.22 | 11.3× |
| Coralvita Richardson | Richardson, TX | $1,412.40 | $1,412.40 | $122.22‡ | 11.6× |
| Beebe Medical Center | Lewes, DE | $1,422.05 | $1,673 | $122.22 | 11.6× |
| MedStar Georgetown University Hospital | Washington, DC | $1,624.09 | $2,498.60 | $122.22 | 13.3× |
| Houston Methodist Hospital | Houston, TX | $1,655 | $3,310 | $122.22 | 13.5× |
| Sibley Memorial Hospital | Washington, DC | $1,742 | $1,742 | $122.22 | 14.3× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $1,770.97 | $1,770.97 | $122.22 | 14.5× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $1,775.25 | $1,775.25 | $122.22 | 14.5× |
| Arthur M. Blank Hospital | Atlanta, GA | $1,822.50 | $1,822.50 | $122.22 | 14.9× |
| Scottish Rite Hospital | Atlanta, GA | $1,822.50 | $1,822.50 | $122.22 | 14.9× |
| Houston Methodist Baytown Hospital | Baytown, TX | $1,829 | $3,658 | $122.22 | 15.0× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $1,829 | $3,658 | $122.22 | 15.0× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $1,829 | $3,658 | $122.22 | 15.0× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $1,829 | $3,658 | $122.22 | 15.0× |
| Houston Methodist West Hospital | Houston, TX | $1,829 | $3,658 | $122.22 | 15.0× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $1,829 | $3,658 | $122.22 | 15.0× |
| Houston Methodist Cypress Hospital | Cypress, TX | $1,829 | $3,658 | $122.22 | 15.0× |
| AdventHealth Carrollwood | Tampa, FL | $1,886.46 | $1,886.46 | $122.22 | 15.4× |
| AdventHealth Tampa | Tampa, FL | $1,886.46 | $1,886.46 | $122.22 | 15.4× |
| AdventHealth Riverview | Riverview, FL | $1,886.46 | $1,886.46 | $122.22 | 15.4× |
| Wesley Medical Center | Wichita, KS | $1,910 | $1,910 | $122.22 | 15.6× |
| Methodist Hospital | San Antonio, TX | $1,913.12 | $1,913.12 | $122.22 | 15.7× |
| Merit Health River Region | Vicksburg, MS | $2,548.62 | $14,159 | $122.22 | 20.9× |
| Martin County Hospital District | Stanton, TX | $2,867 | $2,867 | $122.22 | 23.5× |
| Medical City Dallas | Dallas, TX | $3,049.55 | $3,049.55 | $122.22 | 25.0× |
| Helen Keller Hospital | Sheffield, AL | $3,934.44 | $3,934.44 | $122.22 | 32.2× |
| Baton Rouge General - Bluebonnet | Baton Rouge, LA | $6,273.30 | $8,961.85 | $122.22 | 51.3× |
| Baton Rouge General - Mid City | Baton Rouge, LA | $6,273.30 | $8,961.85 | $122.22 | 51.3× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $7,938.11 | $7,938.11 | $122.22 | 64.9× |
| Jackson Memorial Hospital | Miami, FL | — | $122.22 | $122.22 | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $154.50 | $122.22 | — |
| Children's Nebraska | Omaha, NE | — | $248 | $122.22 | — |
| Lawrence County Hospital | Monticello, MS | — | $249.67 | $122.22 | — |
| Southeast Georgia Health System-Brunswick Campus | Brunswick, GA | — | $257 | $122.22 | — |
| Southeast Georgia Health System-Camden Campus | Saint Marys, GA | — | $257 | $122.22 | — |
| Antelope Memorial Hospital | Neligh, NE | — | $280 | $122.22 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $312.24 | $122.22 | — |
| Hunt Regional Healthcare | Greenville, TX | — | $366 | $122.22 | — |
| Troy Regional | Troy, AL | — | $366.66 | $122.22 | — |
| Magnolia Regional Health Center | Corinth, MS | — | $366.66 | $122.22 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $401.46 | $122.22 | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $408.41 | $122.22 | — |
| Beauregard Memorial Hospital | DeRidder, LA | — | $410 | $122.22 | — |
| UAB Hospital | Birmingham, AL | — | $416 | $122.22 | — |
| Stormont Vail Hospital | Topeka, KS | — | $419.42 | $122.22 | — |
| North Alabama Medical Center | Florence, AL | — | $555.95 | $122.22 | — |
| North Alabama Shoals Hospital | Muscle Shoals, AL | — | $555.95 | $122.22 | — |
| Mount San Rafael Hospital | Trinidad, CO | — | $727.50 | $122.22 | — |
| Delta Health System – The Medical Center | Greenville, MS | — | $753 | $122.22 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $772.05 | $122.22 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $838.05 | $122.22 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $838.05 | $122.22 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $838.05 | $122.22 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $866.50 | $122.22 | — |
| North Big Horn Hospital District | Lovell, WY | — | $893.50 | $122.22 | — |
| Saline Memorial Hospital | Benton, AR | — | $1,895.07 | $122.22 | — |
"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.