Hla ii typing 1 allele hr (CPT 81383)
81383 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.
1385 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 | Lodi, CA | $6.79 | $97.01 | $109.13 | 0.1× |
| OU Health University of Oklahoma Medical Center range across 6 matching MRF lines |
Oklahoma City, OK | $9.37–$37.80 | $93.70–$378 | $109.13 | varies |
| Albany Medical Center Hospital range across 8 matching MRF lines |
Albany, NY | $11.97–$255 | $23.94–$510 | $109.13 | varies |
| Glendale Adventist Medical Center | Glendale, CA | $14.55 | $97.01 | $109.13 | 0.1× |
| Adventist Health Bakersfield | Bakersfield, CA | $14.55 | $97.01 | $109.13 | 0.1× |
| Adventist Health Simi Valley | Simi Valley, CA | $15.52 | $97.01 | $109.13 | 0.1× |
| Mountains Community Hospital range across 4 matching MRF lines |
Lake Arrowhead, CA | $16.40–$82 | $41–$205 | $109.13 | varies |
| Adventist Health Sonora | Sonora, CA | $16.49 | $97.01 | $109.13 | 0.2× |
| Adventist Health White Memorial | Los Angeles, CA | $17.46 | $97.01 | $109.13 | 0.2× |
| Adventist Health White Memorial Montebello | Montebello, CA | $17.46 | $97.01 | $109.13 | 0.2× |
| Adventist Health Hanford | Hanford, CA | $18.43 | $97.01 | $109.13 | 0.2× |
| Adventist Health Reedley | Reedley, CA | $18.43 | $97.01 | $109.13 | 0.2× |
| Adventist Health Tulare | Tulare, CA | $18.43 | $97.01 | $109.13 | 0.2× |
| Adventist Health Ukiah Valley | Ukiah, CA | $19.40 | $97.01 | $109.13 | 0.2× |
| Banner Lassen Medical Center | Susanville, CA | $20.20 | $36 | $109.13 | 0.2× |
| Flowers Hospital range across 2 matching MRF lines |
Dothan, AL | $20.62–$133.52 | $137.47–$890.11 | $109.13 | varies |
| North Arkansas Regional Medical Center range across 2 matching MRF lines |
Harrison, AR | $20.84–$185.22 | $211.82–$290.07 | $109.13 | varies |
| Nebraska Medical Center range across 3 matching MRF lines |
Omaha, NE | $21.19–$559 | $32.60–$860 | $109.13 | varies |
| Bellevue Medical Center range across 3 matching MRF lines |
Bellevue, NE | $21.19–$559 | $32.60–$860 | $109.13 | varies |
| Fairfield Memorial Hospital 1 | Fairfield, IL | $21.60 | $27 | $109.13 | 0.2× |
| Banner Heart Hospital | Mesa, AZ | $21.98 | $328 | $109.13 | 0.2× |
| Manatee Memorial Hospital | Bradenton, FL | $22.40 | $56 | $109.13 | 0.2× |
| Lakewood Ranch Medical Center | Bradenton, FL | $22.40 | $56 | $109.13 | 0.2× |
| Sentara Albemarle Medical Center range across 2 matching MRF lines |
Elizabeth City, NC | $23–$261.50 | $46–$523 | $109.13 | varies |
| Sentara RMH Medical Center range across 2 matching MRF lines |
Harrisonburg, VA | $23–$146 | $46–$292 | $109.13 | varies |
| Sentara Norfolk General Hospital range across 2 matching MRF lines |
Norfolk, VA | $23–$300.50 | $46–$601 | $109.13 | varies |
| Sentara Halifax Regional Hospital range across 2 matching MRF lines |
South Boston, VA | $23–$314 | $46–$628 | $109.13 | varies |
| Sentara Obici Hospital range across 2 matching MRF lines |
Suffolk, VA | $23–$300.50 | $46–$601 | $109.13 | varies |
| Sentara Leigh Hospital range across 2 matching MRF lines |
Norfolk, VA | $23–$300.50 | $46–$601 | $109.13 | varies |
| Sentara Virginia Beach General Hospital range across 2 matching MRF lines |
Virginia Beach, VA | $23–$300.50 | $46–$601 | $109.13 | varies |
| Sentara Martha Jefferson Hospital range across 2 matching MRF lines |
Charlottesville, VA | $23–$146 | $46–$292 | $109.13 | varies |
| Sentara CarePlex Hospital range across 2 matching MRF lines |
Hampton, VA | $23–$300.50 | $46–$601 | $109.13 | varies |
| Sentara Northern Virginia Medical Center range across 2 matching MRF lines |
Woodbridge, VA | $23–$300.50 | $46–$601 | $109.13 | varies |
| Sentara Princess Anne Hospital range across 2 matching MRF lines |
Virginia Beach, VA | $23–$300.50 | $46–$601 | $109.13 | varies |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $26.19 | $97.01 | $109.13 | 0.2× |
| Big Bend Regional Medical Center | Alpine, TX | $26.52 | $132.61 | $109.13 | 0.2× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $27.75 | $75 | $109.13 | 0.3× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $27.75 | $75 | $109.13 | 0.3× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $27.75 | $75 | $109.13 | 0.3× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $27.75 | $75 | $109.13 | 0.3× |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $27.78 | $50.50 | $109.13 | 0.3× |
| Adventist Health Howard Memorial | Willits, CA | $29.10 | $97.01 | $109.13 | 0.3× |
| Dorminy Medical Center | Fitzgerald, GA | $29.13 | $58.25 | $109.13 | 0.3× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $32.37 | $32.37 | $109.13 | 0.3× |
| Novant Health Pender Medical Center | Burgaw, NC | $33.75 | $75 | $109.13 | 0.3× |
| Red Bud Regional Hospital | Red Bud, IL | $34.47 | $132.56 | $109.13 | 0.3× |
| Adventist Health Clearlake | Clearlake, CA | $34.92 | $97.01 | $109.13 | 0.3× |
| Arrowhead Regional Medical Center range across 2 matching MRF lines |
Colton, CA | $35–$190 | $35–$190 | $109.13 | varies |
| Novant Health Rowan Medical Center | Salisbury, NC | $37.50 | $75 | $109.13 | 0.3× |
| Novant Health Presbyterian Medical Center | Charlotte, NC | $37.50 | $75 | $109.13 | 0.3× |
| Novant Health Brunswick Medical Center | Bolivia, NC | $37.50 | $75 | $109.13 | 0.3× |
| Novant Health Matthews Medical Center | Matthews, NC | $37.50 | $75 | $109.13 | 0.3× |
| Novant Health Huntersville Medical Center | Huntersville, NC | $37.50 | $75 | $109.13 | 0.3× |
| Novant Health Mint Hill Medical Center | Charlotte, NC | $37.50 | $75 | $109.13 | 0.3× |
| Novant Health Ballantyne Medical Center | Charlotte, NC | $37.50 | $75 | $109.13 | 0.3× |
| Stanford Health Care Tri-valley | Pleasanton, CA | $38.40 | $96 | $109.13 | 0.4× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $39.75 | $265 | $109.13 | 0.4× |
| St. Charles Parish Hospital | Luling, LA | $40.23 | $149 | $109.13 | 0.4× |
| Tyler County Hospital | Woodville, TX | $41 | $55 | $109.13 | 0.4× |
| Baptist Beaumont Hospital range across 2 matching MRF lines |
Beaumont, TX | $41.08–$54.73 | $316–$421 | $109.13 | varies |
| Adventist Health Delano | Delano, CA | $41.50 | $207.50 | $109.13 | 0.4× |
| Ochsner Medical Center - Kenner | Kenner, LA | $41.72 | $149 | $109.13 | 0.4× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $42.15 | $56.20 | $109.13 | 0.4× |
| West Boca Medical Center | Boca Raton, FL | $42.15 | $56.20 | $109.13 | 0.4× |
| Good Samaritan Medical Center | West Palm Beach, FL | $42.15 | $56.20 | $109.13 | 0.4× |
| St. Mary's Medical Center range across 2 matching MRF lines |
West Palm Beach, FL | $42.15–$62.25 | $56.20–$83 | $109.13 | varies |
| Florida Coast Medical Center | Port St. Lucie, FL | $42.15 | $56.20 | $109.13 | 0.4× |
| Desert Regional Medical Center | Palm Springs, CA | $42.15 | $56.20 | $109.13 | 0.4× |
| Doctors Medical Center | Modesto, CA | $42.15 | $56.20 | $109.13 | 0.4× |
| UofL Health – UofL Hospital | Louisville, KY | $42.48 | $177 | $109.13 | 0.4× |
| Chi St. Lukes Health Memorial Lufkin | Lufkin, TX | $42.90 | $286 | $109.13 | 0.4× |
| Chi St. Lukes Health Memorial Livingston | Livingston, TX | $42.90 | $286 | $109.13 | 0.4× |
| Chi St. Lukes Health Memorial San Augustine | San Augustine, TX | $42.90 | $286 | $109.13 | 0.4× |
| Torrance Memorial Medical Center range across 22 matching MRF lines |
Torrance, CA | $43.46–$7,209.44 | $53–$8,792 | $109.13 | varies |
| Randolph Health | Asheboro, NC | $44 | $220 | $109.13 | 0.4× |
| Wyandot Memorial Hospital range across 2 matching MRF lines |
Upper Sandusky, OH | $44.75–$303.71 | $49.72–$337.46 | $109.13 | varies |
| Novant Health Forsyth Medical Center | Winston-Salem, NC | $45 | $75 | $109.13 | 0.4× |
| Novant Health Thomasville Medical Center | Thomasville, NC | $45 | $75 | $109.13 | 0.4× |
| Novant Health Medical Park Hospital | Winston-Salem, NC | $45 | $75 | $109.13 | 0.4× |
| Carthage Area Hospital | Carthage, NY | $45 | $150 | $109.13 | 0.4× |
| Northwest Texas Hospital | Amarillo, TX | $45.20 | $113 | $109.13 | 0.4× |
| Starr Regional Medical Center | Athens, TN | $45.33 | $231.29 | $109.13 | 0.4× |
| Southern Hills Hospital and Medical Center | Las Vegas, NV | $48 | $48 | $109.13 | 0.4× |
| San Ramon Regional Medical Center | San Ramon, CA | $49.05 | $65.40 | $109.13 | 0.4× |
| Mena Regional Health System | Mena, AR | $49.20 | $82 | $109.13 | 0.5× |
| University Medical Center of El Paso range across 2 matching MRF lines |
El Paso, TX | $50.27–$70.40 | $251.33–$352 | $109.13 | varies |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $51.82 | $328 | $109.13 | 0.5× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $109.13 | 0.5× |
| MetroHealth System range across 2 matching MRF lines |
Cleveland, OH | $55.30–$147 | $158–$420 | $109.13 | varies |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $55.65 | $265 | $109.13 | 0.5× |
| Banner – University Medical Center South | Tucson, AZ | $56.09 | $328 | $109.13 | 0.5× |
| Rady Children's Hospital - San Diego range across 4 matching MRF lines |
San Diego, CA | $56.25–$222.99 | $75–$297.32 | $109.13 | varies |
| Marshall Medical Center | Placerville, CA | $56.97 | $100 | $109.13 | 0.5× |
| Atrium Health Navicent The Medical Center | Macon, GA | $57.50 | $115 | $109.13 | 0.5× |
| Holy Cross Hospital | Fort Lauderdale, FL | $58.06 | $89.32 | $109.13 | 0.5× |
| Banner Gateway Medical Center | Gilbert, AZ | $58.06 | $328 | $109.13 | 0.5× |
| Baptist Memorial Hospital-Tipton | Covington, TN | $58.08 | $242 | $109.13 | 0.5× |
| City of Hope Helford Clinical Research Hospital range across 2 matching MRF lines |
Duarte, CA | $58.20–$145.50 | $116.40–$291 | $109.13 | varies |
| Banner Del E. Webb Medical Center | Sun City West, AZ | $58.38 | $328 | $109.13 | 0.5× |
| Atrium Health Navicent Baldwin | Milledgeville, GA | $58.50 | $117 | $109.13 | 0.5× |
| Atrium Health Navicent Peach | Byron, GA | $61 | $122 | $109.13 | 0.6× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $61 | $122 | $109.13 | 0.6× |
| Our Lady of the Angels Hospital | Bogalusa, LA | $61 | $122 | $109.13 | 0.6× |
| Goleta Valley Cottage Hospital range across 3 matching MRF lines |
Santa Barbara, CA | $61.25–$172.02 | $87.50–$245.75 | $109.13 | varies |
| Santa Barbara Cottage Hospital range across 3 matching MRF lines |
Santa Barbara, CA | $61.25–$172.02 | $87.50–$245.75 | $109.13 | varies |
| Santa Ynez Valley Cottage Hospital range across 3 matching MRF lines |
Solvang, CA | $61.25–$172.02 | $87.50–$245.75 | $109.13 | varies |
| Banner Estrella Medical Center | Phoenix, AZ | $61.34 | $328 | $109.13 | 0.6× |
| Mercy Health - St. Elizabeth Youngstown Hospital range across 3 matching MRF lines |
Youngstown, OH | $66.60–$445.80 | $111–$743 | $109.13 | varies |
| Mercy Health - St. Joseph Warren Hospital range across 3 matching MRF lines |
Warren, OH | $66.60–$445.80 | $111–$743 | $109.13 | varies |
| Mercy Health - St. Elizabeth Boardman Hospital range across 3 matching MRF lines |
Boardman, OH | $66.60–$445.80 | $111–$743 | $109.13 | varies |
| JPS Health Network | Fort Worth, TX | $67.80 | $113 | $109.13 | 0.6× |
| Santa Clara Valley Medical Center | San Jose, CA | $67.91 | $97.01 | $109.13 | 0.6× |
| Regional Medical Center of San Jose | San Jose, CA | $67.91 | $97.01 | $109.13 | 0.6× |
| Corona Regional Medical Center | Corona, CA | $68 | $169 | $109.13 | 0.6× |
| Los Robles Hospital & Medical Center range across 2 matching MRF lines |
Thousand Oaks, CA | $69–$81.50 | $69–$81.50 | $109.13 | varies |
| Covenant HealthCare | Saginaw, MI | $70 | $100 | $109.13 | 0.6× |
| Leonard J. Chabert Medical Center | Houma, LA | $70.03 | $149 | $109.13 | 0.6× |
| Touro | New Orleans, LA | $70.42 | $503 | $109.13 | 0.6× |
| Banner Thunderbird Medical Center | Glendale, AZ | $71.18 | $328 | $109.13 | 0.7× |
| Banner Baywood Medical Center | Mesa, AZ | $71.50 | $328 | $109.13 | 0.7× |
| HCA Florida North Florida Hospital | Gainesville, FL | $71.86 | $71.86 | $109.13 | 0.7× |
| New Orleans East Hospital | New Orleans, LA | $72 | $450 | $109.13 | 0.7× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $72.16 | $328 | $109.13 | 0.7× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $72.80 | $364 | $109.13 | 0.7× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $72.80 | $364 | $109.13 | 0.7× |
| Franciscan Health Lafayette | Lafayette, IN | $72.93 | $330 | $109.13 | 0.7× |
| San Gabriel Valley Medical Center | San Gabriel, CA | $73.61 | $245.37 | $109.13 | 0.7× |
| French Hospital Medical Center | San Luis Obispo, CA | $74.13 | $189.10 | $109.13 | 0.7× |
| Banner Boswell Medical Center | Sun City, AZ | $74.46 | $328 | $109.13 | 0.7× |
| CHRISTUS Santa Rosa Medical Center | San Antonio, TX | $76.89 | $233 | $109.13 | 0.7× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $79.20 | $198 | $109.13 | 0.7× |
| Ascension Sacred Heart Bay | Panama City, FL | $79.20 | $198 | $109.13 | 0.7× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $79.20 | $198 | $109.13 | 0.7× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $79.20 | $198 | $109.13 | 0.7× |
| MyMichigan Medical Center Alpena | Alpena, MI | $79.20 | $132 | $109.13 | 0.7× |
| MyMichigan Medical Center Midland | Midland, MI | $79.20 | $132 | $109.13 | 0.7× |
| Banner - University Medical Center Tucson | Tucson, AZ | $79.70 | $328 | $109.13 | 0.7× |
| Kettering Health Greene Memorial range across 3 matching MRF lines |
Xenia, OH | $80–$482 | $200–$1,205 | $109.13 | varies |
| Kettering Health Main Campus range across 3 matching MRF lines |
Kettering, OH | $80–$482 | $200–$1,205 | $109.13 | varies |
| Kettering Health Hamilton (Fort Hamilton) range across 3 matching MRF lines |
Hamilton, OH | $80–$482 | $200–$1,205 | $109.13 | varies |
| Kettering Health Dayton range across 3 matching MRF lines |
Dayton, OH | $80–$482 | $200–$1,205 | $109.13 | varies |
| Kettering Health Miamisburg range across 3 matching MRF lines |
Miamisburg, OH | $80–$482 | $200–$1,205 | $109.13 | varies |
| Soin Medical Center range across 3 matching MRF lines |
Beaver Creek, OH | $80–$482 | $200–$1,205 | $109.13 | varies |
| Kettering Health Troy range across 3 matching MRF lines |
Troy, OH | $80–$482 | $200–$1,205 | $109.13 | varies |
| Banner Ironwood Medical Center | Queen Creek, AZ | $80.36 | $328 | $109.13 | 0.7× |
| Altru Hospital | Grand Forks, ND | $80.52 | $132 | $109.13 | 0.7× |
| Marian Regional Medical Center | Santa Maria, CA | $80.94 | $189.10 | $109.13 | 0.7× |
| Boone County Hospital | Boone, IA | $81 | $101.25 | $109.13 | 0.7× |
| Norton-king's Daughters' Health | Madison, IN | $81.18 | $369 | $109.13 | 0.7× |
| Firelands Regional Medical Center range across 4 matching MRF lines |
Sandusky, OH | $81.85–$1,050 | $81.85–$1,050 | $109.13 | varies |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $81.88 | $356 | $109.13 | 0.8× |
| Singing River Gulfport | Gulfport, MS | $82 | $410 | $109.13 | 0.8× |
| Medina Memorial Hospital | Medina, NY | $84 | $210 | $109.13 | 0.8× |
| Ascension St. Vincent Evansville | Evansville, IN | $84 | $140 | $109.13 | 0.8× |
| UAMS Medical Center | Little Rock, AR | $84.60 | $141 | $109.13 | 0.8× |
| Jefferson County Health Center | Fairfield, IA | $84.60 | $141 | $109.13 | 0.8× |
| Nathan Littauer Hospital range across 2 matching MRF lines |
Gloversville, NY | $84.85–$84.86 | $106.06–$106.07 | $109.13 | varies |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $85 | $340 | $109.13 | 0.8× |
| Candler Hospital range across 3 matching MRF lines |
Savannah, GA | $85.50–$95.10 | $285–$317 | $109.13 | varies |
| St. Joseph's Hospital range across 3 matching MRF lines |
Savannah, GA | $85.50–$95.10 | $285–$317 | $109.13 | varies |
| Franciscan Health Munster | Munster, IN | $85.63 | $402 | $109.13 | 0.8× |
| Presence Saint Joseph Hospital - Chicago | Chicago, IL | $86.13 | $261 | $109.13 | 0.8× |
| Adventist Health Castle | Kailua, HI | $89.92 | $281 | $109.13 | 0.8× |
| Field Health System | Centreville, MS | $90 | $120 | $109.13 | 0.8× |
| Kingman Regional Medical Center | Kingman, AZ | $90.65 | $259 | $109.13 | 0.8× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $91.35 | $435 | $109.13 | 0.8× |
| Banner - University Medical Center Phoenix | Phoenix, AZ | $91.51 | $328 | $109.13 | 0.8× |
| University of Texas Health Science Center at Tyler | Tyler, TX | $92.10 | $921 | $109.13 | 0.8× |
| Alamance Regional Medical Center | Burlington, NC | $92.72 | $244 | $109.13 | 0.8× |
| Cone Health Moses Cone Hospital | Greensboro, NC | $92.72 | $244 | $109.13 | 0.8× |
| University Hospitals Samaritan Medical Center range across 3 matching MRF lines |
Ashland, OH | $93–$126 | $124–$168 | $109.13 | varies |
| UT Medical Center range across 2 matching MRF lines |
Knoxville, TN | $93.75–$148.50 | $375–$594 | $109.13 | varies |
| East Jefferson General Hospital | Metairie, LA | $95.76 | $684 | $109.13 | 0.9× |
| Huntsville Memorial Hospital | Huntsville, TX | $96 | $383 | $109.13 | 0.9× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $96 | $192 | $109.13 | 0.9× |
| Newberry Health Hospital | Newberry, SC | $96.20 | $260 | $109.13 | 0.9× |
| Salem Memorial District Hospital | Salem, MO | $98.44 | $131.25 | $109.13 | 0.9× |
| Dosher Memorial Hospital | Southport, NC | $100 | $200 | $109.13 | 0.9× |
| Banner Ocotillo Medical Center | Chandler, AZ | $100.04 | $328 | $109.13 | 0.9× |
| Buchanan General Hospital | Grundy, VA | $100.40 | $251 | $109.13 | 0.9× |
| Providence St. Mary Medical Center range across 2 matching MRF lines |
Walla Walla, WA | $100.80–$170.10 | $144–$243 | $109.13 | varies |
| Valley Regional Hospital | Claremont, NH | $101.20 | $184 | $109.13 | 0.9× |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $101.25 | $225 | $109.13 | 0.9× |
| Lincoln Medical Center | Fayetteville, TN | $101.39 | $213.90 | $109.13 | 0.9× |
| St. Catherine Hospital Inc range across 3 matching MRF lines |
East Chicago, IN | $102.60–$200.40 | $171–$334 | $109.13 | varies |
| St. Mary Medical Center Inc range across 3 matching MRF lines |
Hobart, IN | $102.60–$200.40 | $171–$334 | $109.13 | varies |
| Community Hospital range across 3 matching MRF lines |
Munster, IN | $102.60–$200.40 | $171–$334 | $109.13 | varies |
| Tanner Medical Center/Carrollton range across 2 matching MRF lines |
Carrollton, GA | $102.80–$205.20 | $257–$513 | $109.13 | varies |
| Higgins General Hospital range across 2 matching MRF lines |
Bremen, GA | $102.80–$205.20 | $257–$513 | $109.13 | varies |
| Lutheran Kosciusko Hospital | Warsaw, IN | $103.11 | $491 | $109.13 | 0.9× |
| Ochsner Acadia General Hospital | Crowley, LA | $103.27 | $449 | $109.13 | 0.9× |
| Houston Methodist Hospital | Houston, TX | $104.50 | $209 | $109.13 | 1.0× |
| Houston Methodist Baytown Hospital | Baytown, TX | $104.50 | $209 | $109.13 | 1.0× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $104.50 | $209 | $109.13 | 1.0× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $104.50 | $209 | $109.13 | 1.0× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $104.50 | $209 | $109.13 | 1.0× |
| Houston Methodist West Hospital | Houston, TX | $104.50 | $209 | $109.13 | 1.0× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $104.50 | $209 | $109.13 | 1.0× |
| Houston Methodist Cypress Hospital | Cypress, TX | $104.50 | $209 | $109.13 | 1.0× |
| Dignity Health - St. Rose Dominican, San Martín Campus | Las Vegas, NV | $104.55 | $510 | $109.13 | 1.0× |
| Westfields Hospital and Clinic | New Richmond, WI | $105.20 | $200 | $109.13 | 1.0× |
| Kittitas Valley Healthcare | Ellensburg, WA | $105.40 | $124 | $109.13 | 1.0× |
| Karmanos Cancer Center range across 8 matching MRF lines |
Detroit, MI | $105.75–$114.10 | $211.50–$228.20 | $109.13 | varies |
| Shannon Medical Center | San Angelo, TX | $106 | $212 | $109.13 | 1.0× |
| Scenic Mountain Medical Center | Big Spring, TX | $106 | $212 | $109.13 | 1.0× |
| Carlsbad Medical Center | Carlsbad, NM | $107.36 | $1,073.63 | $109.13 | 1.0× |
| UCHealth University of Colorado Hospital range across 2 matching MRF lines |
Aurora, CO | $107.52–$205.69 | $307.20–$587.66 | $109.13 | varies |
| Fulton County Health Center | Wauseon, OH | $107.79 | $153.99 | $109.13 | 1.0× |
| Knapp Medical Center | Weslaco, TX | $109 | $545.65 | $109.13 | 1.0× |
| Mission Regional Medical Center | Mission, TX | $109 | $139.60 | $109.13 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $109 | $748.50 | $109.13 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $109 | $743.30 | $109.13 | 1.0× |
| North Vista Hospital | North Las Vegas, NV | $109 | $521.22 | $109.13 | 1.0× |
| Saint Mary's Regional Medical Center | Reno, NV | $109 | $749 | $109.13 | 1.0× |
| Encino Hospital Medical Center | Encino, CA | $109 | $56.20 | $109.13 | 1.0× |
| Garden Grove Hospital & Medical Center | Garden Grove, CA | $109 | $742.55 | $109.13 | 1.0× |
| West Anaheim Medical Center | Anaheim, CA | $109 | $742.55 | $109.13 | 1.0× |
| Huntington Beach Hospital | Huntington Beach, CA | $109 | $742.55 | $109.13 | 1.0× |
| La Palma Intercommunity Hospital | La Palma, CA | $109 | $742.55 | $109.13 | 1.0× |
| Sherman Oaks Hospital | Sherman Oaks, CA | $109 | $56.20 | $109.13 | 1.0× |
| Shasta Regional Medical Center | Redding, CA | $109 | $56.20 | $109.13 | 1.0× |
| Saint Joseph Medical Center range across 2 matching MRF lines |
Joliet, IL | $109 | $508–$676 | $109.13 | 1.0× |
| St.. Mary's Hospital-kankakee range across 2 matching MRF lines |
Kankakee, IL | $109 | $481–$510 | $109.13 | 1.0× |
| Mercy Medical Center | Aurora, IL | $109 | $385 | $109.13 | 1.0× |
| Saint Joseph Hospital-elgin | Elgin, IL | $109 | $385 | $109.13 | 1.0× |
| Monroe Hospital range across 2 matching MRF lines |
Bloomington, IN | $109 | $197–$1,190 | $109.13 | 1.0× |
| East Liverpool City Hospital | East Liverpool, OH | $109 | $390.96 | $109.13 | 1.0× |
| Coshocton Regional Medical Center | Coshocton, OH | $109 | $315 | $109.13 | 1.0× |
| Lake Huron Medical Center | Port Huron, MI | $109 | $507.45 | $109.13 | 1.0× |
| Garden City Hospital | Garden City, MI | $109 | $163.70 | $109.13 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $109.13 | — | $109.13 | 1.0× |
| Harris Health range across 2 matching MRF lines |
Houston, TX | $109.13 | $260–$266 | $109.13 | 1.0× |
| Griffin Hospital | Derby, CT | $109.13 | $79.45 | $109.13 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $109.13 | — | $109.13 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Bellevue Hospital Center | New York, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Harlem Hospital Center | New York, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $109.13 | $327.39 | $109.13 | 1.0× |
| Summa Health System range across 3 matching MRF lines |
Akron, OH | $109.13–$445.50 | $109.13–$445.50 | $109.13 | varies |
| University Hospital – UMMC | Jackson, MS | $109.20 | $273 | $109.13 | 1.0× |
| UMMC Madison | Canton, MS | $109.20 | $273 | $109.13 | 1.0× |
| Glens Falls Hospital range across 7 matching MRF lines |
Glens Falls, NY | $109.50–$139.50 | $219–$279 | $109.13 | varies |
| Norman Regional range across 2 matching MRF lines |
Norman, OK | $109.80–$351 | $183–$585 | $109.13 | varies |
| Henry Ford Rochester Hospital | Rochester, MI | $110.45 | $235 | $109.13 | 1.0× |
| Henry Ford Warren Hospital range across 2 matching MRF lines |
Warren, MI | $110.88–$140.56 | $198–$251 | $109.13 | varies |
| Henry Ford River District Hospital range across 2 matching MRF lines |
East China, MI | $110.88–$128.80 | $198–$230 | $109.13 | varies |
| Wythe County Community Hospital | Wytheville, VA | $110.94 | $277.34 | $109.13 | 1.0× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $112.40 | $112.40 | $109.13 | 1.0× |
| Northwest Community Hospital 1 range across 2 matching MRF lines |
Arlington Heights, IL | $113–$468 | $113–$468 | $109.13 | varies |
| Harrison County Community Hospital range across 2 matching MRF lines |
Bethany, MO | $113.10–$209.30 | $174–$322 | $109.13 | varies |
| HCA Florida West Hospital | Pensacola, FL | $113.40 | $113.40 | $109.13 | 1.0× |
| Riverside Medical Center | Franklinton, LA | $113.60 | $284 | $109.13 | 1.0× |
| Ascension Providence range across 2 matching MRF lines |
Waco, TX | $114.57–$120.33 | $318.25–$334.25 | $109.13 | varies |
| Pascagoula Hospital | Pascagoula, MS | $114.90 | $383 | $109.13 | 1.1× |
| UNC Health Johnston | Smithfield, NC | $115.20 | $192 | $109.13 | 1.1× |
| Dignity Health - St. Rose Dominican, Siena Campus | Henderson, NV | $115.77 | $510 | $109.13 | 1.1× |
| Southeast Health Medical Center | Dothan, AL | $115.78 | $289.44 | $109.13 | 1.1× |
| Southwestern Medical Center range across 2 matching MRF lines |
Lawton, OK | $115.83–$335.49 | $289.57–$838.73 | $109.13 | varies |
| Owensboro Health Muhlenberg Community Hospital | Greenville, KY | $116.92 | $179.87 | $109.13 | 1.1× |
| Lutheran Downtown Hospital range across 3 matching MRF lines |
Fort Wayne, IN | $117.84–$124.80 | $491–$520 | $109.13 | varies |
| Jackson County Regional Health Center range across 3 matching MRF lines |
Maquoketa, IA | $118–$783 | $118–$783 | $109.13 | varies |
| Owensboro Health Regional Hospital | Owensboro, KY | $118.04 | $181.60 | $109.13 | 1.1× |
| Owensboro Health Twin Lakes Medical Center | Leitchfield, KY | $119.12 | $183.26 | $109.13 | 1.1× |
| Marion General Hospital | Columbia, MS | $119.79 | $598.95 | $109.13 | 1.1× |
| Highland Community Hospital | Picayune, MS | $119.79 | $598.95 | $109.13 | 1.1× |
| Mountain West Medical Center range across 2 matching MRF lines |
Tooele, UT | $120–$132.92 | $200–$221.54 | $109.13 | varies |
| MultiCare Auburn Medical Center | Auburn, WA | $120.40 | $301 | $109.13 | 1.1× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $120.40 | $301 | $109.13 | 1.1× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $120.40 | $301 | $109.13 | 1.1× |
| MultiCare Covington Medical Center | Covington, WA | $120.40 | $301 | $109.13 | 1.1× |
| Mary Bridge Children's Hospital | Tacoma, WA | $120.40 | $301 | $109.13 | 1.1× |
| Berger Hospital | Circleville, OH | $120.90 | $186 | $109.13 | 1.1× |
| Permian Regional Medical Center Andrews County Ho | Andrews, TX | $121 | $242 | $109.13 | 1.1× |
| Great Falls Clinic Hospital | Great Falls, MT | $121.26 | $121.26 | $109.13 | 1.1× |
| Island Hospital | Anacortes, WA | $122 | $122 | $109.13 | 1.1× |
| Northwest Mississippi Regional Medical Center | Clarksdale, MS | $124.18 | $496.75 | $109.13 | 1.1× |
| Mercy Health - Willard Hospital range across 2 matching MRF lines |
Willard, OH | $124.20–$304.80 | $207–$508 | $109.13 | varies |
| Nationwide Children's Hospital Toledo range across 2 matching MRF lines |
Toledo, OH | $124.20–$208.20 | $207–$347 | $109.13 | varies |
| Bsa Hospital | Amarillo, TX | $124.40 | $1,244 | $109.13 | 1.1× |
| Chesapeake Regional Medical Center | Chesapeake, VA | $124.70 | $207.83 | $109.13 | 1.1× |
| Denver Health Medical Center range across 5 matching MRF lines |
Denver, CO | $125.05–$375.15 | $357.28–$1,071.84 | $109.13 | varies |
| Valleywise Health Medical Center | Phoenix, AZ | $125.50 | — | $109.13 | 1.2× |
| Major Hospital | Shelbyville, IN | $125.86 | $406 | $109.13 | 1.2× |
| UK St. Claire Regional Medical Center range across 2 matching MRF lines |
Morehead, KY | $126–$396.75 | $168–$529 | $109.13 | varies |
| WakeMed Raleigh Campus range across 2 matching MRF lines |
Raleigh, NC | $126.92–$149.34 | $334–$393 | $109.13 | varies |
| WakeMed Cary Hospital range across 2 matching MRF lines |
Cary, NC | $126.92–$149.34 | $334–$393 | $109.13 | varies |
| Piedmont Newton | Covington, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Cartersville Medical Center | Cartersville, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Walton | Monroe, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Athens Regional | Athens, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Atlanta | Atlanta, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Rockdale | Conyers, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Macon Medical Center | Macon, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Henry Hospital | Stockbridge, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Eastside | Snellville, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Columbus Regional Northside | Columbus, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Macon North | Macon, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Fayette | Fayetteville, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Mountainside | Jasper, GA | $127.20 | $424 | $109.13 | 1.2× |
| Piedmont Newnan | Newnan, GA | $127.20 | $424 | $109.13 | 1.2× |
| Norton Scott Hospital | Scottsburg, IN | $127.60 | $638 | $109.13 | 1.2× |
| Henry Ford St. John Hospital range across 2 matching MRF lines |
Detroit, MI | $128.24–$140.56 | $229–$251 | $109.13 | varies |
| Mercy Health - Tiffin Hospital range across 2 matching MRF lines |
Tiffin, OH | $128.40–$265.20 | $214–$442 | $109.13 | varies |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $128.92 | $586 | $109.13 | 1.2× |
| Mease Dunedin Hospital | Dunedin, FL | $129 | $215 | $109.13 | 1.2× |
| Winter Haven Hospital | Winter Haven, FL | $129 | $215 | $109.13 | 1.2× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $129 | $215 | $109.13 | 1.2× |
| St. Anthony's Hospital | Saint Petersburg, FL | $129 | $215 | $109.13 | 1.2× |
| St. Joseph's Hospital | Tampa, FL | $129 | $215 | $109.13 | 1.2× |
| Bartow Regional Medical Center | Bartow, FL | $129 | $215 | $109.13 | 1.2× |
| Morton Plant Hospital | Clearwater, FL | $129 | $215 | $109.13 | 1.2× |
| South Florida Baptist Hospital | Plant City, FL | $129 | $215 | $109.13 | 1.2× |
| Mease Countryside Hospital | Safety Harbor, FL | $129 | $215 | $109.13 | 1.2× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $129 | $215 | $109.13 | 1.2× |
| Nicholas H Noyes Memorial Hospital | Dansville, NY | $129 | — | $109.13 | 1.2× |
| St. Clare Hospital | Lakewood, WA | $129.88 | $450.58 | $109.13 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $130.96 | $364 | $109.13 | 1.2× |
| Geneva General Hospital range across 2 matching MRF lines |
Geneva, NY | $130.96–$261.92 | $327.39–$654.78 | $109.13 | varies |
| Long Island Community Hospital | Patchogue, NY | $130.96 | $1,447.18 | $109.13 | 1.2× |
| NYU Langone Hospitals | New York, NY | $130.96 | $1,447.18 | $109.13 | 1.2× |
| Soldiers & Sailors Memorial Hospital range across 2 matching MRF lines |
Penn Yan, NY | $130.96–$261.92 | $327.39–$654.78 | $109.13 | varies |
| Garnet Health Medical Center | Middletown, NY | $131.50 | $526 | $109.13 | 1.2× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $131.56 | $286 | $109.13 | 1.2× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $131.56 | $286 | $109.13 | 1.2× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $131.56 | $286 | $109.13 | 1.2× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $131.56 | $286 | $109.13 | 1.2× |
| St. Peter's Hospital | Albany, NY | $131.95 | $203 | $109.13 | 1.2× |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $132 | $220 | $109.13 | 1.2× |
| UMMC Greenwood | Greenwood, MS | $132 | $165 | $109.13 | 1.2× |
| Franciscan Health Michigan City | Michigan City, IN | $132.29 | $636 | $109.13 | 1.2× |
| Cuyuna Regional Medical Center | Crosby, MN | $132.60 | $390 | $109.13 | 1.2× |
| Holy Cross Hospital A Div of Taos Health Systems | Taos, NM | $132.80 | $166 | $109.13 | 1.2× |
| Memorial Regional Hospital | Hollywood, FL | $133 | $190 | $109.13 | 1.2× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $133 | $190 | $109.13 | 1.2× |
| Memorial Hospital West | Pembroke Pines, FL | $133 | $190 | $109.13 | 1.2× |
| Memorial Hospital Miramar | Miramar, FL | $133 | $190 | $109.13 | 1.2× |
| UCHealth Highlands Ranch Hospital range across 3 matching MRF lines |
Highlands Ranch, CO | $133.47–$448.32 | $444.87–$1,494.38 | $109.13 | varies |
| CommonSpirit Saint Joseph Hospital - Bardstown | Bardstown, KY | $133.65 | $315 | $109.13 | 1.2× |
| J.W. Ruby Memorial Hospital range across 3 matching MRF lines |
Morgantown, WV | $134–$1,080.50 | $268–$2,161 | $109.13 | varies |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $134.07 | $134.07 | $109.13 | 1.2× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $134.07 | $134.07 | $109.13 | 1.2× |
| Lima Memorial Health System | Lima, OH | $134.10 | $149 | $109.13 | 1.2× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $134.70 | $449 | $109.13 | 1.2× |
| Maria Parham Health | Henderson, NC | $134.84 | $337.10 | $109.13 | 1.2× |
| UCHealth Greeley Hospital range across 3 matching MRF lines |
Greeley, CO | $135–$619.21 | $225–$1,032.01 | $109.13 | varies |
| Franciscan Health Crown Point | Crown Point, IN | $135.45 | $525 | $109.13 | 1.2× |
| University Hospitals Geneva Medical Center range across 3 matching MRF lines |
Geneva, OH | $135.75–$162 | $181–$216 | $109.13 | varies |
| University Hospitals Conneaut Medical Center range across 3 matching MRF lines |
Conneaut, OH | $135.75–$162 | $181–$216 | $109.13 | varies |
| Riverside Methodist Hospital | Columbus, OH | $136.50 | $210 | $109.13 | 1.3× |
| Grant Medical Center | Columbus, OH | $136.50 | $210 | $109.13 | 1.3× |
| Doctors Hospital | Columbus, OH | $136.50 | $210 | $109.13 | 1.3× |
| Southeastern Medical Center | Cambridge, OH | $136.50 | $210 | $109.13 | 1.3× |
| Dublin Methodist Hospital | Dublin, OH | $136.50 | $210 | $109.13 | 1.3× |
| Mercy Health St. Vincent Medical Center range across 2 matching MRF lines |
Toledo, OH | $136.80–$229.20 | $228–$382 | $109.13 | varies |
| INTEGRIS Health Woodward | Woodward, OK | $137 | $685 | $109.13 | 1.3× |
| INTEGRIS Health Ponca City | Ponca City, OK | $137 | $685 | $109.13 | 1.3× |
| St. Anthony Hospital | Gig Harbor, WA | $137.05 | $450.58 | $109.13 | 1.3× |
| Mercy Health - Defiance Hospital range across 2 matching MRF lines |
Defiance, OH | $137.40–$240.60 | $229–$401 | $109.13 | varies |
| St. Anne Hospital | Burien, WA | $137.59 | $450.58 | $109.13 | 1.3× |
| Banner Wyoming Medical Center | Casper, WY | $137.76 | $328 | $109.13 | 1.3× |
| Sibley Memorial Hospital range across 2 matching MRF lines |
Washington, DC | $138–$1,943 | $138–$1,943 | $109.13 | varies |
| Vanderbilt Clarksville Hospital | Clarksville, TN | $138.55 | $714.10 | $109.13 | 1.3× |
| Marion General Hospital | Marion, OH | $139.10 | $214 | $109.13 | 1.3× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $139.55 | $199.36 | $109.13 | 1.3× |
| Holy Cross Hospital | Chicago, IL | $139.55 | $199.36 | $109.13 | 1.3× |
| Barton Memorial Hospital | South Lake Tahoe, CA | $140 | $200 | $109.13 | 1.3× |
| Sanford | Fargo, ND | $140 | $175 | $109.13 | 1.3× |
| Franciscan Health Crawfordsville | Crawfordsville, IN | $140.11 | $517 | $109.13 | 1.3× |
| CommonSpirit - Memorial Hospital - North Georgia | Ringgold, GA | $140.31 | $474 | $109.13 | 1.3× |
| The Orthopaedic Hospital of Lutheran Health Network | Fort Wayne, IN | $140.52 | $520.45 | $109.13 | 1.3× |
| CommonSpirit Saint Joseph Hospital - London | London, KY | $140.60 | $394 | $109.13 | 1.3× |
| Mammoth Hospital | Mammoth Lakes, CA | $140.77 | $201.10 | $109.13 | 1.3× |
| St. Francis Hospital | Federal Way, WA | $141.41 | $450.58 | $109.13 | 1.3× |
| St. Dominic Hospital | Jackson, MS | $141.50 | $283 | $109.13 | 1.3× |
| Banner North Colorado Medical Center | Greeley, CO | $141.70 | $328 | $109.13 | 1.3× |
| Franciscan Health Dyer | Dyer, IN | $141.75 | $525 | $109.13 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $141.87 | — | $109.13 | 1.3× |
| Ochsner Medical Center - Hancock | Bay St. Louis, MS | $142.12 | $374 | $109.13 | 1.3× |
| Boca Raton Regional Hospital range across 2 matching MRF lines |
Boca Raton, FL | $142.35–$444.60 | $219–$684 | $109.13 | varies |
| Desoto Memorial Hospital | Arcadia, FL | $143 | $286 | $109.13 | 1.3× |
| Saratoga Hospital range across 7 matching MRF lines |
Saratoga Springs, NY | $143.50–$784 | $287–$1,568 | $109.13 | varies |
| Banner Desert Medical Center | Mesa, AZ | $144.32 | $328 | $109.13 | 1.3× |
| Centra Health | Lynchburg, VA | $144.87 | $439 | $109.13 | 1.3× |
| Centra Bedford Memorial Hospital | Bedford, VA | $144.87 | $439 | $109.13 | 1.3× |
| Centra Southside Community Hospital | Farmville, VA | $144.87 | $439 | $109.13 | 1.3× |
| Baldwin Health | Foley, AL | $144.98 | $805.44 | $109.13 | 1.3× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Richland Hospital | Columbia, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Laurens County Hospital | Clinton, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Tuomey Hospital | Sumter, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Baptist Hospital | Columbia, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Patewood Hospital | Greenville, SC | $145.60 | $224 | $109.13 | 1.3× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $145.60 | $224 | $109.13 | 1.3× |
| Dignity Health - St. Rose Dominican, Rose de Lima Campus | Henderson, NV | $145.86 | $510 | $109.13 | 1.3× |
| Cape Fear Valley Medical Center range across 3 matching MRF lines |
Fayetteville, NC | $146.28–$181.89 | $243.80–$303.15 | $109.13 | varies |
| Cape Fear Valley Betsy Johnson Hospital range across 3 matching MRF lines |
Dunn, NC | $146.28–$181.89 | $243.80–$303.15 | $109.13 | varies |
| Cape Fear Valley Hoke Hospital range across 3 matching MRF lines |
Raeford, NC | $146.28–$181.89 | $243.80–$303.15 | $109.13 | varies |
| Cape Fear Valley Bladen County Hospital range across 3 matching MRF lines |
Elizabethtown, NC | $146.28–$181.89 | $243.80–$303.15 | $109.13 | varies |
| Aiken Regional Medical Centers | Aiken, SC | $146.80 | $367 | $109.13 | 1.3× |
| OhioHealth Mansfield Hospital | Mansfield, OH | $146.90 | $226 | $109.13 | 1.3× |
| OhioHealth Shelby Hospital | Shelby, OH | $146.90 | $226 | $109.13 | 1.3× |
| Banner Payson Medical Center | Payson, AZ | $146.94 | $328 | $109.13 | 1.3× |
| Lutheran Hospital of Indiana range across 2 matching MRF lines |
Fort Wayne, IN | $147.30–$156 | $491–$520 | $109.13 | varies |
| Schneck Medical Center | Seymour, IN | $147.70 | $211 | $109.13 | 1.4× |
| St. James Hospital | Hornell, NY | $148 | — | $109.13 | 1.4× |
| Bethesda Hospital East | Boynton Beach, FL | $148.85 | $229 | $109.13 | 1.4× |
| Baptist Hospital of Miami | Miami, FL | $148.85 | $229 | $109.13 | 1.4× |
| Homestead Hospital | Homestead, FL | $148.85 | $229 | $109.13 | 1.4× |
| South Miami Hospital | South Miami, FL | $148.85 | $229 | $109.13 | 1.4× |
| Doctors Hospital | Coral Gables, FL | $148.85 | $229 | $109.13 | 1.4× |
| West Kendall Baptist Hospital | Miami, FL | $148.85 | $229 | $109.13 | 1.4× |
| Fishermen's Community Hospital | Marathon, FL | $148.85 | $229 | $109.13 | 1.4× |
| Mariners Hospital | Tavernier, FL | $148.85 | $229 | $109.13 | 1.4× |
| St. Joseph Medical Center | Tacoma, WA | $149.24 | $450.58 | $109.13 | 1.4× |
| Ozarks Healthcare | West Plains, MO | $149.50 | $299 | $109.13 | 1.4× |
| University Hospitals Parma Medical Center range across 3 matching MRF lines |
Parma, OH | $150–$175.50 | $200–$234 | $109.13 | varies |
| University Hospitals Regional Hospitals - Geauga Medical Center range across 3 matching MRF lines |
Chardon, OH | $150–$175.50 | $200–$234 | $109.13 | varies |
| University Hospitals Portage Medical Center range across 3 matching MRF lines |
Ravenna, OH | $150–$175.50 | $200–$234 | $109.13 | varies |
| Lake Health range across 3 matching MRF lines |
Concord, OH | $150–$175.50 | $200–$234 | $109.13 | varies |
| University Hospitals St. John Medical Center range across 3 matching MRF lines |
Westlake, OH | $150–$175.50 | $200–$234 | $109.13 | varies |
| University Hospitals Elyria Medical Center range across 3 matching MRF lines |
Elyria, OH | $150–$175.50 | $200–$234 | $109.13 | varies |
| University Hospitals Ahuja Medical Center range across 3 matching MRF lines |
Beachwood, OH | $150–$175.50 | $200–$234 | $109.13 | varies |
| University Hospitals Beachwood Medical Center range across 3 matching MRF lines |
Beachwood, OH | $150–$175.50 | $200–$234 | $109.13 | varies |
| Henry Ford Macomb Hospital | Clinton Township, MI | $150.60 | — | $109.13 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $150.60 | $290 | $109.13 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $150.60 | — | $109.13 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $150.60 | $290 | $109.13 | 1.4× |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego, CA | $150.70 | $274 | $109.13 | 1.4× |
| Liberty Regional Medical Center | Hinesville, GA | $151.50 | $202 | $109.13 | 1.4× |
| Mercy Medical Center | Roseburg, OR | $151.98 | $285 | $109.13 | 1.4× |
| Vanderbilt Bedford Hospital range across 4 matching MRF lines |
Shelbyville, TN | $152.25–$219.53 | $525–$757 | $109.13 | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 4 matching MRF lines |
Tullahoma, TN | $152.25–$219.53 | $525–$757 | $109.13 | varies |
| Vanderbilt Wilson County Hospital range across 4 matching MRF lines |
Lebanon, TN | $152.25–$219.53 | $525–$757 | $109.13 | varies |
| Trinity Health Livonia Hospital | Livonia, MI | $152.75 | $235 | $109.13 | 1.4× |
| Trinity Health Oakland Hospital | Pontiac, MI | $152.75 | $235 | $109.13 | 1.4× |
| Trinity Health Grand Rapids Hospital range across 2 matching MRF lines |
Grand Rapids, MI | $152.75–$226.85 | $235–$349 | $109.13 | varies |
| Trinity Health Muskegon Hospital range across 2 matching MRF lines |
Muskegon, MI | $152.75–$226.85 | $235–$349 | $109.13 | varies |
| Trinity Health Livingston Hospital | Howell, MI | $152.75 | $235 | $109.13 | 1.4× |
| Trinity Health Ann Arbor | Ypsilanti, MI | $152.75 | $235 | $109.13 | 1.4× |
| Bon Secours St. Francis Downtown | Greenville, SC | $153 | $255 | $109.13 | 1.4× |
| Bon Secours St. Francis Hospital | Charleston, SC | $153 | $255 | $109.13 | 1.4× |
| Erlanger Western Carolina Hospital | Murphy, NC | $154 | $220 | $109.13 | 1.4× |
| Blue Ridge Medical Center | Blue Ridge, GA | $154.37 | $257.29 | $109.13 | 1.4× |
| Putnam County Hospital | Greencastle, IN | $154.70 | $182 | $109.13 | 1.4× |
| Longs Peak Hospital range across 3 matching MRF lines |
Longmont, CO | $155.71–$523.04 | $444.87–$1,494.38 | $109.13 | varies |
| UCHealth Broomfield Hospital range across 3 matching MRF lines |
Broomfield, CO | $155.71–$523.04 | $444.87–$1,494.38 | $109.13 | varies |
| UCHealth Grandview Hospital range across 3 matching MRF lines |
Colorado Springs, CO | $155.71–$523.04 | $444.87–$1,494.38 | $109.13 | varies |
| University Hospitals Cleveland Medical Center range across 3 matching MRF lines |
Cleveland, OH | $156–$175.50 | $208–$234 | $109.13 | varies |
| UH Rainbow Babies & Children's Hospital range across 3 matching MRF lines |
Cleveland, OH | $156–$175.50 | $208–$234 | $109.13 | varies |
| Barrett Hospital & Healthcare | Dillon, MT | $156.75 | $165 | $109.13 | 1.4× |
| Poudre Valley Hospital range across 3 matching MRF lines |
Fort Collins, CO | $157.50–$722.41 | $225–$1,032.01 | $109.13 | varies |
| Medical Center of the Rockies range across 3 matching MRF lines |
Loveland, CO | $157.50–$722.41 | $225–$1,032.01 | $109.13 | varies |
| Pikeville Medical Center | Pikeville, KY | $157.50 | $525 | $109.13 | 1.4× |
| Pomerene Hospital | Millersburg, OH | $158.40 | $198 | $109.13 | 1.5× |
| Mercy Health — Marcum and Wallace Hospital range across 2 matching MRF lines |
Irvine, KY | $159–$248.40 | $265–$414 | $109.13 | varies |
| Williamson Medical Center | Franklin, TN | $159 | $282 | $109.13 | 1.5× |
| St. Elizabeth Hospital | Enumclaw, WA | $159.22 | $450.58 | $109.13 | 1.5× |
| Banner Churchill Community Hospital | Fallon, NV | $159.41 | $328 | $109.13 | 1.5× |
| Boston Medical Center Brighton | Brighton, MA | $160.59 | $356.86 | $109.13 | 1.5× |
| City of Hope Cancer Center Phoenix | Goodyear, AZ | $161.10 | $358 | $109.13 | 1.5× |
| Natchitoches Regional Medical Center | Natchitoches, LA | $161.20 | $403 | $109.13 | 1.5× |
| Tift Regional Medical Center range across 2 matching MRF lines |
Tifton, GA | $161.50–$326 | $323–$652 | $109.13 | varies |
| Southwell Medical range across 2 matching MRF lines |
Adel, GA | $161.50–$326 | $323–$652 | $109.13 | varies |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $161.87 | $529 | $109.13 | 1.5× |
| Franciscan Health Indianapolis range across 2 matching MRF lines |
Indianapolis, IN | $162.39–$509.82 | $703–$2,207 | $109.13 | varies |
| Van Wert Hospital | Van Wert, OH | $162.50 | $250 | $109.13 | 1.5× |
| Danbury Hospital | Danbury, CT | $163 | $163 | $109.13 | 1.5× |
| Norwalk Hospital | Norwalk, CT | $163 | $163 | $109.13 | 1.5× |
| Daviess Community Hospital | Washington, IN | $163.45 | $233.50 | $109.13 | 1.5× |
| Catawba Valley Medical Center | Hickory, NC | $164 | $274 | $109.13 | 1.5× |
| Columbia Memorial Hospital range across 5 matching MRF lines |
Hudson, NY | $164–$602.50 | $328–$1,205 | $109.13 | varies |
| Bryan Medical Center | Lincoln, NE | $164.40 | $274 | $109.13 | 1.5× |
| Grand Island Regional Medical Center | Grand Island, NE | $164.40 | $274 | $109.13 | 1.5× |
| St. Louis Children’s Hospital | St. Louis, MO | $164.40 | $274 | $109.13 | 1.5× |
| Auburn Community Hospital range across 2 matching MRF lines |
Auburn, NY | $165.38–$192.66 | $279.56–$367.50 | $109.13 | varies |
| Nell J. Redfield Memorial Hospital | Malad, ID | $165.75 | $195 | $109.13 | 1.5× |
| Dignity Health Arizona General Hospital – Laveen | Laveen, AZ | $167.17 | $730 | $109.13 | 1.5× |
| Forrest General Hospital | Hattiesburg, MS | $167.71 | $598.95 | $109.13 | 1.5× |
| Walthall General Hospital | Tylertown, MS | $167.71 | $598.95 | $109.13 | 1.5× |
| Adventist Health Tillamook | Tillamook, OR | $167.94 | $311 | $109.13 | 1.5× |
| Hillcrest Hospital Pryor | Pryor, OK | $168 | $560 | $109.13 | 1.5× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $168.08 | $764 | $109.13 | 1.5× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $168.08 | $764 | $109.13 | 1.5× |
| Sovah Health – Danville | Danville, VA | $168.40 | $421 | $109.13 | 1.5× |
| Arkansas Children's Hospital | Little Rock, AR | $168.75 | $187.50 | $109.13 | 1.5× |
| Arkansas Children's Northwest | Springdale, AR | $168.75 | $187.50 | $109.13 | 1.5× |
| Wesley Medical Center | Wichita, KS | $169 | $169 | $109.13 | 1.5× |
| Bertrand Chaffee Hospital | Springville, NY | $170 | $200 | $109.13 | 1.6× |
| Olivia Hospital & Clinic | Olivia, MN | $170.80 | $280 | $109.13 | 1.6× |
| Boston Medical Center South | Brockton, MA | $171.85 | $381.88 | $109.13 | 1.6× |
| Hardin Memorial Hospital | Kenton, OH | $172.25 | $265 | $109.13 | 1.6× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $172.38 | $663 | $109.13 | 1.6× |
| High Point Medical Center | High Point, NC | $172.50 | $345 | $109.13 | 1.6× |
| Mount Carmel St. Ann's | Westerville, OH | $172.90 | $266 | $109.13 | 1.6× |
| Mount Carmel East | Columbus, OH | $172.90 | $266 | $109.13 | 1.6× |
| Mount Carmel New Albany | New Albany, OH | $172.90 | $266 | $109.13 | 1.6× |
| Diley Ridge Medical Center | Canal Winchester, OH | $172.90 | $266 | $109.13 | 1.6× |
| Mount Carmel Dublin Hospital | Dublin, OH | $172.90 | $266 | $109.13 | 1.6× |
| Calhoun-Liberty Hospital | Blountstown, FL | $173.25 | $247.50 | $109.13 | 1.6× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $174 | $348 | $109.13 | 1.6× |
| Children's Minnesota - Minneapolis Hospital range across 2 matching MRF lines |
Minneapolis, MN | $174–$716 | $174–$716 | $109.13 | varies |
| Jones Memorial Hospital | Wellsville, NY | $174 | — | $109.13 | 1.6× |
| West Tennessee Healthcare Jackson-Madison County General Hospital | Jackson, TN | $174.60 | $582 | $109.13 | 1.6× |
| West Tennessee Healthcare Milan Hospital | Milan, TN | $174.60 | $582 | $109.13 | 1.6× |
| West Tennessee Healthcare Volunteer Hospital | Martin, TN | $174.60 | $582 | $109.13 | 1.6× |
| West Tennessee Healthcare Dyersburg Hospital | Dyersburg, TN | $174.60 | $582 | $109.13 | 1.6× |
| West Tennessee Healthcare Camden Hospital | Camden, TN | $174.60 | $582 | $109.13 | 1.6× |
| West Tennessee Healthcare Bolivar Hospital | Bolivar, TN | $174.60 | $582 | $109.13 | 1.6× |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $174.80 | $437 | $109.13 | 1.6× |
| MultiCare Deaconess Hospital | Spokane, WA | $174.80 | $437 | $109.13 | 1.6× |
| MultiCare Valley Hospital | Spokane, WA | $174.80 | $437 | $109.13 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $175.32 | — | $109.13 | 1.6× |
| Wilkes Medical Center | North Wilkesboro, NC | $177.50 | $355 | $109.13 | 1.6× |
| Hugh Chatham Health – Medical Center | Elkin, NC | $177.50 | $355 | $109.13 | 1.6× |
| Samaritan Medical Center | Watertown, NY | $177.50 | $177.50 | $109.13 | 1.6× |
| Yoakum County Hospital | Denver City, TX | $178.20 | $178.20 | $109.13 | 1.6× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $178.24 | $557 | $109.13 | 1.6× |
| Franciscan Health Mooresville range across 2 matching MRF lines |
Mooresville, IN | $178.56–$560.58 | $703–$2,207 | $109.13 | varies |
| Hennepin County Medical Center range across 2 matching MRF lines |
Minneapolis, MN | $178.65–$182.25 | $397–$405 | $109.13 | varies |
| University Health System | San Antonio, TX | $179 | $716 | $109.13 | 1.6× |
| Roper Hospital | Charleston, SC | $179.40 | $276 | $109.13 | 1.6× |
| Roper St. Francis Mount Pleasant Hospital | Mount Pleasant, SC | $179.40 | $276 | $109.13 | 1.6× |
| Roper St. Francis Berkeley Hospital | Summerville, SC | $179.40 | $276 | $109.13 | 1.6× |
| Fort Duncan Medical Center | Eagle Pass, TX | $180 | $450 | $109.13 | 1.6× |
| Dignity Health Arizona General Hospital – Mesa | Mesa, AZ | $180.31 | $730 | $109.13 | 1.7× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $180.60 | $301 | $109.13 | 1.7× |
| UP Health System - Portage | Hancock, MI | $181.11 | $301.85 | $109.13 | 1.7× |
| Martin County Hospital District | Stanton, TX | $181.61 | $181.61 | $109.13 | 1.7× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $182.60 | $332 | $109.13 | 1.7× |
| Grady Memorial Hospital | Delaware, OH | $182.65 | $281 | $109.13 | 1.7× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $183.82 | $707 | $109.13 | 1.7× |
| Forrest City Medical Center | Forrest City, AR | $184.24 | $307.06 | $109.13 | 1.7× |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | $185.09 | $517 | $109.13 | 1.7× |
| Mille Lacs Health System | Onamia, MN | $185.50 | $265 | $109.13 | 1.7× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $185.64 | $663 | $109.13 | 1.7× |
| Ascension St. Vincent Kokomo | Kokomo, IN | $186.60 | $311 | $109.13 | 1.7× |
| Merit Health River Region | Vicksburg, MS | $186.66 | $1,037 | $109.13 | 1.7× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $186.72 | $466.80 | $109.13 | 1.7× |
| Saint Francis Hospital, Inc | Tulsa, OK | $186.72 | $466.80 | $109.13 | 1.7× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $186.72 | $466.80 | $109.13 | 1.7× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $186.72 | $466.80 | $109.13 | 1.7× |
| Baptist Medical Center South | Montgomery, AL | $187.15 | $311.92 | $109.13 | 1.7× |
| Johnson County Community Hospital | Mountain City, TN | $187.45 | $815 | $109.13 | 1.7× |
| Hancock County Hospital | Sneedville, TN | $187.45 | $815 | $109.13 | 1.7× |
| Dickenson Community Hospital | Clintwood, VA | $187.45 | $815 | $109.13 | 1.7× |
| Lee County Community Hospital | Pennington Gap, VA | $187.45 | $815 | $109.13 | 1.7× |
| Ochsner St. Anne Hospital | Raceland, LA | $189.20 | $430 | $109.13 | 1.7× |
| War Memorial Hospital | Berkeley Springs, WV | $189.70 | $271 | $109.13 | 1.7× |
| Hampshire Memorial Hospital | Romney, WV | $189.70 | $271 | $109.13 | 1.7× |
| Winchester Medical Center | Winchester, VA | $189.70 | $271 | $109.13 | 1.7× |
| Warren Memorial Hospital | Front Royal, VA | $189.70 | $271 | $109.13 | 1.7× |
| Shenandoah Memorial Hospital | Woodstock, VA | $189.70 | $271 | $109.13 | 1.7× |
| Bristol Regional Medical Center | Bristol, TN | $191.10 | $1,274 | $109.13 | 1.8× |
| Holston Valley Medical Center | Kingsport, TN | $191.10 | $1,274 | $109.13 | 1.8× |
| Sycamore Shoals Hospital | Elizabethton, TN | $191.10 | $1,274 | $109.13 | 1.8× |
| Hawkins County Memorial Hospital | Rogersville, TN | $191.10 | $1,274 | $109.13 | 1.8× |
| Greeneville Community Hospital | Greeneville, TN | $191.10 | $1,274 | $109.13 | 1.8× |
| Johnson City Medical Center | Johnson City, TN | $191.10 | $1,274 | $109.13 | 1.8× |
| Indian Path Community Hospital | Kingsport, TN | $191.10 | $1,274 | $109.13 | 1.8× |
| Franklin Woods Community Hospital | Johnson City, TN | $191.10 | $1,274 | $109.13 | 1.8× |
| Russell County Hospital | Lebanon, VA | $191.10 | $1,274 | $109.13 | 1.8× |
| Smyth County Community Hospital | Marion, VA | $191.10 | $1,274 | $109.13 | 1.8× |
| Johnston Memorial Hospital | Abingdon, VA | $191.10 | $1,274 | $109.13 | 1.8× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $191.10 | $1,274 | $109.13 | 1.8× |
| Baptist Health Hardin range across 3 matching MRF lines |
Elizabethtown, KY | $191.15–$606.55 | $254.86–$808.73 | $109.13 | varies |
| Baptist Health Richmond range across 3 matching MRF lines |
Richmond, KY | $191.15–$606.55 | $254.86–$808.73 | $109.13 | varies |
| Baptist Health Corbin range across 3 matching MRF lines |
Corbin, KY | $191.15–$606.55 | $254.86–$808.73 | $109.13 | varies |
| Baptist Health Lexington range across 3 matching MRF lines |
Lexington, KY | $191.15–$606.55 | $254.86–$808.73 | $109.13 | varies |
| Baptist Health Paducah range across 3 matching MRF lines |
Paducah, KY | $191.15–$606.55 | $254.86–$808.73 | $109.13 | varies |
| Baptist Health Louisville range across 3 matching MRF lines |
Louisville, KY | $191.15–$606.55 | $254.86–$808.73 | $109.13 | varies |
| Baptist Health La Grange range across 3 matching MRF lines |
La Grange, KY | $191.15–$606.55 | $254.86–$808.73 | $109.13 | varies |
| Baptist Health Floyd range across 3 matching MRF lines |
New Albany, IN | $191.15–$606.55 | $254.86–$808.73 | $109.13 | varies |
| Mercy Health - Anderson Hospital range across 2 matching MRF lines |
Cincinnati, OH | $191.40–$249.60 | $319–$416 | $109.13 | varies |
| The Jewish Hospital - Mercy Health range across 2 matching MRF lines |
Cincinnati, OH | $191.40–$249.60 | $319–$416 | $109.13 | varies |
| Mercy Health - Fairfield Hospital range across 2 matching MRF lines |
Fairfield, OH | $191.40–$249.60 | $319–$416 | $109.13 | varies |
| Mercy Health - West Hospital range across 2 matching MRF lines |
Cincinnati, OH | $191.40–$249.60 | $319–$416 | $109.13 | varies |
| Mercy Health - Clermont Hospital range across 2 matching MRF lines |
Batavia, OH | $191.40–$249.60 | $319–$416 | $109.13 | varies |
| Mercy Health Kings Mills Hospital LLC | Mason, OH | $191.40 | $319 | $109.13 | 1.8× |
| Sanford Medical Center Bismarck | Bismarck, ND | $192 | $240 | $109.13 | 1.8× |
| Union Hospital Clinton | Clinton, IN | $192.60 | $321 | $109.13 | 1.8× |
| LewisGale Medical Center | Salem, VA | $193 | $193 | $109.13 | 1.8× |
| Cox Medical Center Branson | Branson, MO | $193.78 | $853.66 | $109.13 | 1.8× |
| Fairbanks Memorial Hospital | Fairbanks, AK | $193.80 | $204 | $109.13 | 1.8× |
| Amery Hospital & Clinic | Amery, WI | $193.96 | $372 | $109.13 | 1.8× |
| Great Plains Regional Medical Center | Elk City, OK | $194.27 | $298.87 | $109.13 | 1.8× |
| SSM Health St. Mary's Hospital - Madison range across 2 matching MRF lines |
Madison, WI | $194.70–$583.55 | $354–$1,061 | $109.13 | varies |
| Uci Health-orange | Orange, CA | $196.40 | $491 | $109.13‡ | 1.8× |
| West Jefferson Medical Center | Marrero, LA | $197.76 | $1,236 | $109.13 | 1.8× |
| Platte County Hospital | Wheatland, WY | $197.78 | $328 | $109.13 | 1.8× |
| OhioHealth O'Bleness Hospital | Athens, OH | $198.25 | $305 | $109.13 | 1.8× |
| St. Catherine Hospital - Dodge City | Dodge City, KS | $198.75 | $496.86 | $109.13 | 1.8× |
| St. Michael Medical Center | Silverdale, WA | $198.87 | $450.58 | $109.13 | 1.8× |
| Memorial Hermann Hospital System | Houston, TX | $199.28 | $622.75 | $109.13 | 1.8× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $199.28 | $622.75 | $109.13 | 1.8× |
| Memorial Hermann Northeast Hospital | Humble, TX | $199.28 | $622.75 | $109.13 | 1.8× |
| Memorial Hermann Katy Hospital | Katy, TX | $199.28 | $622.75 | $109.13 | 1.8× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $199.28 | $622.75 | $109.13 | 1.8× |
| St. John's Medical Center | Jackson, WY | $200 | $200 | $109.13 | 1.8× |
| Pomona Valley Hospital Medical Center | Pomona, CA | $200 | — | $109.13 | 1.8× |
| CommonSpirit - Memorial Hospital - Chattanooga | Chattanooga, TN | $200.51 | $474 | $109.13 | 1.8× |
| Gateway Regional Medical Center | Granite City, IL | $200.85 | $334.75 | $109.13 | 1.8× |
| Boone County Health Center | Albion, NE | $201 | $201 | $109.13 | 1.8× |
| Norton Hospital | Louisville, KY | $202.20 | $1,011 | $109.13 | 1.9× |
| Prosser Memorial Health Hospital | Prosser, WA | $202.40 | $368 | $109.13 | 1.9× |
| Sisters of Charity Hospital | Buffalo, NY | $203 | $203 | $109.13 | 1.9× |
| Kenmore Mercy Hospital | Kenmore, NY | $203 | $203 | $109.13 | 1.9× |
| Mount St. Mary's Hospital and Health Center | Lewiston, NY | $203 | $203 | $109.13 | 1.9× |
| Mercy Hospital of Buffalo | Buffalo, NY | $203 | $203 | $109.13 | 1.9× |
| Wayne County Hospital | Monticello, KY | $203.19 | $312.60 | $109.13 | 1.9× |
| University Medical Center New Orleans | New Orleans, LA | $203.72 | $926 | $109.13 | 1.9× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $203.85 | $755 | $109.13 | 1.9× |
| Ascension St. John Jane Phillips range across 2 matching MRF lines |
Bartlesville, OK | $204.15–$288.69 | $551.75–$780.25 | $109.13 | varies |
| Ascension St. John Medical Center range across 2 matching MRF lines |
Tulsa, OK | $204.15–$288.69 | $551.75–$780.25 | $109.13 | varies |
| Ascension St. John Owasso range across 2 matching MRF lines |
Owasso, OK | $204.15–$288.69 | $551.75–$780.25 | $109.13 | varies |
| Ascension St. John Nowata range across 2 matching MRF lines |
Nowata, OK | $204.15–$288.69 | $551.75–$780.25 | $109.13 | varies |
| Ascension St. John Sapulpa range across 2 matching MRF lines |
Sapulpa, OK | $204.15–$288.69 | $551.75–$780.25 | $109.13 | varies |
| Niagara Falls Memorial Medical Center | Niagara Falls, NY | $204.40 | $292 | $109.13 | 1.9× |
| Holy Cross Hospital - Salt Lake | Salt Lake City, UT | $205.22 | $513.04 | $109.13 | 1.9× |
| Holy Cross Hospital-davis | Layton, UT | $205.22 | $513.04 | $109.13 | 1.9× |
| Holy Cross Hospital-jordan Valley | West Jordan, UT | $205.22 | $513.04 | $109.13 | 1.9× |
| Union Hospital Inc | Terre Haute, IN | $207.60 | $346 | $109.13 | 1.9× |
| Terre Haute Regional Hospital | Terre Haute, IN | $207.60 | $346 | $109.13 | 1.9× |
| Sarah Bush Lincoln Health Center | Mattoon, IL | $208 | $208 | $109.13 | 1.9× |
| Park Nicollet Methodist Hospital | Saint Louis Park, MN | $208.78 | $803 | $109.13 | 1.9× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $209.28 | $521 | $109.13 | 1.9× |
| Jefferson Davis Community Hospital | Prentiss, MS | $209.64 | $598.95 | $109.13 | 1.9× |
| UNC Health Blue Ridge – Morganton | Morganton, NC | $210 | $350 | $109.13 | 1.9× |
| Columbus Community Hospital, Inc | Columbus, NE | $210.52 | $221.60 | $109.13 | 1.9× |
| Vista Medical Center East | Waukegan, IL | $210.81 | $351.35 | $109.13 | 1.9× |
| MUSC Health Black River Medical Center range across 3 matching MRF lines |
Cades, SC | $212–$233.50 | $424–$467 | $109.13 | varies |
| Cabinet Peaks Medical Center range across 2 matching MRF lines |
Libby, MT | $212.10–$667.10 | $303–$953 | $109.13 | varies |
| Vhs Harlingen Hospital Company LLC | Harlingen, TX | $212.25 | $283 | $109.13 | 1.9× |
| Bigfork Valley Hospital | Bigfork, MN | $212.36 | $299.10 | $109.13 | 1.9× |
| Memorial Hospital | Dumas, TX | $212.80 | $266 | $109.13 | 1.9× |
| Samaritan Hospital | Troy, NY | $213.85 | $329 | $109.13 | 2.0× |
| Cox Medical Centers | Springfield, MO | $215.12 | $853.66 | $109.13 | 2.0× |
| Upson Regional Medical Center | Thomaston, GA | $215.40 | $359 | $109.13 | 2.0× |
| Perry County General Hospital | Richton, MS | $215.63 | $598.95 | $109.13 | 2.0× |
| Harrison Memorial Hospital | Cynthiana, KY | $216.37 | $309.10 | $109.13 | 2.0× |
| University of Illinois Hospital and Clinics | Chicago, IL | $217.50 | $725 | $109.13 | 2.0× |
| Dukes Memorial Hospital | Peru, IN | $218.50 | $437 | $109.13 | 2.0× |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $219.45 | $399 | $109.13 | 2.0× |
| Morris County Hospital | Council Grove, KS | $220.20 | $367 | $109.13 | 2.0× |
| Lake Cumberland Regional Hospital | Somerset, KY | $220.96 | $552.39 | $109.13 | 2.0× |
| MedStar Georgetown University Hospital | Washington, DC | $221.42 | $340.64 | $109.13 | 2.0× |
| Cambridge Health Alliance | Cambridge, MA | $222 | $222 | $109.13 | 2.0× |
| Guadalupe Regional Medical Center | Seguin, TX | $223.50 | $447 | $109.13 | 2.0× |
| Jefferson County Hospital | Waurika, OK | $223.58 | $637 | $109.13 | 2.0× |
| Rolling Plains Memorial Hospital | Sweetwater, TX | $224 | $344 | $109.13 | 2.1× |
| UCHealth Memorial Hospital Central range across 3 matching MRF lines |
Colorado Springs, CO | $224.37–$661.43 | $498.60–$1,469.84 | $109.13 | varies |
| Bellin Memorial Hospital range across 2 matching MRF lines |
Green Bay, WI | $225.02–$315.77 | $486–$682 | $109.13 | varies |
| Trinity Health Shelby Hospital | Shelby, MI | $226.85 | $349 | $109.13 | 2.1× |
| Vandalia Health Mon Marion Neighborhood Hospital | White Hall, WV | $227.10 | $454.21 | $109.13 | 2.1× |
| Castleview Hospital | Price, UT | $227.94 | $414.43 | $109.13 | 2.1× |
| Boone Hospital Center | Columbia, MO | $229.80 | $383 | $109.13 | 2.1× |
| OHSU Hospital and Clinics | Portland, OR | $231.40 | $356 | $109.13 | 2.1× |
| Hillsboro Medical Center | Hillsboro, OR | $231.40 | $356 | $109.13 | 2.1× |
| Pratt Regional Medical Center | Pratt, KS | $232 | $332 | $109.13 | 2.1× |
| Fayette Medical Center | Fayette, AL | $232.25 | $464.50 | $109.13 | 2.1× |
| DCH Regional Medical Center | Tuscaloosa, AL | $232.25 | $464.50 | $109.13 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $233.76 | $830 | $109.13 | 2.1× |
| MedStar Washington Hospital Center | Washington, DC | $234.86 | $361.32 | $109.13 | 2.2× |
| Aspirus St. Luke's Hospital | Duluth, MN | $235.01 | $432 | $109.13 | 2.2× |
| Trinity Hospital Twin City | Dennison, OH | $235.60 | $475 | $109.13 | 2.2× |
| Myrtue Medical Center | Harlan, IA | $236.64 | $408 | $109.13 | 2.2× |
| Decatur County Memorial Hospital | Greensburg, IN | $237 | $316 | $109.13 | 2.2× |
| Trinity Medical | Ferriday, LA | $237.50 | $475 | $109.13 | 2.2× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $237.60 | $396 | $109.13 | 2.2× |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $237.60 | $396 | $109.13 | 2.2× |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $237.60 | $396 | $109.13 | 2.2× |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $237.60 | $396 | $109.13 | 2.2× |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $237.60 | $396 | $109.13 | 2.2× |
| Beaufort Memorial range across 2 matching MRF lines |
Beaufort, SC | $237.60–$246.60 | $396–$411 | $109.13 | varies |
| Tennova Jefferson Memorial Hospital | Jefferson City, TN | $238.34 | $1,076.98 | $109.13 | 2.2× |
| Mercy Health - Allen Hospital | Oberlin, OH | $238.80 | $398 | $109.13 | 2.2× |
| William Newton Memorial Hospital | Winfield, KS | $239 | $239 | $109.13 | 2.2× |
| Memorial Hermann Texas Medical Center | Houston, TX | $239.12 | $747.25 | $109.13 | 2.2× |
| Mercy Medical Center - Cedar Rapids | Cedar Rapids, IA | $240 | $400 | $109.13 | 2.2× |
| Mercy Health - Lorain Hospital | Lorain, OH | $240.60 | $401 | $109.13 | 2.2× |
| Texas Childrens Hospital | Houston, TX | $241.20 | $360 | $109.13 | 2.2× |
| Texas Childrens Hospital North Austin Campus | Austin, TX | $241.20 | $360 | $109.13 | 2.2× |
| UConn John Dempsey Hospital | Farmington, CT | $241.20 | $402 | $109.13 | 2.2× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Regional Medical Center at Plano | Plano, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| The Heart Hospital Baylor Denton | Denton, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $242.35 | $403.92 | $109.13 | 2.2× |
| Raleigh General Hospital | Beckley, WV | $242.40 | $606 | $109.13 | 2.2× |
| Tennova North Knoxville Medical Center | Powell, TN | $243.94 | $1,076.98 | $109.13 | 2.2× |
| Aurora Medical Ctr Manitowoc County | Two Rivers, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Medical Ctr Washington County | Hartford, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Medical Center Burlington | Burlington, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Lakeland Medical Center | Elkhorn, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Medical Center Bay Area | Marinette, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora St. Lukes Medical Center | Milwaukee, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora West Allis Medical Center | West Allis, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Medical Ctr Kenosha | Kenosha, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora BayCare Medical Ctr | Green Bay, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Medical Center Summit | Summit, WI | $245 | $490 | $109.13 | 2.2× |
| Aurora Medical Center | Grafton, WI | $245 | $490 | $109.13 | 2.2× |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $245.30 | $446 | $109.13 | 2.2× |
| Alliancehealth Seminole | Seminole, OK | $245.30 | $446 | $109.13 | 2.2× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $245.44 | $521 | $109.13 | 2.2× |
| Atrium Health Cabarrus | Concord, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Atrium Health Cleveland | Shelby, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Atrium Health Anson | Wadesboro, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Atrium Health Pineville | Charlotte, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Atrium Health Stanly | Albemarle, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Atrium Health Union | Monroe, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Atrium Health Lincoln | Lincolnton, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Atrium Health University City | Charlotte, NC | $246.88 | $493.75 | $109.13 | 2.3× |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | $248 | $382 | $109.13 | 2.3× |
| Tidelands Waccamaw Community Hospital | Murrells Inlet, SC | $248 | $382 | $109.13 | 2.3× |
| Dayton General Hospital | Dayton, WA | $248.40 | $276 | $109.13 | 2.3× |
| Southern New Hampshire Medical Center | Nashua, NH | $248.64 | $672 | $109.13 | 2.3× |
| Northwestern Medicine Delnor Community Hospital range across 8 matching MRF lines |
Geneva, IL | $249.20–$354.20 | $356–$506 | $109.13 | varies |
| Northwestern Medicine Central Dupage Hospital range across 8 matching MRF lines |
Winfield, IL | $249.20–$354.20 | $356–$506 | $109.13 | varies |
| Northwestern Memorial Hospital range across 9 matching MRF lines |
Chicago, IL | $249.20–$555.10 | $356–$793 | $109.13 | varies |
| Northwestern Medicine Mchenry Hospital range across 7 matching MRF lines |
Mchenry, IL | $249.90–$354.20 | $357–$506 | $109.13 | varies |
| Northwestern Lake Forest Hospital range across 7 matching MRF lines |
Lake Forest, IL | $249.90–$649.60 | $357–$928 | $109.13 | varies |
| Camden Clark Medical Center | Parkersburg, WV | $250 | $500 | $109.13 | 2.3× |
| Palos Community Hospital range across 4 matching MRF lines |
Palos Heights, IL | $250.60–$354.20 | $358–$506 | $109.13 | varies |
| Marshall County Hospital | Benton, KY | $250.90 | $250.90 | $109.13 | 2.3× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $251.16 | $644 | $109.13 | 2.3× |
| Wellstar Spalding Medical Center | Griffin, GA | $251.16 | $644 | $109.13 | 2.3× |
| Wellstar MCG Health Medical Center | Augusta, GA | $251.16 | $644 | $109.13 | 2.3× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $251.16 | $644 | $109.13 | 2.3× |
| Wellstar Paulding Medical Center | Hiram, GA | $251.16 | $644 | $109.13 | 2.3× |
| Wellstar Cobb Medical Center | Austell, GA | $251.16 | $644 | $109.13 | 2.3× |
| Wellstar Douglas Medical Center | Douglasville, GA | $251.16 | $644 | $109.13 | 2.3× |
| Wellstar North Fulton Medical Center | Roswell, GA | $251.16 | $644 | $109.13 | 2.3× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $251.16 | $644 | $109.13 | 2.3× |
| Bristol Hospital | Bristol, CT | $252.10 | $458.35 | $109.13 | 2.3× |
| Tennova Newport Medical Center | Newport, TN | $253.09 | $1,076.98 | $109.13 | 2.3× |
| Steele Memorial Medical Center | Salmon, ID | $253.50 | $338 | $109.13 | 2.3× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $256.45 | $1,282.25 | $109.13 | 2.3× |
| Community Memorial Hospital, Inc | Hamilton, NY | $256.97 | $321.21 | $109.13 | 2.4× |
| Ogden Regional Medical Center | Ogden, UT | $259.46 | $259.46 | $109.13 | 2.4× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $259.47 | $837 | $109.13 | 2.4× |
| Sauk Prairie Hospital | Prairie Du Sac, WI | $259.56 | $474.50 | $109.13 | 2.4× |
| Lackey Memorial Hospital range across 2 matching MRF lines |
Forest, MS | $260–$393 | $260–$393 | $109.13 | varies |
| Adena Regional Medical Center | Chillicothe, OH | $260.16 | $520.31 | $109.13 | 2.4× |
| Adena Greenfield Medical Center | Greenfield, OH | $260.16 | $520.31 | $109.13 | 2.4× |
| Adena Fayette Medical Center range across 2 matching MRF lines |
Washington Ch, OH | $260.16–$520.31 | $520.31 | $109.13 | varies |
| Adena Pike Medical Center | Waverly, OH | $260.16 | $520.31 | $109.13 | 2.4× |
| Cox Monett Hospital | Monett, MO | $260.37 | $853.66 | $109.13 | 2.4× |
| Saint Alphonsus Regional Medical Center | Boise, ID | $260.65 | $401 | $109.13 | 2.4× |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | $260.65 | $401 | $109.13 | 2.4× |
| Saint Alphonsus Medical Center Ontario | Ontario, OR | $260.65 | $401 | $109.13 | 2.4× |
| Saint Alphonsus Medical Center - Baker City | Baker City, OR | $260.65 | $401 | $109.13 | 2.4× |
| Northwestern Medicine Kishwaukee Hospital range across 3 matching MRF lines |
Dekalb, IL | $262.50–$354.20 | $375–$506 | $109.13 | varies |
| Northwestern Medicine Valley West Hospital range across 3 matching MRF lines |
Sandwich, IL | $262.50–$354.20 | $375–$506 | $109.13 | varies |
| Meadowview Regional Medical Center | Maysville, KY | $262.60 | $656.51 | $109.13 | 2.4× |
| Good Samaritan Regional Medical Center range across 3 matching MRF lines |
Corvallis, OR | $264–$400 | $330–$500 | $109.13 | varies |
| Samaritan Albany General Hospital range across 3 matching MRF lines |
Albany, OR | $264–$400 | $330–$500 | $109.13 | varies |
| Samaritan North Lincoln Hospital range across 3 matching MRF lines |
Lincoln City, OR | $264–$400 | $330–$500 | $109.13 | varies |
| Samaritan Pacific Community Hospital range across 3 matching MRF lines |
Newport, OR | $264–$400 | $330–$500 | $109.13 | varies |
| Samaritan Lebanon Community Hospital range across 3 matching MRF lines |
Lebanon, OR | $264–$400 | $330–$500 | $109.13 | varies |
| SSM Health St. Mary's Hospital - Janesville range across 2 matching MRF lines |
Janesville, WI | $264–$792.55 | $480–$1,441 | $109.13 | varies |
| Cache Valley Hospital | North Logan, UT | $265.15 | $265.15 | $109.13 | 2.4× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital | San Rafael, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $267.68 | $478 | $109.13 | 2.5× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $267.68 | $478 | $109.13 | 2.5× |
| M Health Fairview Lakes Medical Center | Wyoming, MN | $268.27 | $669 | $109.13 | 2.5× |
| M Health Fairview Southdale Hospital | Edina, MN | $268.27 | $669 | $109.13 | 2.5× |
| M Health Fairview University of Minnesota Medical Center | Minneapolis, MN | $268.27 | $669 | $109.13 | 2.5× |
| M Health Fairview Northland Medical Center | Princeton, MN | $268.27 | $669 | $109.13 | 2.5× |
| M Health Fairview St. John's Hospital | Maplewood, MN | $268.27 | $669 | $109.13 | 2.5× |
| M Health Fairview Woodwinds Hospital | Woodbury, MN | $268.27 | $669 | $109.13 | 2.5× |
| Tufts Medical Center | Boston, MA | $268.80 | $384 | $109.13 | 2.5× |
| Salina Regional Health Center | Salina, KS | $269.01 | $384.30 | $109.13 | 2.5× |
| North Central Kansas Medical Center | Concordia, KS | $269.01 | $384.30 | $109.13 | 2.5× |
| Lindsborg Community Hospital | Lindsborg, KS | $269.01 | $384.30 | $109.13 | 2.5× |
| York General Health Care Services | York, NE | $269.75 | $269.75 | $109.13 | 2.5× |
| Lake Regional Hospital | Osage Beach, MO | $270.90 | $903 | $109.13 | 2.5× |
| Hurley Medical Center | Flint, MI | $271.50 | $271.50 | $109.13 | 2.5× |
| Summit Medical Center | Casper, WY | $271.83 | $663 | $109.13 | 2.5× |
| Arbuckle Memorial Hospital Authority | Sulphur, OK | $272 | $340 | $109.13 | 2.5× |
| Cox Barton County Hospital | Lamar, MO | $272.32 | $853.66 | $109.13 | 2.5× |
| Aspirus Stevens Point Hospital | Stevens Point, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Rhinelander Hospital | Rhinelander, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Wausau Hospital | Wausau, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Wisconsin Rapids Hospital | Wisconsin Rapids, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Divine Savior Hospital | Portage, WI | $272.35 | $419 | $109.13 | 2.5× |
| Howard Young Medical Ctr | Woodruff, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Eagle River Hospital | Eagle River, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Stanley Hospital | Stanley, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Tomahawk Hospital | Tomahawk, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Medford Hospital & Clinics, Inc | Medford, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Merrill Hospital | Merrill, WI | $272.35 | $419 | $109.13 | 2.5× |
| Aspirus Langlade Hospital | Antigo, WI | $272.35 | $419 | $109.13 | 2.5× |
| SSM Health St. Clare Hospital - Baraboo range across 2 matching MRF lines |
Baraboo, WI | $272.80–$818.95 | $496–$1,489 | $109.13 | varies |
| TriStar Summit Medical Center | Hermitage, TN | $273 | $273 | $109.13 | 2.5× |
| Corewell Health Grand Rapids Hospitals Butterworth | Grand Rapids, MI | $273 | $273 | $109.13 | 2.5× |
| Jennie M Melham Memorial Medical Center | Broken Bow, NE | $275.26 | $275.26 | $109.13 | 2.5× |
| AdventHealth Porter range across 3 matching MRF lines |
Denver, CO | $279.07–$370 | $279.07–$370 | $109.13 | varies |
| AdventHealth Avista range across 3 matching MRF lines |
Louisville, CO | $279.07–$370 | $279.07–$370 | $109.13 | varies |
| AdventHealth Littleton range across 3 matching MRF lines |
Littleton, CO | $279.07–$370 | $279.07–$370 | $109.13 | varies |
| AdventHealth Parker range across 3 matching MRF lines |
Parker, CO | $279.07–$370 | $279.07–$370 | $109.13 | varies |
| AdventHealth Castle Rock range across 3 matching MRF lines |
Castle Rock, CO | $279.07–$370 | $279.07–$370 | $109.13 | varies |
| Nacogdoches Medical Center | Nacogdoches, TX | $280.50 | $374 | $109.13 | 2.6× |
| ProMedica Charles and Virginia Hickman Hospital | Adrian, MI | $280.80 | $432 | $109.13 | 2.6× |
| Aspirus Iron River Hospital | Iron River, MI | $280.80 | $432 | $109.13 | 2.6× |
| Aspirus Keweenaw Hospital | Laurium, MI | $280.80 | $432 | $109.13 | 2.6× |
| Aspirus Ironwood Hospital | Ironwood, MI | $280.80 | $432 | $109.13 | 2.6× |
| Childrens Medical Ctr of Dallas range across 2 matching MRF lines |
Dallas, TX | $281.25–$670.50 | $375–$894 | $109.13 | varies |
| Childrens Medical Center Plano range across 2 matching MRF lines |
Plano, TX | $281.25–$670.50 | $375–$894 | $109.13 | varies |
| Virginia Mason Medical Center | Seattle, WA | $283.05 | $555 | $109.13 | 2.6× |
| Vanderbilt University Hospital range across 4 matching MRF lines |
Nashville, TN | $283.50–$408.78 | $525–$757 | $109.13 | varies |
| UVA Health Culpeper Medical Center | Culpeper, VA | $283.50 | $567 | $109.13 | 2.6× |
| UVA Health Prince William Medical Center | Manassas, VA | $283.50 | $567 | $109.13 | 2.6× |
| UVA Health Haymarket Medical Center | Haymarket, VA | $283.50 | $567 | $109.13 | 2.6× |
| Children's Hospital Colorado | Aurora, CO | $284.05 | $437 | $109.13 | 2.6× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $284.05 | $437 | $109.13 | 2.6× |
| M Health Fairview Ridges Hospital | Burnsville, MN | $284.33 | $669 | $109.13 | 2.6× |
| Advocate Sherman Hospital | Elgin, IL | $287.50 | $575 | $109.13 | 2.6× |
| Advocate Trinity Hospital | Chicago, IL | $287.50 | $575 | $109.13 | 2.6× |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $287.50 | $575 | $109.13 | 2.6× |
| Advocate Condell Medical Center | Libertyville, IL | $287.50 | $575 | $109.13 | 2.6× |
| Advocate Christ Hospital & Medical Center | Oak Lawn, IL | $287.50 | $575 | $109.13 | 2.6× |
| Advocate Lutheran General Hospital | Park Ridge, IL | $287.50 | $575 | $109.13 | 2.6× |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $287.50 | $575 | $109.13 | 2.6× |
| Advocate Good Shepherd Hospital | Barrington, IL | $287.50 | $575 | $109.13 | 2.6× |
| Lawrence + Memorial Hospital | New London, CT | $288.72 | $802 | $109.13 | 2.6× |
| Jackson County Memorial Hospital Authority | Altus, OK | $289.80 | $289.80 | $109.13 | 2.7× |
| Harmon Memorial Hospital | Hollis, OK | $289.80 | $289.80 | $109.13 | 2.7× |
| SSM Health St. Agnes Hospital-fond Du Lac | Fond Du Lac, WI | $289.85 | $527 | $109.13 | 2.7× |
| SSM Health Ripon Community Hospital | Ripon, WI | $289.85 | $527 | $109.13 | 2.7× |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $289.85 | $527 | $109.13 | 2.7× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $289.90 | $446 | $109.13 | 2.7× |
| Cleveland Clinic Hospital | Weston, FL | $289.90 | $446 | $109.13 | 2.7× |
| Tennova LaFollette Medical Center | LaFollette, TN | $290.78 | $1,076.98 | $109.13 | 2.7× |
| Mercy Health - Urbana Hospital | Urbana, OH | $291.60 | $486 | $109.13 | 2.7× |
| MercyOne Genesis | Davenport, IA | $292.20 | $487 | $109.13 | 2.7× |
| MercyOne Genesis Dewitt Medical Center range across 3 matching MRF lines |
Dewitt, IA | $292.20–$374.40 | $487–$624 | $109.13 | varies |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $292.20 | $487 | $109.13 | 2.7× |
| MercyOne Genesis range across 3 matching MRF lines |
Aledo, IL | $292.20–$374.40 | $487–$624 | $109.13 | varies |
| Clifton-Fine Hospital | Star Lake, NY | $292.25 | $292.25 | $109.13 | 2.7× |
| Mount Sinai Hospital range across 3 matching MRF lines |
New York, NY | $292.50–$452.70 | $325–$503 | $109.13 | varies |
| Mount Sinai West range across 3 matching MRF lines |
New York, NY | $292.50–$452.70 | $325–$503 | $109.13 | varies |
| Mount Sinai Brooklyn range across 3 matching MRF lines |
Brooklyn, NY | $292.50–$452.70 | $325–$503 | $109.13 | varies |
| Manning Family Children's | New Orleans, LA | $292.95 | $1,085 | $109.13 | 2.7× |
| Ascension St. Vincent Anderson | Anderson, IN | $294 | $490 | $109.13 | 2.7× |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $294.66 | $804 | $109.13 | 2.7× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $294.86 | $1,474.30 | $109.13 | 2.7× |
| Ascension St. Vincent Williamsport | Williamsport, IN | $295.20 | $492 | $109.13 | 2.7× |
| Dignity Health St. Joseph's Hospital and Medical Center | Phoenix, AZ | $295.67 | $774 | $109.13 | 2.7× |
| Ascension St. Vincent Randolph | Winchester, IN | $295.80 | $493 | $109.13 | 2.7× |
| Ascension St. Vincent Mercy | Elwood, IN | $295.80 | $493 | $109.13 | 2.7× |
| Citizens Medical Center | Victoria, TX | $297.50 | $595 | $109.13 | 2.7× |
| ProMedica Toledo Hospital | Toledo, OH | $297.70 | $458 | $109.13 | 2.7× |
| ProMedica Bay Park Hospital | Oregon, OH | $297.70 | $458 | $109.13 | 2.7× |
| Mercy Health - Springfield Regional Medical Center | Springfield, OH | $298.20 | $497 | $109.13 | 2.7× |
| Ascension St. Vincent Jennings | North Vernon, IN | $302.40 | $504 | $109.13 | 2.8× |
| Ascension St. Vincent Clay | Brazil, IN | $302.40 | $504 | $109.13 | 2.8× |
| Ascension St. Vincent Salem | Salem, IN | $302.40 | $504 | $109.13 | 2.8× |
| Oswego Hospital | Oswego, NY | $302.60 | $403.46 | $109.13 | 2.8× |
| Carlinville Area Hospital | Carlinville, IL | $303.10 | $433 | $109.13 | 2.8× |
| Anna Jaques Hospital | Newburyport, MA | $304 | $304 | $109.13 | 2.8× |
| Weirton Medical Center | Weirton, WV | $304.50 | $609 | $109.13 | 2.8× |
| HCA Healthcare Trident Hospital | Charleston, SC | $305 | $305 | $109.13 | 2.8× |
| Onslow Memorial Hospital | Jacksonville, NC | $306.36 | $306.36 | $109.13 | 2.8× |
| MUSC Health Marion Medical Center range across 2 matching MRF lines |
Mullins, SC | $309–$333.50 | $618–$667 | $109.13 | varies |
| Licking Memorial Hospital | Newark, OH | $310.15 | $310.15 | $109.13 | 2.8× |
| St. Tammany Parish Hospital | Covington, LA | $311.40 | $519 | $109.13 | 2.9× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $312.16 | $520.26 | $109.13 | 2.9× |
| Scott & White Hospital-round Rock | Round Rock, TX | $312.16 | $520.26 | $109.13 | 2.9× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $312.16 | $520.26 | $109.13 | 2.9× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $312.16 | $520.26 | $109.13 | 2.9× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $312.16 | $520.26 | $109.13 | 2.9× |
| Simpson General Hospital | Mendenhall, MS | $313.60 | $448 | $109.13 | 2.9× |
| Barnes-Jewish Hospital | St. Louis, MO | $313.80 | $523 | $109.13 | 2.9× |
| Rio Grande Regional Hospital | Mcallen, TX | $315.56 | $315.56 | $109.13 | 2.9× |
| Artesia General Hospital | Artesia, NM | $316.80 | $528 | $109.13 | 2.9× |
| Doctors Hospital | Augusta, GA | $319.56 | $319.56 | $109.13 | 2.9× |
| Community Hospital East | Indianapolis, IN | $319.80 | $533 | $109.13 | 2.9× |
| Cascade Valley Hospital | Arlington, WA | $320 | $400 | $109.13 | 2.9× |
| SSM Health St. Joseph Hospital - St. Charles range across 2 matching MRF lines |
St. Charles, MO | $320.10–$364.65 | $582–$663 | $109.13 | varies |
| SSM Health St. Clare Hospital - Fenton range across 2 matching MRF lines |
Fenton, MO | $320.10–$364.65 | $582–$663 | $109.13 | varies |
| SSM Health St. Mary's Hospital - St. Louis range across 2 matching MRF lines |
Richmond Heights, MO | $320.10–$364.65 | $582–$663 | $109.13 | varies |
| SSM Health DePaul Hospital - St. Louis range across 2 matching MRF lines |
Bridgeton, MO | $320.10–$364.65 | $582–$663 | $109.13 | varies |
| SSM Health St. Joseph Hospital - Lake Saint Louis range across 2 matching MRF lines |
Lake Saint Louis, MO | $320.10–$364.65 | $582–$663 | $109.13 | varies |
| PeaceHealth United General Medical Center | Sedro-Woolley, WA | $323.05 | $497 | $109.13 | 3.0× |
| PeaceHealth Peace Island Medical Center | Friday Harbor, WA | $323.05 | $497 | $109.13 | 3.0× |
| Peacehealth Cottage Grove Community Medical Center | Cottage Grove, OR | $323.05 | $497 | $109.13 | 3.0× |
| Peace Harbor Medical Center | Florence, OR | $323.05 | $497 | $109.13 | 3.0× |
| Ketchikan Medical Center | Ketchikan, AK | $323.05 | $497 | $109.13 | 3.0× |
| Dolly Parton Children’s Hospital | Knoxville, TN | $324 | $540 | $109.13 | 3.0× |
| Vandalia Health Mon Preston Memorial Hospital | Kingwood, WV | $325.75 | $651.50 | $109.13 | 3.0× |
| UP Health System - Marquette | Marquette, MI | $325.85 | $543.09 | $109.13 | 3.0× |
| Goshen Hospital | Goshen, IN | $326.20 | $466 | $109.13 | 3.0× |
| Trinity Medical Center East & Trinity Medical Center West | Steubenville, OH | $326.82 | $659 | $109.13 | 3.0× |
| Cogdell Memorial Hospital | Snyder, TX | $327 | $327 | $109.13 | 3.0× |
| Hsa Port Arthur, LLC | Port Arthur, TX | $327.39 | $327.39 | $109.13 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $327.39 | — | $109.13 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $327.39 | — | $109.13 | 3.0× |
| St. Elizabeth Healthcare Ft. Thomas Hospital | Fort Thomas, KY | $327.39 | $327.39 | $109.13 | 3.0× |
| St. Elizabeth Healthcare Edgewood Hospital | Edgewood, KY | $327.39 | $327.39 | $109.13 | 3.0× |
| St. Elizabeth Healthcare Florence Hospital | Florence, KY | $327.39 | $327.39 | $109.13 | 3.0× |
| St. Elizabeth Healthcare Grant Hospital | Williamstown, KY | $327.39 | $327.39 | $109.13 | 3.0× |
| St. Elizabeth Dearborn Hospital | Lawrenceburg, IN | $327.39 | $327.39 | $109.13 | 3.0× |
| Northwest Medical Center Sahuarita | Sahuarita, AZ | $330.84 | $1,838 | $109.13 | 3.0× |
| Dayton Children's Hospital | Dayton, OH | $331.10 | $473 | $109.13 | 3.0× |
| Kadlec Regional Medical Center | Richland, WA | $331.80 | $474 | $109.13 | 3.0× |
| Springhill Medical Center | Mobile, AL | $332.19 | $390.81 | $109.13 | 3.0× |
| Saint Joseph Regional Medical Center | Mishawaka, IN | $332.80 | $512 | $109.13 | 3.0× |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | $332.80 | $512 | $109.13 | 3.0× |
| Ivinson Memorial Hospital range across 2 matching MRF lines |
Laramie, WY | $333–$424 | $333–$424 | $109.13 | varies |
| Olympic Medical Center | Port Angeles, WA | $333.60 | $417 | $109.13 | 3.1× |
| MultiCare Capital Medical Center | Olympia, WA | $333.60 | $834 | $109.13 | 3.1× |
| Inova Alexandria Hospital | Alexandria, VA | $334 | $668 | $109.13 | 3.1× |
| Inova Loudoun Hospital | Leesburg, VA | $334 | $668 | $109.13 | 3.1× |
| Inova Fairfax Hospital | Falls Church, VA | $334 | $668 | $109.13 | 3.1× |
| Inova Fair Oaks Hospital | Fairfax, VA | $334 | $668 | $109.13 | 3.1× |
| Inova Mount Vernon Hospital | Alexandria, VA | $334 | $668 | $109.13 | 3.1× |
| Jackson Purchase Medical Center | Mayfield, KY | $335.02 | $837.54 | $109.13 | 3.1× |
| MUSC Health University Medical Center range across 3 matching MRF lines |
Charleston, SC | $338–$372 | $676–$744 | $109.13 | varies |
| Memorial Medical Center | Las Cruces, NM | $339.69 | $566.15 | $109.13 | 3.1× |
| Kaiser Permanente Central Hospital | Seattle, WA | $340 | $425 | $109.13 | 3.1× |
| UVA Health University Medical Center | Charlottesville, VA | $340.20 | $567 | $109.13 | 3.1× |
| Atrium Health Floyd Medical Center | Rome, GA | $340.50 | $681 | $109.13 | 3.1× |
| Columbus Regional Healthcare System | Whiteville, NC | $340.58 | $486.54 | $109.13 | 3.1× |
| Corewell Health Zeeland Hospital | Zeeland, MI | $341 | $341 | $109.13 | 3.1× |
| Corewell Health Greenville | Greenville, MI | $341 | $341 | $109.13 | 3.1× |
| Corewell Health Big Rapids Hospital | Big Rapids, MI | $341 | $341 | $109.13 | 3.1× |
| Corewell Health Ludington Hospital | Ludington, MI | $341 | $341 | $109.13 | 3.1× |
| Corewell Health Reed City Hospital | Reed City, MI | $341 | $341 | $109.13 | 3.1× |
| Corewell Health Gerber Hospital | Fremont, MI | $341 | $341 | $109.13 | 3.1× |
| Corewell Health Pennock Hospital | Hastings, MI | $341 | $341 | $109.13 | 3.1× |
| Satanta District Hospital, Clinics, & LTCU | Satanta, KS | $342.90 | $381 | $109.13 | 3.1× |
| Hoopeston Community Memorial Hospital range across 2 matching MRF lines |
Hoopeston, IL | $345–$455 | $345–$455 | $109.13 | varies |
| Garnet Health Medical Center - Catskills | Harris, NY | $346.50 | $1,873 | $109.13 | 3.2× |
| Garnet Health Medical Center - Catskills - Grover M. Hermann Hospital | Callicoon, NY | $346.50 | $1,873 | $109.13 | 3.2× |
| Self Regional Healthcare | Greenwood, SC | $346.56 | $577.60 | $109.13 | 3.2× |
| Baxter Health | Mountain Home, AR | $348 | $580 | $109.13 | 3.2× |
| Johnson County Healthcare Center range across 2 matching MRF lines |
Buffalo, WY | $350–$371 | $350–$371 | $109.13 | varies |
| Southwest Health Center | Platteville, WI | $352.50 | $470 | $109.13 | 3.2× |
| University of Cincinnati Medical Center, LLC range across 5 matching MRF lines |
Cincinnati, OH | $354–$1,308 | $590–$2,180 | $109.13 | varies |
| West Chester Hospital range across 5 matching MRF lines |
West Chester, OH | $354–$1,308 | $590–$2,180 | $109.13 | varies |
| Hillcrest Hospital Cushing | Cushing, OK | $354.60 | $1,182 | $109.13 | 3.2× |
| Aspirus Lake View Hospital | Two Harbors, MN | $355.54 | $432 | $109.13 | 3.3× |
| SSM Health St. Mary's Hospital -centralia range across 2 matching MRF lines |
Centralia, IL | $355.85–$491.15 | $647–$893 | $109.13 | varies |
| Good Samaritan Regional Hlth Center range across 2 matching MRF lines |
Mount Vernon, IL | $355.85–$491.15 | $647–$893 | $109.13 | varies |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $356.49 | $699 | $109.13 | 3.3× |
| Brown University Health Morton Hospital | Taunton, MA | $356.86 | $356.86 | $109.13 | 3.3× |
| Hendricks Regional Health | Danville, IN | $357.20 | $893 | $109.13 | 3.3× |
| Mangum Regional Medical Center | Mangum, OK | $358.80 | $780 | $109.13 | 3.3× |
| Abrazo Arrowhead Campus | Glendale, AZ | $360.75 | $481 | $109.13 | 3.3× |
| OhioHealth Morrow County Hospital | Mount Gilead, OH | $361.73 | $556.50 | $109.13 | 3.3× |
| St. Joseph Medical Center | Houston, TX | $367.56 | $367.56 | $109.13 | 3.4× |
| Scotland County Hospital | Memphis, MO | $367.85 | $525.50 | $109.13 | 3.4× |
| Wilson Medical Center | Wilson, NC | $369.20 | $923 | $109.13 | 3.4× |
| McKenzie-willamette Medical Center | Springfield, OR | $369.91 | $616.51 | $109.13 | 3.4× |
| Mary Rutan Health | Bellefontaine, OH | $370.40 | $463 | $109.13 | 3.4× |
| Fleming County Hospital | Flemingsburg, KY | $370.48 | $926.21 | $109.13 | 3.4× |
| Tippah County Hospital | Ripley, MS | $371 | $371 | $109.13 | 3.4× |
| Medina Regional Hospital | Hondo, TX | $371.92 | $413.24 | $109.13 | 3.4× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $376.74 | $1,638 | $109.13 | 3.5× |
| Faith Community Hospital | Jacksboro, TX | $377.24 | $538.92 | $109.13 | 3.5× |
| Page Hospital | Page, AZ | $380.15 | $328 | $109.13 | 3.5× |
| Colquitt Regional Medical Center range across 3 matching MRF lines |
Moultrie, GA | $382–$406 | $382–$406 | $109.13 | varies |
| Renown Regional Medical Center | Reno, NV | $382.20 | $546 | $109.13 | 3.5× |
| Renown South Meadows Medical Center | Reno, NV | $382.20 | $546 | $109.13 | 3.5× |
| Goodland Regional Medical Center | Goodland, KS | $382.50 | $425 | $109.13 | 3.5× |
| Memorial Hospital | Abilene, KS | $384.30 | $384.30 | $109.13 | 3.5× |
| Kearney Regional Medical Center | Kearney, NE | $385.80 | $643 | $109.13 | 3.5× |
| CHI St. Alexius Health Devils Lake | Devils Lake, ND | $389.34 | $927 | $109.13 | 3.6× |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $389.98 | $629 | $109.13 | 3.6× |
| United Regional Health Care System | Wichita Falls, TX | $390.45 | $411 | $109.13 | 3.6× |
| Portneuf Medical Center | Pocatello, ID | $390.60 | $651 | $109.13 | 3.6× |
| Centerpoint Health – Georgetown | Georgetown, KY | $392.97 | $982.43 | $109.13 | 3.6× |
| Athol Hospital | Athol, MA | $393 | $393 | $109.13 | 3.6× |
| Centerpoint Health – Paris | Paris, KY | $393.76 | $984.41 | $109.13 | 3.6× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $393.77 | $656.29 | $109.13 | 3.6× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $393.77 | $656.29 | $109.13 | 3.6× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $393.77 | $656.29 | $109.13 | 3.6× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $393.77 | $656.29 | $109.13 | 3.6× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $393.77 | $656.29 | $109.13 | 3.6× |
| Newark-Wayne Community Hospital | Newark, NY | $394.93 | $607.59 | $109.13 | 3.6× |
| United Memorial Medical Center | Batavia, NY | $394.93 | $607.59 | $109.13 | 3.6× |
| Rochester General Hospital | Rochester, NY | $394.93 | $607.59 | $109.13 | 3.6× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $394.93 | $607.59 | $109.13 | 3.6× |
| Baystate Wing Hospital | Palmer, MA | $396 | $396 | $109.13 | 3.6× |
| ProHealth Waukesha Memorial Hospital | Waukesha, WI | $396 | $720 | $109.13 | 3.6× |
| ProHealth Oconomowoc Memorial Hospital | Oconomowoc, WI | $396 | $720 | $109.13 | 3.6× |
| Northern Nevada Medical Center range across 2 matching MRF lines |
Sparks, NV | $397.20–$680.80 | $993–$1,702 | $109.13 | varies |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $399.50 | $470 | $109.13 | 3.7× |
| Abbeville Area Medical Center | Abbeville, SC | $404.32 | $577.60 | $109.13 | 3.7× |
| Baystate Franklin Medical Center | Greenfield, MA | $405 | $405 | $109.13 | 3.7× |
| Heywood Hospital | Gardner, MA | $405 | $405 | $109.13 | 3.7× |
| Wray Community District Hospital | Wray, CO | $405.70 | $540.93 | $109.13 | 3.7× |
| Wayne General Hospital | Waynesboro, MS | $406 | $406 | $109.13 | 3.7× |
| Wyoming County Community Health System | Warsaw, NY | $406.42 | $580.60 | $109.13 | 3.7× |
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | $408.10 | $742 | $109.13 | 3.7× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $408.12 | $537 | $109.13 | 3.7× |
| CHI St. Alexius Health Williston | Williston, ND | $410.06 | $707 | $109.13 | 3.8× |
| Sacred Heart Medical Center Riverbend | Springfield, OR | $412.10 | $634 | $109.13 | 3.8× |
| Pemiscot Memorial Hospital | Hayti, MO | $412.30 | $589 | $109.13 | 3.8× |
| Lewis County General Hospital | Lowville, NY | $416.05 | $506 | $109.13 | 3.8× |
| Morehouse General Hospital | Bastrop, LA | $416.25 | $520.31 | $109.13 | 3.8× |
| CHI St. Vincent Hot Springs | Hot Springs, AR | $417 | $417 | $109.13 | 3.8× |
| Bridgeport Hospital | Bridgeport, CT | $417.04 | $802 | $109.13 | 3.8× |
| Greenwich Hospital | Greenwich, CT | $417.04 | $802 | $109.13 | 3.8× |
| Witham Health Services | Lebanon, IN | $418.95 | $598.50 | $109.13 | 3.8× |
| PeaceHealth Southwest Medical Center | Vancouver, WA | $419.90 | $646 | $109.13 | 3.8× |
| UMass Memorial Health–Milford Regional Medical Center | Milford, MA | $420 | $420 | $109.13 | 3.8× |
| Ruby Valley Medical Center | Sheridan, MT | $422.10 | $469 | $109.13 | 3.9× |
| Southwest Medical Center | Liberal, KS | $423.20 | $529 | $109.13 | 3.9× |
| PeaceHealth St. John Medical Center | Longview, WA | $423.80 | $652 | $109.13 | 3.9× |
| Lahey Hospital & Medical Center | Burlington, MA | $426 | $426 | $109.13 | 3.9× |
| Timpanogos Regional Hospital | Orem, UT | $426.14 | $426.14 | $109.13 | 3.9× |
| Our Lady of Lourdes Memorial Hospital, Inc | Binghamton, NY | $427.09 | $854.18 | $109.13 | 3.9× |
| PeaceHealth St. Joseph Medical Center | Bellingham, WA | $427.70 | $658 | $109.13 | 3.9× |
| UF Health Leesburg Hospital | Leesburg, FL | $431.20 | $784 | $109.13 | 4.0× |
| Flagler Hospital | Saint Augustine, FL | $431.20 | $784 | $109.13 | 4.0× |
| UF Health Shands Hospital | Gainesville, FL | $431.20 | $784 | $109.13 | 4.0× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $431.20 | $784 | $109.13 | 4.0× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $433 | $433 | $109.13 | 4.0× |
| Cimarron Memorial Hospital | Boise City, OK | $436 | $872 | $109.13 | 4.0× |
| Sierra Medical Center | El Paso, TX | $437.25 | $583 | $109.13 | 4.0× |
| Nemours Children's Hospital, Florida | Orlando, FL | $440 | $440 | $109.13 | 4.0× |
| Yalobusha General Hospital | Water Valley, MS | $441 | $630 | $109.13 | 4.0× |
| Elliot Hospital | Manchester, NH | $441.04 | $1,192 | $109.13 | 4.0× |
| Northwest Medical Center | Tucson, AZ | $441.12 | $1,838 | $109.13 | 4.0× |
| Oro Valley Hospital | Oro Valley, AZ | $441.12 | $1,838 | $109.13 | 4.0× |
| ThedaCare Regional Medical Center - Neenah Inc | Neenah, WI | $444.81 | $794.30 | $109.13 | 4.1× |
| ThedaCare Regional Medical Center - Appleton Inc | Appleton, WI | $444.81 | $794.30 | $109.13 | 4.1× |
| ThedaCare Medical Center - Wild Rose Inc | Wild Rose, WI | $444.81 | $794.30 | $109.13 | 4.1× |
| ThedaCare Medical Center New London | New London, WI | $444.81 | $794.30 | $109.13 | 4.1× |
| ThedaCare Medical Center - Waupaca Inc | Waupaca, WI | $444.81 | $794.30 | $109.13 | 4.1× |
| ThedaCare Medical Center - Shawano Inc | Shawano, WI | $444.81 | $794.30 | $109.13 | 4.1× |
| ThedaCare Medical Center - Berlin Inc | Berlin, WI | $444.81 | $794.30 | $109.13 | 4.1× |
| Pointe Coupee General Hospital | New Roads, LA | $446.87 | $446.87 | $109.13 | 4.1× |
| University Hospital | Columbia, MO | $448.53 | $747.55 | $109.13 | 4.1× |
| Prague Regional Memorial Hospital | Prague, OK | $449.10 | $449.10 | $109.13 | 4.1× |
| Memorial Healthcare | Owosso, MI | $451.20 | $564 | $109.13 | 4.1× |
| Caldwell Medical Center range across 2 matching MRF lines |
Princeton, KY | $454.53–$541.22 | $606.04–$721.63 | $109.13 | varies |
| Providence St. Joseph Medical Center | Polson, MT | $455.20 | $569 | $109.13 | 4.2× |
| UNC Hospitals | Chapel Hill, NC | $456.60 | $761 | $109.13 | 4.2× |
| The Carle Foundation Hospital | Urbana, IL | $459 | $459 | $109.13 | 4.2× |
| Lake Charles Memorial Hospital | Lake Charles, LA | $459.60 | $766 | $109.13 | 4.2× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $460.04 | $460.04 | $109.13 | 4.2× |
| Margaret Mary Health | Batesville, IN | $460.36 | $548.05 | $109.13 | 4.2× |
| Kaleida Health | Buffalo, NY | $463 | $463 | $109.13 | 4.2× |
| Miami Valley Hospital | Dayton, OH | $463 | $463 | $109.13 | 4.2× |
| Upper Valley Medical Center | Troy, OH | $463 | $463 | $109.13 | 4.2× |
| Knox Community Hospital | Mount Vernon, OH | $463.50 | $579.37 | $109.13 | 4.2× |
| Hancock Regional Hospital | Greenfield, IN | $464 | $580 | $109.13 | 4.3× |
| Mercy Health System Corp | Janesville, WI | $464.72 | $619.63 | $109.13 | 4.3× |
| Erie County Medical Center | Buffalo, NY | $464.88 | — | $109.13 | 4.3× |
| Rawlins County Health Center | Atwood, KS | $464.95 | $547 | $109.13 | 4.3× |
| Bothwell Regional Health Center | Sedalia, MO | $465.75 | $621 | $109.13 | 4.3× |
| Littleton Regional Healthcare range across 3 matching MRF lines |
Littleton, NH | $469.22–$497.64 | $809–$858 | $109.13 | varies |
| Centerpoint Health – Winchester | Winchester, KY | $472.34 | $1,180.84 | $109.13 | 4.3× |
| Baystate Noble Hospital | Westfield, MA | $473 | $473 | $109.13 | 4.3× |
| Yale New Haven Hospital | New Haven, CT | $473.18 | $802 | $109.13 | 4.3× |
| AdventHealth Orlando | Orlando, FL | $474 | $474 | $109.13 | 4.3× |
| Sharon Hospital | Sharon, CT | $475 | $475 | $109.13 | 4.4× |
| Vassar Brothers Medical Center | Poughkeepsie, NY | $475 | $475 | $109.13 | 4.4× |
| Northern Dutchess Hospital | Rhinebeck, NY | $475 | $475 | $109.13 | 4.4× |
| Putnam Hospital Center | Carmel, NY | $475 | $475 | $109.13 | 4.4× |
| Peterson Regional Medical Center | Kerrville, TX | $481 | $740 | $109.13 | 4.4× |
| Los Alamos Medical Center | Los Alamos, NM | $481.49 | $802.48 | $109.13 | 4.4× |
| The Queen's Medical Center | Honolulu, HI | $483 | $690 | $109.13 | 4.4× |
| Queen's North Hawaiʻi Community Hospital | Kamuela, HI | $483 | $690 | $109.13 | 4.4× |
| Children's National Hospital | Washington, DC | $486 | $972 | $109.13 | 4.5× |
| Unity Hospital of Rochester | Rochester, NY | $486.07 | $607.59 | $109.13 | 4.5× |
| Unity Specialty Hospital | Rochester, NY | $486.07 | $607.59 | $109.13 | 4.5× |
| Union Hospital | Dover, OH | $489.45 | $753 | $109.13 | 4.5× |
| Akron General | Akron, OH | $489.45 | $753 | $109.13 | 4.5× |
| Mercy Hospital | Canton, OH | $489.45 | $753 | $109.13 | 4.5× |
| Fairview Hospital | Cleveland, OH | $489.45 | $753 | $109.13 | 4.5× |
| Euclid Hospital | Euclid, OH | $489.45 | $753 | $109.13 | 4.5× |
| Lutheran Hospital | Cleveland, OH | $489.45 | $753 | $109.13 | 4.5× |
| Medina Hospital | Medina, OH | $489.45 | $753 | $109.13 | 4.5× |
| Marymount Hospital | Garfield Heights, OH | $489.45 | $753 | $109.13 | 4.5× |
| South Pointe Hospital | Warrensville Heights, OH | $489.45 | $753 | $109.13 | 4.5× |
| Cleveland Clinic | Cleveland, OH | $489.45 | $753 | $109.13 | 4.5× |
| Hillcrest Hospital | Mayfield Heights, OH | $489.45 | $753 | $109.13 | 4.5× |
| Cleveland Clinic Avon Hospital | Avon, OH | $489.45 | $753 | $109.13 | 4.5× |
| Lodi Hospital | Lodi, OH | $489.45 | $753 | $109.13 | 4.5× |
| Acadia St. Landry Hospital | Church Point, LA | $491.09 | $654.78 | $109.13 | 4.5× |
| Swain Community Hospital | Bryson City, NC | $494.21 | $1,235.52 | $109.13 | 4.5× |
| Baystate Medical Center | Springfield, MA | $495 | $495 | $109.13 | 4.5× |
| Brown University Health Saint Anne's Hospital | Fall River, MA | $495.76 | $495.76 | $109.13 | 4.5× |
| Emory Hospital Warner Robins | Warner Robins, GA | $503 | $503 | $109.13 | 4.6× |
| Emory Hospital Perry | Perry, GA | $503 | $503 | $109.13 | 4.6× |
| Baraga County Memorial Hospital range across 2 matching MRF lines |
L' Anse, MI | $506–$577 | $506–$577 | $109.13 | varies |
| Person Memorial Hospital | Roxboro, NC | $508.80 | $1,272 | $109.13 | 4.7× |
| Olean General Hospital | Olean, NY | $509 | $509 | $109.13 | 4.7× |
| Brooks-TLC Hospital System, Inc | Dunkirk, NY | $509 | $509 | $109.13 | 4.7× |
| Cuba Memorial Hospital, Inc | Cuba, NY | $509 | $509 | $109.13 | 4.7× |
| CHI Health - Mercy Corning | Corning, IA | $509.28 | $1,061 | $109.13 | 4.7× |
| Glenwood Regional Medical Center | West Monroe, LA | $510.45 | $510.45 | $109.13 | 4.7× |
| MUSC Health Florence Medical Center | Florence, SC | $513 | $1,026 | $109.13 | 4.7× |
| Graham Regional Medical Center | Graham, TX | $517 | $517 | $109.13 | 4.7× |
| Grand Strand Medical Center | Myrtle Beach, SC | $519 | $519 | $109.13 | 4.8× |
| CHI Lisbon Health | Lisbon, ND | $519.12 | $927 | $109.13 | 4.8× |
| Fairview Park Hospital | Dublin, GA | $519.75 | $519.75 | $109.13 | 4.8× |
| CHI Health Missouri Valley | Missouri Valley, IA | $519.89 | $1,061 | $109.13 | 4.8× |
| Warner Hospital and Health Services | Clinton, IL | $521.55 | $521.55 | $109.13 | 4.8× |
| Pulaski Memorial Hospital | Winamac, IN | $523.18 | $747.40 | $109.13 | 4.8× |
| Highland Hospital | Rochester, NY | $523.60 | — | $109.13 | 4.8× |
| Strong Memorial Hospital | Rochester, NY | $523.60 | — | $109.13 | 4.8× |
| Eastern Plumas Hospital - Portola Campus | Portola, CA | $528 | $660 | $109.13 | 4.8× |
| CHI St. Alexius Health Dickinson | Dickinson, ND | $533.61 | $847 | $109.13 | 4.9× |
| Gundersen Boscobel Area Hospital and Clinics | Boscobel, WI | $534.06 | $1,037 | $109.13 | 4.9× |
| Javon Bea Hospital | Rockford, IL | $535.16 | $713.54 | $109.13 | 4.9× |
| Harris Regional Hospital | Sylva, NC | $535.52 | $1,338.80 | $109.13 | 4.9× |
| St. Joseph's Hospital | Highland, IL | $537.12 | $746 | $109.13 | 4.9× |
| StoneSprings Hospital Center | Dulles, VA | $538.01 | $538.01 | $109.13 | 4.9× |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $540.35 | $1,801.15 | $109.13 | 5.0× |
| Ascension Saint Thomas Hospital West | Nashville, TN | $540.35 | $1,801.15 | $109.13 | 5.0× |
| Ascension Saint Thomas DeKalb | Smithville, TN | $540.35 | $1,801.15 | $109.13 | 5.0× |
| Ascension Saint Thomas River Park | McMinnville, TN | $540.35 | $1,801.15 | $109.13 | 5.0× |
| Ascension Saint Thomas Highlands | Sparta, TN | $540.35 | $1,801.15 | $109.13 | 5.0× |
| Ascension Saint Thomas Stones River | Woodbury, TN | $540.35 | $1,801.15 | $109.13 | 5.0× |
| SSM Health St. Anthony Hospital - Oklahoma City range across 2 matching MRF lines |
Oklahoma City, OK | $540.65–$845.90 | $983–$1,538 | $109.13 | varies |
| New England Baptist Hospital | Boston, MA | $542 | $542 | $109.13 | 5.0× |
| St. John's Riverside Hospital | Yonkers, NY | $549.95 | $647 | $109.13 | 5.0× |
| HealthAlliance Hospital Mary's Avenue Campus | Kingston, NY | $550 | $550 | $109.13 | 5.0× |
| Margaretville Memorial Hospital | Margaretville, NY | $550 | $550 | $109.13 | 5.0× |
| Stillwater Medical Center | Stillwater, OK | $556 | $695 | $109.13 | 5.1× |
| Stillwater Medical - Perry | Perry, OK | $556 | $695 | $109.13 | 5.1× |
| Stillwater Medical-blackwell | Blackwell, OK | $556 | $695 | $109.13 | 5.1× |
| Hospital for Special Surgery | New York, NY | $560 | $560 | $109.13 | 5.1× |
| Baton Rouge General - Bluebonnet | Baton Rouge, LA | $561.86 | $802.65 | $109.13 | 5.1× |
| Baton Rouge General - Mid City | Baton Rouge, LA | $561.86 | $802.65 | $109.13 | 5.1× |
| Elkhart General Hospital | Elkhart, IN | $562.25 | $865 | $109.13 | 5.2× |
| Evanston Regional Hospital | Evanston, WY | $563.84 | $939.74 | $109.13 | 5.2× |
| Munising Memorial Hospital | Munising, MI | $564 | $564 | $109.13 | 5.2× |
| F F Thompson Hospital | Canandaigua, NY | $566 | — | $109.13 | 5.2× |
| Winchester Hospital | Winchester, MA | $568 | $568 | $109.13 | 5.2× |
| Bayhealth Hospital, Kent Campus | Dover, DE | $569.52 | $678 | $109.13 | 5.2× |
| Bayhealth Hospital, Sussex Campus | Milford, DE | $569.52 | $678 | $109.13 | 5.2× |
| Richland Hospital | Richland Center, WI | $571.20 | $714 | $109.13 | 5.2× |
| Mountain View Hospital | Idaho Falls, ID | $580 | $580 | $109.13 | 5.3× |
| Idaho Falls Community Hospital | Idaho Falls, ID | $580 | $580 | $109.13 | 5.3× |
| The Hospitals of Providence Transmountain Campus | El Paso, TX | $591.75 | $789 | $109.13 | 5.4× |
| Harrisburg Medical Center | Harrisburg, IL | $598.40 | $748 | $109.13 | 5.5× |
| St. Joseph Memorial Hospital | Murphysboro, IL | $598.40 | $748 | $109.13 | 5.5× |
| Carson Tahoe Regional Medical Center | Carson City, NV | $598.65 | $855.22 | $109.13 | 5.5× |
| Riverview Health | Noblesville, IN | $601.80 | $1,003 | $109.13 | 5.5× |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $602 | $602 | $109.13 | 5.5× |
| Gundersen St. Josephs Hospital and Clinics | Hillsboro, WI | $602.80 | $1,146 | $109.13 | 5.5× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $605.22 | $1,441 | $109.13 | 5.5× |
| CHI Health Immanuel | Omaha, NE | $605.22 | $1,441 | $109.13 | 5.5× |
| CHI Health Midlands | Papillion, NE | $605.22 | $1,441 | $109.13 | 5.5× |
| CHI Health Lakeside | Omaha, NE | $605.22 | $1,441 | $109.13 | 5.5× |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $605.22 | $1,441 | $109.13 | 5.5× |
| CHI St. Alexius Health | Bismarck, ND | $605.37 | $1,187 | $109.13 | 5.5× |
| Mercy Health - St. Rita's Medical Center range across 2 matching MRF lines |
Lima, OH | $606–$702 | $1,010–$1,170 | $109.13 | varies |
| Children's Hospital of Michigan | Detroit, MI | $606 | $808 | $109.13 | 5.6× |
| Salem Hospital | Salem, OR | $610.56 | $1,152 | $109.13 | 5.6× |
| Salem Health West Valley | Dallas, OR | $610.56 | $1,152 | $109.13 | 5.6× |
| Osf Holy Family Medical Center | Monmouth, IL | $613.60 | $767 | $109.13‡ | 5.6× |
| The Hospitals of Providence Memorial Campus | El Paso, TX | $618.75 | $825 | $109.13 | 5.7× |
| Gundersen Moundview Hospital and Clinics | Friendship, WI | $623.82 | $1,228 | $109.13 | 5.7× |
| Alaska Native Medical Center | Anchorage, AK | $624 | $624 | $109.13 | 5.7× |
| St. Nicholas Hospital | Sheboygan, WI | $629.64 | $954 | $109.13 | 5.8× |
| St. Vincent Hospital | Green Bay, WI | $629.64 | $954 | $109.13 | 5.8× |
| St. Marys Hospital Medical Ctr | Green Bay, WI | $629.64 | $954 | $109.13 | 5.8× |
| HSHS St. Clare Memorial Hospital | Oconto Falls, WI | $629.64 | $954 | $109.13 | 5.8× |
| Frisbie Memorial Hospital | Rochester, NH | $646 | $646 | $109.13 | 5.9× |
| Dana-Farber Cancer Institute | Boston, MA | $646.50 | $862 | $109.13 | 5.9× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $647 | $718.88 | $109.13 | 5.9× |
| DMC Detroit Receiving Hospital | Detroit, MI | $647.25 | $863 | $109.13 | 5.9× |
| CHI St. Francis Health range across 2 matching MRF lines |
Breckenridge, MN | $648.60–$668.40 | $1,081–$1,114 | $109.13 | varies |
| ECU Health Edgecombe Hospital | Tarboro, NC | $659.12 | $1,177 | $109.13 | 6.0× |
| Emory University Hospital range across 4 matching MRF lines |
Atlanta, GA | $660–$777 | $660–$777 | $109.13 | varies |
| Emory Decatur Hospital range across 4 matching MRF lines |
Decatur, GA | $660–$777 | $660–$777 | $109.13 | varies |
| Emory University Hospital Midtown range across 4 matching MRF lines |
Atlanta, GA | $660–$777 | $660–$777 | $109.13 | varies |
| Emory Saint Joseph's Hospital range across 4 matching MRF lines |
Atlanta, GA | $660–$777 | $660–$777 | $109.13 | varies |
| Emory Hillandale Hospital range across 4 matching MRF lines |
Lithonia, GA | $660–$777 | $660–$777 | $109.13 | varies |
| Emory Johns Creek Hospital range across 4 matching MRF lines |
Johns Creek, GA | $660–$777 | $660–$777 | $109.13 | varies |
| CHI Mercy Health | Valley City, ND | $668.40 | $1,114 | $109.13 | 6.1× |
| FirstHealth Moore Regional Hospital range across 2 matching MRF lines |
Pinehurst, NC | $670–$940.75 | $670–$940.75 | $109.13 | varies |
| FirstHealth Montgomery Memorial Hospital range across 2 matching MRF lines |
Troy, NC | $670–$940.75 | $670–$940.75 | $109.13 | varies |
| ECU Health Roanoke-Chowan Hospital | Ahoskie, NC | $672 | $1,200 | $109.13 | 6.2× |
| ECU Health Chowan Hospital | Edenton, NC | $672 | $1,200 | $109.13 | 6.2× |
| Lexington Medical Center | West Columbia, SC | $672 | $672 | $109.13 | 6.2× |
| Westover Hills Baptist Hospital | San Antonio, TX | $674.25 | $899 | $109.13 | 6.2× |
| UMass Memorial Medical Center | Worcester, MA | $678 | $678 | $109.13 | 6.2× |
| DMC Sinai-Grace Hospital | Detroit, MI | $678.75 | $905 | $109.13 | 6.2× |
| Hammond Henry Hospital | Geneseo, IL | $682.20 | $758 | $109.13 | 6.3× |
| Corning Hospital | Corning, NY | $683.34 | $854.18 | $109.13 | 6.3× |
| Hamilton Memorial Hospital | Mcleansboro, IL | $684.90 | $761 | $109.13 | 6.3× |
| ECU Health Duplin Hospital | Kenansville, NC | $685.44 | $1,224 | $109.13 | 6.3× |
| HCA Florida Citrus Hospital | Inverness, FL | $686.20 | $686.20 | $109.13 | 6.3× |
| ECU Health Bertie Hospital | Windsor, NC | $698.88 | $1,248 | $109.13 | 6.4× |
| Piedmont Medical Center | Rock Hill, SC | $699.75 | $933 | $109.13 | 6.4× |
| DMC Harper University Hospital | Detroit, MI | $714 | $952 | $109.13 | 6.5× |
| DMC Huron Valley-Sinai Hospital | Commerce Township, MI | $716.25 | $955 | $109.13 | 6.6× |
| Ucsf Benioff Children's Hospital Oakland | Oakland, CA | $717 | $2,390 | $109.13 | 6.6× |
| Memorial Satilla Health | Waycross, GA | $721.25 | $721.25 | $109.13 | 6.6× |
| Outer Banks Health Hospital | Nags Head, NC | $723.52 | $1,292 | $109.13 | 6.6× |
| ECU Health North Hospital | Roanoke Rapids, NC | $738.64 | $1,319 | $109.13 | 6.8× |
| The Hospitals of Providence East Campus | El Paso, TX | $748.50 | $998 | $109.13 | 6.9× |
| Skagit Valley Hospital | Mount Vernon, WA | $756.80 | $946 | $109.13 | 6.9× |
| Texas Health Hospital Mansfield range across 2 matching MRF lines |
Mansfield, TX | $760.87–$845.21 | $760.87–$845.21 | $109.13 | varies |
| Gundersen St. Elizabeth's Hospital | Wabasha, MN | $764.30 | $1,255 | $109.13 | 7.0× |
| LewisGale Hospital Pulaski | Pulaski, VA | $769 | $769 | $109.13 | 7.0× |
| Carrington Health Center | Carrington, ND | $771.98 | $1,331 | $109.13 | 7.1× |
| RiverView Health | Crookston, MN | $783 | $870 | $109.13 | 7.2× |
| Medical City North Hills | North Richland Hills, TX | $784.49 | $784.49 | $109.13 | 7.2× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $792 | $792 | $109.13 | 7.3× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $792 | $792 | $109.13 | 7.3× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $792 | $792 | $109.13 | 7.3× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $792 | $792 | $109.13 | 7.3× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $792 | $792 | $109.13 | 7.3× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $792 | $792 | $109.13 | 7.3× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $792 | $792 | $109.13 | 7.3× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $792 | $792 | $109.13 | 7.3× |
| HSHS Holy Family Hospital | Greenville, IL | $815.04 | $1,132 | $109.13 | 7.5× |
| Ascension St. Francis Hospital | Milwaukee, WI | $815.67 | $1,539 | $109.13 | 7.5× |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $815.67 | $1,539 | $109.13 | 7.5× |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $815.67 | $1,539 | $109.13 | 7.5× |
| Methodist Hospital range across 2 matching MRF lines |
San Antonio, TX | $815.73–$1,248.16 | $815.73–$1,248.16 | $109.13 | varies |
| Hill Country Memorial Hospital | Fredericksburg, TX | $815.73 | $815.73 | $109.13 | 7.5× |
| LewisGale Hospital Montgomery | Blacksburg, VA | $831 | $831 | $109.13 | 7.6× |
| Medical City Arlington | Arlington, TX | $840 | $840 | $109.13 | 7.7× |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus | Milwaukee, WI | $851.71 | $1,607 | $109.13 | 7.8× |
| Las Palmas Medical Center A Campus of Lpds Healthc | El Paso, TX | $858 | $858 | $109.13 | 7.9× |
| Northfield Hospital | Northfield, MN | $865 | $2,069 | $109.13 | 7.9× |
| Henry County Hospital, Inc | Napoleon, OH | $866.25 | $1,155 | $109.13 | 7.9× |
| Corewell Health Dearborn Hospital | Dearborn, MI | $872 | $872 | $109.13 | 8.0× |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse Pointe, MI | $872 | $872 | $109.13 | 8.0× |
| Corewell Health William Beaumont University Hospital | Royal Oak, MI | $872 | $872 | $109.13 | 8.0× |
| Corewell Health Wayne Hospital | Wayne, MI | $872 | $872 | $109.13 | 8.0× |
| Corewell Health Farmington Hills Hospital | Farmington Hills, MI | $872 | $872 | $109.13 | 8.0× |
| Corewell Health Trenton Hospital | Trenton, MI | $872 | $872 | $109.13 | 8.0× |
| Corewell Health Beaumont Troy Hospital | Troy, MI | $872 | $872 | $109.13 | 8.0× |
| Corewell Health Taylor Hospital | Taylor, MI | $872 | $872 | $109.13 | 8.0× |
| CHI Health Plainview | Plainview, NE | $891.24 | $1,061 | $109.13 | 8.2× |
| CHI Health Schuyler | Schuyler, NE | $901.85 | $1,061 | $109.13 | 8.3× |
| ECU Health Medical Center | Greenville, NC | $906.83 | $1,711 | $109.13 | 8.3× |
| St. Josephs Hospital | Breese, IL | $910.08 | $1,264 | $109.13 | 8.3× |
| Hillsboro Area Hospital | Hillsboro, IL | $921.11 | $1,023.45 | $109.13 | 8.4× |
| Mount Auburn Hospital | Cambridge, MA | $974 | $974 | $109.13 | 8.9× |
| Paris Community Hospital | Paris, IL | $978 | $1,304 | $109.13 | 9.0× |
| Lanai Community Hospital | Lanai City, HI | $987.07 | $1,673 | $109.13 | 9.0× |
| Kula Hospital | Kula, HI | $987.07 | $1,673 | $109.13 | 9.0× |
| Osf Saint Katharine Medical Center | Dixon, IL | $1,008.70 | $1,441 | $109.13‡ | 9.2× |
| Star Valley Medical Center | Afton, WY | $1,032.50 | $1,475 | $109.13 | 9.5× |
| LewisGale Hospital Alleghany | Low Moor, VA | $1,046 | $1,046 | $109.13 | 9.6× |
| HSHS St. Elizabeth's Hospital | O Fallon, IL | $1,049.04 | $1,457 | $109.13 | 9.6× |
| Intermountain Health Primary Children's Hospital | Salt Lake City, UT | $1,060.77 | $1,414.36 | $109.13 | 9.7× |
| Beth Israel Deaconess Medical Center | Boston, MA | $1,076 | $1,076 | $109.13 | 9.9× |
| Portsmouth Regional Hospital | Portsmouth, NH | $1,125 | $1,125 | $109.13 | 10.3× |
| McLeod Health Dillon | Dillon, SC | $1,142.39 | $1,609 | $109.13 | 10.5× |
| McLeod Regional Medical Center | Florence, SC | $1,142.39 | $1,609 | $109.13 | 10.5× |
| McLeod Health Loris | Loris, SC | $1,142.39 | $1,609 | $109.13 | 10.5× |
| McLeod Health Cheraw | Cheraw, SC | $1,142.39 | $1,609 | $109.13 | 10.5× |
| McLeod Health Clarendon | Manning, SC | $1,142.39 | $1,609 | $109.13 | 10.5× |
| Medical City Weatherford | Weatherford, TX | $1,187.95 | $1,187.95 | $109.13 | 10.9× |
| Corpus Christi Medical Center,the | Corpus Christi, TX | $1,236.26 | $1,236.26 | $109.13 | 11.3× |
| Methodist Hospital | Atascosa | Jourdanton, TX | $1,248.16 | $1,248.16 | $109.13 | 11.4× |
| Methodist Hospital Stone Oak | San Antonio, TX | $1,248.16 | $1,248.16 | $109.13 | 11.4× |
| Coralvita Richardson | Richardson, TX | $1,260.60 | $1,260.60 | $109.13‡ | 11.6× |
| Cassia Regional Hospital | Burley, ID | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Cedar City Hospital | Cedar City, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Logan Regional Hospital | Logan, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health St. George Regional Hospital | St. George, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Sevier Valley Hospital | Richfield, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Bear River Valley Hospital | Tremonton, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Park City Hospital | Park City, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Delta Community Hospital | Delta, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Fillmore Community Hospital | Fillmore, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Sanpete Valley Hospital | Mount Pleasant, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Heber Valley Hospital | Heber City, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Intermountain Health Garfield Memorial Hospital | Panguitch, UT | $1,288.07 | $1,717.43 | $109.13 | 11.8× |
| Westchester Medical Center | Valhalla, NY | $1,301 | $1,301 | $109.13 | 11.9× |
| Atrium Medical Center | Franklin, OH | $1,385 | $1,385 | $109.13 | 12.7× |
| Elmhurst Memorial Hospital | Elmhurst, IL | $1,397 | $1,397 | $109.13 | 12.8× |
| Edward Hospital | Naperville, IL | $1,397 | $1,397 | $109.13 | 12.8× |
| Memorial Hospital of South Bend | South Bend, IN | $1,411.80 | $2,172 | $109.13 | 12.9× |
| HCA Florida Northwest Hospital | Margate, FL | $1,433 | $1,433 | $109.13 | 13.1× |
| Intermountain Health Utah Valley Hospital | Provo, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| Intermountain Health Mckay-dee Hospital | Ogden, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| Intermountain Health LDS Hospital | Salt Lake City, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| Intermountain Health Intermountain Medical Center | Murray, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| American Fork Hospital | American Fork, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| Orem Community Hospital | Orem, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| Intermountain Health Alta View Hospital | Sandy, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| Intermountain Health Riverton Hospital | Riverton, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| Intermountain Health Layton Hospital | Layton, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| Intermountain Health Spanish Fork Hospital | Spanish Fork, UT | $1,515.38 | $2,020.51 | $109.13 | 13.9× |
| UPMC Chautauqua at WCA | Jamestown, NY | $1,607.40 | $2,679 | $109.13 | 14.7× |
| Medical City Dallas | Dallas, TX | $1,623.19 | $1,623.19 | $109.13 | 14.9× |
| AdventHealth Carrollwood | Tampa, FL | $1,684.42 | $1,684.42 | $109.13 | 15.4× |
| Chinese Hospital | San Francisco, CA | $1,702 | $1,702 | $109.13 | 15.6× |
| Bon Secours Community Hospital | Port Jervis, NY | $1,736 | $1,736 | $109.13 | 15.9× |
| Good Samaritan Hospital of Suffern | Suffern, NY | $1,736 | $1,736 | $109.13 | 15.9× |
| St. Anthony Community Hospital | Warwick, NY | $1,736 | $1,736 | $109.13 | 15.9× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $1,775.25 | $1,775.25 | $109.13 | 16.3× |
| Medical City Plano | Plano, TX | $2,176.32 | $2,176.32 | $109.13 | 19.9× |
| University Medical Center range across 2 matching MRF lines |
Lubbock, TX | $2,427–$3,392 | $2,427–$3,392 | $109.13 | varies |
| The University of Chicago Medical Center | Chicago, IL | $2,718 | $2,718 | $109.13 | 24.9× |
| Osf Little Company of Mary Medical Center | Evergreen Park, IL | $2,741.40 | $4,569 | $109.13 | 25.1× |
| Saint Vincent Hospital | Worcester, MA | $2,761.50 | $3,682 | $109.13 | 25.3× |
| Osf Sacred Heart Medical Center | Danville, IL | $2,852.40 | $4,754 | $109.13‡ | 26.1× |
| Osf Heart of Mary Medical Center | Urbana, IL | $2,852.40 | $4,754 | $109.13‡ | 26.1× |
| Saint Francis Medical Center | Peoria, IL | $2,878.80 | $4,798 | $109.13‡ | 26.4× |
| Hendrick Medical Center | Abilene, TX | $3,338.85 | $3,338.85 | $109.13 | 30.6× |
| Hendrick Medical Center Brownwood | Brownwood, TX | $4,580.85 | $4,580.85 | $109.13 | 42.0× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $4,882.19 | $4,882.19 | $109.13 | 44.7× |
| MetroWest Medical Center | Framingham, MA | $5,457 | $7,276 | $109.13 | 50.0× |
| Cedars-sinai Medical Center | Los Angeles, CA | $9,874.15 | $15,191 | $109.13 | 90.5× |
| Vandalia Health Webster Memorial Hospital | Webster Springs, WV | $2,800,968.10 | $4,001,383 | $109.13 | 25666.3× |
| UAB St. Vincent's East range across 4 matching MRF lines |
Birmingham, AL | — | $156–$542 | $109.13 | — |
| UAB St. Vincent's Birmingham range across 4 matching MRF lines |
Birmingham, AL | — | $159–$542 | $109.13 | — |
| Central Carolina Hospital | Sanford, NC | — | $162.42 | $109.13 | — |
| Southwest Healthcare Rancho Springs Hospital | Murrieta, CA | — | $169 | $109.13 | — |
| Temecula Valley Hospital | Temecula, CA | — | $169 | $109.13 | — |
| UAB St. Vincent's Blount range across 4 matching MRF lines |
Oneonta, AL | — | $176–$542 | $109.13 | — |
| Uvalde Memorial Hospital | Uvalde, TX | — | $230.10 | $109.13 | — |
| Ephraim McDowell James B. Haggin Hospital | Harrodsburg, KY | — | $245.38 | $109.13 | — |
| Children's Nebraska range across 2 matching MRF lines |
Omaha, NE | — | $248–$678 | $109.13 | — |
| Saline Memorial Hospital | Benton, AR | — | $266.25 | $109.13 | — |
| Brookdale Hospital Medical Center | Brooklyn, NY | — | $273 | $109.13 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $278.81 | $109.13 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $290.81 | $109.13 | — |
| Stormont Vail Health Flint Hills, LLC range across 2 matching MRF lines |
Junction City, KS | — | $312.69–$982 | $109.13 | — |
| Stormont Vail Hospital range across 2 matching MRF lines |
Topeka, KS | — | $321.12–$983.01 | $109.13 | — |
| North Alabama Medical Center | Florence, AL | — | $329.01 | $109.13 | — |
| North Alabama Shoals Hospital | Muscle Shoals, AL | — | $329.01 | $109.13 | — |
| Moab Regional Hospital range across 2 matching MRF lines |
Moab, UT | — | $409–$430 | $109.13 | — |
| Intermountain Health St. James Hospital | Butte, MT | — | $409.23 | $109.13 | — |
| Pella Regional Health Center | Pella, IA | — | $444 | $109.13 | — |
| Dodge County Hospital | Eastman, GA | — | $471.26 | $109.13 | — |
| Holy Rosary Healthcare | Miles City, MT | — | $471.46 | $109.13 | — |
| UAB St. Vincent's St. Clair | Pell City, AL | — | $542 | $109.13 | — |
| UAB St. Vincent's Chilton | Clanton, AL | — | $542 | $109.13 | — |
| The Medical Center at Bowling Green | Bowling Green, KY | — | $548 | $109.13 | — |
| The Medical Center at Russellville | Russellville, KY | — | $548 | $109.13 | — |
| The Medical Center at Caverna | Horse Cave, KY | — | $548 | $109.13 | — |
| The Medical Center at Franklin | Franklin, KY | — | $548 | $109.13 | — |
| The Medical Center at Scottsville | Scottsville, KY | — | $548 | $109.13 | — |
| The Medical Center at Albany | Albany, KY | — | $548 | $109.13 | — |
| Ohio State University Hospitals | Columbus, OH | — | $554 | $109.13 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $554 | $109.13 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $689.35 | $109.13 | — |
| Intermountain Health St. Vincent Regional Hospital | Billings, MT | — | $757.66 | $109.13 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $838.05 | $109.13 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $838.05 | $109.13 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $838.05 | $109.13 | — |
| Matagorda Regional Medical Center | Bay City, TX | — | $968 | $109.13 | — |
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.