Exome Sequence Analysis (CPT 81415)
81415 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.
584 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 |
|---|---|---|---|---|---|
| Huntington Hospital | Pasadena, CA | $15.56 | $23.94 | $4,780 | 0.0× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $4,780 | 0.0× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $68.59 | $97.99 | $4,780 | 0.0× |
| Holy Cross Hospital | Chicago, IL | $68.59 | $97.99 | $4,780 | 0.0× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $87.12 | $396 | $4,780 | 0.0× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $87.12 | $396 | $4,780 | 0.0× |
| Ucsf Benioff Children's Hospital Oakland range across 3 matching MRF lines |
Oakland, CA | $100.80–$1,200 | $336–$4,000 | $4,780 | varies |
| Norton Hospital range across 3 matching MRF lines |
Louisville, KY | $140.80–$2,151 | $704–$10,755 | $4,780 | varies |
| OU Health University of Oklahoma Medical Center range across 12 matching MRF lines |
Oklahoma City, OK | $231.70–$3,582.70 | $860–$35,827 | $4,780 | varies |
| Torrance Memorial Medical Center range across 19 matching MRF lines |
Torrance, CA | $244.36–$7,209.44 | $263–$8,792 | $4,780 | varies |
| M Health Fairview Lakes Medical Center range across 6 matching MRF lines |
Wyoming, MN | $340.25–$4,068.95 | $848.50–$10,147 | $4,780 | varies |
| M Health Fairview Southdale Hospital range across 6 matching MRF lines |
Edina, MN | $340.25–$4,068.95 | $848.50–$10,147 | $4,780 | varies |
| M Health Fairview University of Minnesota Medical Center range across 12 matching MRF lines |
Minneapolis, MN | $340.25–$4,068.95 | $848.50–$10,147 | $4,780 | varies |
| M Health Fairview Northland Medical Center range across 6 matching MRF lines |
Princeton, MN | $340.25–$4,068.95 | $848.50–$10,147 | $4,780 | varies |
| M Health Fairview St. John's Hospital range across 6 matching MRF lines |
Maplewood, MN | $340.25–$4,068.95 | $848.50–$10,147 | $4,780 | varies |
| M Health Fairview Woodwinds Hospital range across 6 matching MRF lines |
Woodbury, MN | $340.25–$4,068.95 | $848.50–$10,147 | $4,780 | varies |
| M Health Fairview Ridges Hospital range across 6 matching MRF lines |
Burnsville, MN | $360.62–$4,312.48 | $848.50–$10,147 | $4,780 | varies |
| Arkansas Children's Hospital range across 23 matching MRF lines |
Little Rock, AR | $390.51–$2,812.50 | $433.90–$3,125 | $4,780 | varies |
| Arkansas Children's Northwest range across 23 matching MRF lines |
Springdale, AR | $390.51–$2,812.50 | $433.90–$3,125 | $4,780 | varies |
| Orlando Health Orlando Regional Medical Center range across 4 matching MRF lines |
Orlando, FL | $397.20–$3,824 | $993–$9,560 | $4,780 | varies |
| Orlando Health - Health Central Hospital range across 4 matching MRF lines |
Ocoee, FL | $397.20–$3,824 | $993–$9,560 | $4,780 | varies |
| Orlando Health Bayfront Hospital range across 4 matching MRF lines |
Saint Petersburg, FL | $397.20–$3,824 | $993–$9,560 | $4,780 | varies |
| Orlando Health South Lake Hospital range across 4 matching MRF lines |
Clermont, FL | $397.20–$3,824 | $993–$9,560 | $4,780 | varies |
| Orlando Health Sebastian River Hospital range across 4 matching MRF lines |
Sebastian, FL | $397.20–$3,824 | $993–$9,560 | $4,780 | varies |
| Orlando Health Melbourne Hospital range across 4 matching MRF lines |
Melbourne, FL | $397.20–$3,824 | $993–$9,560 | $4,780 | varies |
| Orlando Health St. Cloud Hospital range across 4 matching MRF lines |
Saint Cloud, FL | $397.20–$3,824 | $993–$9,560 | $4,780 | varies |
| Karmanos Cancer Center | Detroit, MI | $476.85 | $953.70 | $4,780 | 0.1× |
| Cheshire Medical Center | Keene, NH | $486.86 | $1,764 | $4,780 | 0.1× |
| Ochsner Medical Center - New Orleans range across 2 matching MRF lines |
New Orleans, LA | $495–$1,056 | $2,250–$4,800 | $4,780 | varies |
| Cape Fear Valley Medical Center range across 2 matching MRF lines |
Fayetteville, NC | $525–$7,170 | $875–$11,950 | $4,780 | varies |
| Cape Fear Valley Betsy Johnson Hospital range across 2 matching MRF lines |
Dunn, NC | $525–$7,170 | $875–$11,950 | $4,780 | varies |
| Cape Fear Valley Hoke Hospital range across 2 matching MRF lines |
Raeford, NC | $525–$7,170 | $875–$11,950 | $4,780 | varies |
| Cape Fear Valley Bladen County Hospital range across 2 matching MRF lines |
Elizabethtown, NC | $525–$7,170 | $875–$11,950 | $4,780 | varies |
| Baylor Scott & White Medical Center - Temple range across 3 matching MRF lines |
Temple, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Baylor Scott & White Medical Center - Hillcrest range across 3 matching MRF lines |
Waco, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Baylor Scott & White Medical Center -taylor range across 3 matching MRF lines |
Taylor, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Scott & White Hospital-round Rock range across 3 matching MRF lines |
Round Rock, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Baylor Scott & White Medical Center- College Stati range across 3 matching MRF lines |
College Station, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Baylor Scott & White Medical Center - Marble Falls range across 3 matching MRF lines |
Marble Falls, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Baylor Scott & White Medical Center - Pflugerville range across 3 matching MRF lines |
Pflugerville, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Baylor Scott & White Medical Center - Buda range across 3 matching MRF lines |
Buda, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Baylor Scott & White Medical Center- Austin range across 3 matching MRF lines |
Austin, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Baylor Scott & White Hospital Brenham range across 3 matching MRF lines |
Brenham, TX | $587.08–$3,750 | $978.46–$6,250 | $4,780 | varies |
| Children's Minnesota - Minneapolis Hospital range across 22 matching MRF lines |
Minneapolis, MN | $614–$14,808 | $614–$14,808 | $4,780 | varies |
| Ochsner Medical Center - Kenner range across 2 matching MRF lines |
Kenner, LA | $630–$1,344 | $2,250–$4,800 | $4,780 | varies |
| UF Health Leesburg Hospital range across 4 matching MRF lines |
Leesburg, FL | $640.20–$2,519 | $1,164–$4,580 | $4,780 | varies |
| Flagler Hospital range across 4 matching MRF lines |
Saint Augustine, FL | $640.20–$2,519 | $1,164–$4,580 | $4,780 | varies |
| UF Health Shands Hospital range across 4 matching MRF lines |
Gainesville, FL | $640.20–$2,519 | $1,164–$4,580 | $4,780 | varies |
| UF Health Spanish Plaines Hospital range across 4 matching MRF lines |
The Villages, FL | $640.20–$2,519 | $1,164–$4,580 | $4,780 | varies |
| Ucsf Medical Center range across 4 matching MRF lines |
San Francisco, CA | $649.80–$2,736 | $2,166–$9,120 | $4,780 | varies |
| New London Hospital | New London, NH | $697.84 | $1,527 | $4,780 | 0.1× |
| El Paso Children's Hospital | El Paso, TX | $718.80 | $3,594 | $4,780 | 0.2× |
| Ochsner Medical Center - Baton Rouge range across 2 matching MRF lines |
Baton Rouge, LA | $720–$1,536 | $2,250–$4,800 | $4,780 | varies |
| Bellin Memorial Hospital | Green Bay, WI | $743.12 | $1,605 | $4,780 | 0.2× |
| University of California Davis Medical Center range across 2 matching MRF lines |
Sacramento, CA | $773.34–$1,920 | $1,933.34–$4,800 | $4,780 | varies |
| Children's of Alabama range across 4 matching MRF lines |
Birmingham, AL | $774–$3,870 | $1,800–$9,000 | $4,780 | varies |
| Children's Hosp of Los Angeles | Los Angeles, CA | $780 | $780 | $4,780 | 0.2× |
| Alice Peck Day Memorial Hospital | Lebanon, NH | $823.05 | $1,527 | $4,780 | 0.2× |
| Northside Hospital Forsyth | Cumming, GA | $831 | $1,108 | $4,780 | 0.2× |
| Northside Hospital Cherokee | Canton, GA | $831 | $1,108 | $4,780 | 0.2× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $831 | $1,108 | $4,780 | 0.2× |
| Northside Hospital Atlanta | Atlanta, GA | $831 | $1,108 | $4,780 | 0.2× |
| Northside Hospital Duluth | Duluth, GA | $831 | $1,108 | $4,780 | 0.2× |
| Tucson Medical Center | Tucson, AZ | $851.20 | $3,040 | $4,780 | 0.2× |
| Ochsner Medical Center - Hancock range across 2 matching MRF lines |
Bay St. Louis, MS | $855–$1,824 | $2,250–$4,800 | $4,780 | varies |
| UAMS Medical Center | Little Rock, AR | $907 | $1,511.66 | $4,780 | 0.2× |
| Cedars-sinai Medical Center | Los Angeles, CA | $907.76 | $1,396.56 | $4,780‡ | 0.2× |
| University Medical Center of El Paso | El Paso, TX | $947.10 | $4,735.50 | $4,780 | 0.2× |
| Memorial Regional Hospital | Hollywood, FL | $962.50 | $1,375 | $4,780 | 0.2× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $962.50 | $1,375 | $4,780 | 0.2× |
| Memorial Hospital West | Pembroke Pines, FL | $962.50 | $1,375 | $4,780 | 0.2× |
| Memorial Hospital Miramar | Miramar, FL | $962.50 | $1,375 | $4,780 | 0.2× |
| Ochsner St. Anne Hospital range across 2 matching MRF lines |
Raceland, LA | $990–$2,112 | $2,250–$4,800 | $4,780 | varies |
| DMC Harper University Hospital | Detroit, MI | $1,009.50 | $1,346 | $4,780 | 0.2× |
| Ochsner St. Mary Hospital | Morgan City, LA | $1,051.60 | $5,258 | $4,780 | 0.2× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $1,104 | $4,800 | $4,780 | 0.2× |
| Dayton Children's Hospital | Dayton, OH | $1,106 | $1,580 | $4,780 | 0.2× |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr range across 3 matching MRF lines |
San Diego, CA | $1,155–$6,572.50 | $2,100–$11,950 | $4,780 | varies |
| OHSU Hospital and Clinics range across 2 matching MRF lines |
Portland, OR | $1,198.60–$2,312.70 | $1,844–$3,558 | $4,780 | varies |
| Woman's Hospital | Baton Rouge, LA | $1,273 | $1,273 | $4,780 | 0.3× |
| St. Charles Parish Hospital | Luling, LA | $1,296 | $4,800 | $4,780 | 0.3× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $1,324.75 | $1,892.50 | $4,780 | 0.3× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) range across 7 matching MRF lines |
Fort Worth, TX | $1,350–$3,900 | $2,250–$6,500 | $4,780 | varies |
| Johns Hopkins All Children's Hospital range across 3 matching MRF lines |
Saint Petersburg, FL | $1,500–$16,903 | $1,500–$16,903 | $4,780 | varies |
| Piedmont Newton | Covington, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Augusta | Augusta, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Cartersville Medical Center | Cartersville, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Walton | Monroe, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Athens Regional | Athens, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Atlanta | Atlanta, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Rockdale | Conyers, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont McDuffie | Thomson, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Macon Medical Center | Macon, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Henry Hospital | Stockbridge, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Eastside | Snellville, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Columbus Regional Northside | Columbus, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Macon North | Macon, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Fayette | Fayetteville, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Mountainside | Jasper, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Piedmont Newnan | Newnan, GA | $1,515 | $5,050 | $4,780 | 0.3× |
| Cincinnati Children's Hospital Medical Center range across 5 matching MRF lines |
Cincinnati, OH | $1,524.90–$7,328.19 | $2,990–$14,369 | $4,780 | varies |
| St. Bernard Parish Hospital | Chalmette, LA | $1,536 | $4,800 | $4,780 | 0.3× |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $1,599.60 | $2,666 | $4,780 | 0.3× |
| Hennepin County Medical Center range across 2 matching MRF lines |
Minneapolis, MN | $1,606.50–$3,288.60 | $3,570–$7,308 | $4,780 | varies |
| Sibley Memorial Hospital range across 3 matching MRF lines |
Washington, DC | $1,651–$12,133 | $1,651–$12,133 | $4,780 | varies |
| INTEGRIS Health Woodward | Woodward, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| INTEGRIS Miami Hospital | Miami, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| INTEGRIS Health Ponca City | Ponca City, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| INTEGRIS Health Enid Hospital | Enid, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| INTEGRIS Grove Hospital | Grove, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| Lakeside Women's Hospital, A Member of INTEGRIS He | Oklahoma City, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| INTEGRIS Canadian Valley Hospital | Yukon, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| INTEGRIS Health Edmond Hospital | Edmond, OK | $1,653.20 | $8,266 | $4,780 | 0.3× |
| Castleview Hospital | Price, UT | $1,677.46 | $3,049.92 | $4,780 | 0.4× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $1,689.43 | $5,521 | $4,780 | 0.4× |
| Children's Hospital Colorado range across 11 matching MRF lines |
Aurora, CO | $1,703.65–$6,409 | $2,621–$9,860 | $4,780 | varies |
| Children's Hospital Colorado - Colorado Springs range across 11 matching MRF lines |
Colorado Springs, CO | $1,703.65–$6,409 | $2,621–$9,860 | $4,780 | varies |
| Nationwide Children's Hospital | Columbus, OH | $1,719.90 | $1,911 | $4,780 | 0.4× |
| University Hospital range across 5 matching MRF lines |
Columbia, MO | $1,765.02–$5,453.85 | $2,941.70–$9,089.75 | $4,780 | varies |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | $1,772.29 | $8,352 | $4,780 | 0.4× |
| Denver Health Medical Center range across 3 matching MRF lines |
Denver, CO | $1,840.30–$2,029.34 | $5,258–$5,798.10 | $4,780 | varies |
| University Hospital – UMMC | Jackson, MS | $1,912 | $4,780 | $4,780 | 0.4× |
| UMMC Madison | Canton, MS | $1,912 | $4,780 | $4,780 | 0.4× |
| Mayo Clinic Hospital in Florida range across 2 matching MRF lines |
Jacksonville, FL | $1,950–$3,467.10 | $3,000–$5,334 | $4,780 | varies |
| MultiCare Auburn Medical Center | Auburn, WA | $1,967.20 | $4,918 | $4,780 | 0.4× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $1,967.20 | $4,918 | $4,780 | 0.4× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $1,967.20 | $4,918 | $4,780 | 0.4× |
| MultiCare Capital Medical Center | Olympia, WA | $1,967.20 | $4,918 | $4,780 | 0.4× |
| MultiCare Covington Medical Center | Covington, WA | $1,967.20 | $4,918 | $4,780 | 0.4× |
| Mary Bridge Children's Hospital | Tacoma, WA | $1,967.20 | $4,918 | $4,780 | 0.4× |
| Mayo Clinic Health System in Red Wing range across 2 matching MRF lines |
Red Wing, MN | $2,010–$3,573.78 | $3,000–$5,334 | $4,780 | varies |
| Iu Health Bloomington Hospital | Bloomington, IN | $2,056.26 | $8,352 | $4,780 | 0.4× |
| Indiana University Health Arnett Hospital | Lafayette, IN | $2,087.16 | $8,352 | $4,780 | 0.4× |
| Houston Methodist Hospital | Houston, TX | $2,100 | $4,200 | $4,780 | 0.4× |
| Houston Methodist Baytown Hospital | Baytown, TX | $2,100 | $4,200 | $4,780 | 0.4× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $2,100 | $4,200 | $4,780 | 0.4× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $2,100 | $4,200 | $4,780 | 0.4× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $2,100 | $4,200 | $4,780 | 0.4× |
| Houston Methodist West Hospital | Houston, TX | $2,100 | $4,200 | $4,780 | 0.4× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $2,100 | $4,200 | $4,780 | 0.4× |
| Houston Methodist Cypress Hospital | Cypress, TX | $2,100 | $4,200 | $4,780 | 0.4× |
| Park Nicollet Methodist Hospital | Saint Louis Park, MN | $2,123.94 | $8,169 | $4,780 | 0.4× |
| Texas Childrens Hospital range across 11 matching MRF lines |
Houston, TX | $2,148.69–$12,839.21 | $3,207–$19,163 | $4,780 | varies |
| Texas Childrens Hospital North Austin Campus range across 11 matching MRF lines |
Austin, TX | $2,148.69–$12,839.21 | $3,207–$19,163 | $4,780 | varies |
| Vanderbilt Bedford Hospital range across 16 matching MRF lines |
Shelbyville, TN | $2,190.37–$6,086.81 | $7,553–$20,989 | $4,780 | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 16 matching MRF lines |
Tullahoma, TN | $2,190.37–$6,086.81 | $7,553–$20,989 | $4,780 | varies |
| Vanderbilt Wilson County Hospital range across 16 matching MRF lines |
Lebanon, TN | $2,190.37–$6,086.81 | $7,553–$20,989 | $4,780 | varies |
| HCA Healthcare Trident Hospital | Charleston, SC | $2,200 | $2,200 | $4,780 | 0.5× |
| Henry Ford Rochester Hospital | Rochester, MI | $2,246.60 | $4,780 | $4,780 | 0.5× |
| Mayo Clinic Hospital — Phoenix range across 2 matching MRF lines |
Phoenix, AZ | $2,250–$4,000.50 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System - New Prague range across 2 matching MRF lines |
New Prague, MN | $2,250–$4,000.50 | $3,000–$5,334 | $4,780 | varies |
| Leonard J. Chabert Medical Center | Houma, LA | $2,256 | $4,800 | $4,780 | 0.5× |
| Belton Regional Medical Center | Belton, MO | $2,363.22 | $2,363.22 | $4,780 | 0.5× |
| Indiana University Health | Indianapolis, IN | $2,371.13 | $8,352 | $4,780 | 0.5× |
| Indiana University Health Bedford Hospital | Bedford, IN | $2,384.50 | $8,352 | $4,780 | 0.5× |
| Tanner Medical Center/Carrollton range across 2 matching MRF lines |
Carrollton, GA | $2,442–$3,081.60 | $6,105–$7,704 | $4,780 | varies |
| Higgins General Hospital range across 2 matching MRF lines |
Bremen, GA | $2,442–$3,081.60 | $6,105–$7,704 | $4,780 | varies |
| Methodist Dallas Medical Center | Dallas, TX | $2,456.50 | $4,913 | $4,780 | 0.5× |
| Methodist Richardson Medical Center | Richardson, TX | $2,456.50 | $4,913 | $4,780 | 0.5× |
| Methodist Charlton Medical Center | Dallas, TX | $2,456.50 | $4,913 | $4,780 | 0.5× |
| Methodist Mansfield Medical Center | Mansfield, TX | $2,456.50 | $4,913 | $4,780 | 0.5× |
| Methodist Southlake Medical Center | Southlake, TX | $2,456.50 | $4,913 | $4,780 | 0.5× |
| Methodist Midlothian Medical Center | Midlothian, TX | $2,456.50 | $4,913 | $4,780 | 0.5× |
| Methodist Celina Medical Center | Celina, TX | $2,456.50 | $4,913 | $4,780 | 0.5× |
| Bsa Hospital | Amarillo, TX | $2,481.90 | $24,819 | $4,780 | 0.5× |
| Wesley Medical Center range across 2 matching MRF lines |
Wichita, KS | $2,577–$12,751 | $2,577–$12,751 | $4,780 | varies |
| Indiana University Health White Memorial Hospital | Monticello, IN | $2,604.15 | $8,352 | $4,780 | 0.5× |
| Mayo Clinic Health System - Albert Lea and Austin range across 2 matching MRF lines |
Albert Lea, MN | $2,640–$4,693.92 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System - Mankato range across 2 matching MRF lines |
Mankato, MN | $2,640–$4,693.92 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System - Fairmont range across 2 matching MRF lines |
Fairmont, MN | $2,640–$4,693.92 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System - St. James range across 2 matching MRF lines |
St. James, MN | $2,640–$4,693.92 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System - Lake City range across 2 matching MRF lines |
Lake City, MN | $2,640–$4,693.92 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System - Waseca range across 2 matching MRF lines |
Waseca, MN | $2,640–$4,693.92 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System - Cannon Falls range across 2 matching MRF lines |
Cannon Falls, MN | $2,640–$4,693.92 | $3,000–$5,334 | $4,780 | varies |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $2,670 | $4,450 | $4,780 | 0.6× |
| Mayo Clinic Hospital - Rochester range across 2 matching MRF lines |
Rochester, MN | $2,670–$4,747.26 | $3,000–$5,334 | $4,780 | varies |
| St. John's Medical Center | Jackson, WY | $2,700 | $2,700 | $4,780 | 0.6× |
| Mayo Clinic Health System In La Crosse range across 2 matching MRF lines |
La Crosse, WI | $2,700–$4,800.60 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System In Eau Claire range across 2 matching MRF lines |
Eau Claire, WI | $2,700–$4,800.60 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System-oakridge range across 2 matching MRF lines |
Osseo, WI | $2,700–$4,800.60 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System In Sparta range across 2 matching MRF lines |
Sparta, WI | $2,700–$4,800.60 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System-chippewa Valley range across 2 matching MRF lines |
Bloomer, WI | $2,700–$4,800.60 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System-northland range across 2 matching MRF lines |
Barron, WI | $2,700–$4,800.60 | $3,000–$5,334 | $4,780 | varies |
| Mayo Clinic Health System-red Cedar range across 2 matching MRF lines |
Menomonie, WI | $2,700–$4,800.60 | $3,000–$5,334 | $4,780 | varies |
| Frances Mahon Deaconess Hospital | Glasgow, MT | $2,751.30 | $3,057 | $4,780 | 0.6× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara RMH Medical Center | Harrisonburg, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara Norfolk General Hospital | Norfolk, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara Halifax Regional Hospital | South Boston, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara Obici Hospital | Suffolk, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara Leigh Hospital | Norfolk, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara CarePlex Hospital | Hampton, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $2,757.50 | $5,515 | $4,780 | 0.6× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $2,760.45 | $13,145 | $4,780 | 0.6× |
| Children's Mercy Hospital Kansas range across 5 matching MRF lines |
Overland Park, KS | $2,793.12–$10,584.48 | $5,819–$22,051 | $4,780 | varies |
| Children’s Mercy Adele Hall range across 5 matching MRF lines |
Kansas City, MO | $2,793.12–$10,584.48 | $5,819–$22,051 | $4,780 | varies |
| Driscoll Childrens Hospital | Corpus Christi, TX | $2,818.19 | $14,090.95 | $4,780 | 0.6× |
| Dignity Health St. Joseph's Hospital and Medical Center | Phoenix, AZ | $2,842.08 | $7,440 | $4,780 | 0.6× |
| Pih Health Good Samaritan Hospital | Los Angeles, CA | $2,934.75 | $2,934.75 | $4,780 | 0.6× |
| Alamance Regional Medical Center | Burlington, NC | $2,951.84 | $7,768 | $4,780 | 0.6× |
| Cone Health Moses Cone Hospital | Greensboro, NC | $2,951.84 | $7,768 | $4,780 | 0.6× |
| Verde Valley Medical Center | Cottonwood, AZ | $2,987.50 | $5,975 | $4,780 | 0.6× |
| Flagstaff Medical Center | Flagstaff, AZ | $2,987.50 | $5,975 | $4,780 | 0.6× |
| Mountain West Medical Center | Tooele, UT | $3,000 | $5,000 | $4,780 | 0.6× |
| Ochsner Acadia General Hospital | Crowley, LA | $3,023.35 | $13,145 | $4,780 | 0.6× |
| Strong Memorial Hospital range across 5 matching MRF lines |
Rochester, NY | $3,060–$12,197.50 | — | $4,780 | varies |
| AdventHealth Porter | Denver, CO | $3,074.50 | $3,074.50 | $4,780 | 0.6× |
| AdventHealth Avista | Louisville, CO | $3,074.50 | $3,074.50 | $4,780 | 0.6× |
| AdventHealth Littleton | Littleton, CO | $3,074.50 | $3,074.50 | $4,780 | 0.6× |
| AdventHealth Parker | Parker, CO | $3,074.50 | $3,074.50 | $4,780 | 0.6× |
| AdventHealth Castle Rock | Castle Rock, CO | $3,074.50 | $3,074.50 | $4,780 | 0.6× |
| Children's National Hospital | Washington, DC | $3,103.50 | $6,207 | $4,780 | 0.6× |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | $3,145.36 | $8,352 | $4,780 | 0.7× |
| Altru Hospital | Grand Forks, ND | $3,156.75 | $5,175 | $4,780 | 0.7× |
| Indiana University Health Paoli Hospital | Paoli, IN | $3,204.66 | $8,352 | $4,780 | 0.7× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $3,240.93 | $16,204.65 | $4,780 | 0.7× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $3,256.86 | $10,506 | $4,780 | 0.7× |
| Highland Hospital | Rochester, NY | $3,286.95 | — | $4,780 | 0.7× |
| St. David's Medical Center | Austin, TX | $3,339 | $3,339 | $4,780 | 0.7× |
| Indiana University Health Frankfort Inc | Frankfort, IN | $3,372.54 | $8,352 | $4,780 | 0.7× |
| War Memorial Hospital | Berkeley Springs, WV | $3,374 | $4,820 | $4,780 | 0.7× |
| Hampshire Memorial Hospital | Romney, WV | $3,374 | $4,820 | $4,780 | 0.7× |
| Winchester Medical Center | Winchester, VA | $3,374 | $4,820 | $4,780 | 0.7× |
| Warren Memorial Hospital | Front Royal, VA | $3,374 | $4,820 | $4,780 | 0.7× |
| Shenandoah Memorial Hospital | Woodstock, VA | $3,374 | $4,820 | $4,780 | 0.7× |
| Page Memorial Hospital | Luray, VA | $3,374 | $4,820 | $4,780 | 0.7× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $3,417.70 | $13,145 | $4,780 | 0.7× |
| Baylor University Medical Center (Baylor Scott & White) range across 3 matching MRF lines |
Dallas, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott and White Medical Center Irving range across 3 matching MRF lines |
Irving, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott and White All Saints Medical Center range across 3 matching MRF lines |
Fort Worth, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott & White Medical Center- Waxahachie range across 3 matching MRF lines |
Waxahachie, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott & White Medical Center Grapevine range across 3 matching MRF lines |
Grapevine, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott and White Medical Center Lake Pointe range across 3 matching MRF lines |
Rowlett, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott & White Heart and Vascular Hospital range across 3 matching MRF lines |
Dallas, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott & White Medical Center - Centennial range across 3 matching MRF lines |
Frisco, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Regional Medical Center at Plano range across 3 matching MRF lines |
Plano, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| The Heart Hospital Baylor Denton range across 3 matching MRF lines |
Denton, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott & White The Heart Hospital Plano range across 3 matching MRF lines |
Plano, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott and White Medical Center Mckinney range across 3 matching MRF lines |
Mc Kinney, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Baylor Scott and White Medical Center Frisco at Pg range across 3 matching MRF lines |
Frisco, TX | $3,435–$4,912.50 | $5,725–$8,187.50 | $4,780 | varies |
| Banner - University Medical Center Tucson | Tucson, AZ | $3,484.62 | $14,340 | $4,780 | 0.7× |
| Manning Family Children's | New Orleans, LA | $3,549.15 | $13,145 | $4,780 | 0.7× |
| Memorial Hermann Hospital System | Houston, TX | $3,588.56 | $11,214.25 | $4,780 | 0.8× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $3,588.56 | $11,214.25 | $4,780 | 0.8× |
| Memorial Hermann Northeast Hospital | Humble, TX | $3,588.56 | $11,214.25 | $4,780 | 0.8× |
| Memorial Hermann Katy Hospital | Katy, TX | $3,588.56 | $11,214.25 | $4,780 | 0.8× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $3,588.56 | $11,214.25 | $4,780 | 0.8× |
| Regions Hospital | Saint Paul, MN | $3,650.40 | $14,040 | $4,780 | 0.8× |
| ProMedica Toledo Hospital | Toledo, OH | $3,661.45 | $5,633 | $4,780 | 0.8× |
| ProMedica Bay Park Hospital | Oregon, OH | $3,661.45 | $5,633 | $4,780 | 0.8× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Wellstar Spalding Medical Center | Griffin, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Wellstar MCG Health Medical Center | Augusta, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Wellstar Paulding Medical Center | Hiram, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Wellstar Cobb Medical Center | Austell, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Wellstar Douglas Medical Center | Douglasville, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Wellstar North Fulton Medical Center | Roswell, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $3,666.78 | $9,402 | $4,780 | 0.8× |
| Iu Health Jay | Portland, IN | $3,736.68 | $8,352 | $4,780 | 0.8× |
| Maimonides Medical Center | Brooklyn, NY | $3,850 | $3,850 | $4,780 | 0.8× |
| Willis Knighton North range across 2 matching MRF lines |
Shreveport, LA | $3,904–$6,288.80 | $4,880–$7,861 | $4,780 | varies |
| Lakewood Health System | Staples, MN | $3,906 | $6,300 | $4,780 | 0.8× |
| University Health System | San Antonio, TX | $3,907.50 | $15,630 | $4,780 | 0.8× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $3,943.50 | $13,145 | $4,780 | 0.8× |
| Valley Medical Center | Renton, WA | $4,019.40 | $5,742 | $4,780 | 0.8× |
| Good Samaritan Hospital | Vincennes, IN | $4,050 | $6,750 | $4,780 | 0.8× |
| Vanderbilt University Hospital range across 16 matching MRF lines |
Nashville, TN | $4,078.62–$11,334.06 | $7,553–$20,989 | $4,780 | varies |
| Nebraska Medical Center | Omaha, NE | $4,095 | $6,300 | $4,780 | 0.9× |
| Bellevue Medical Center | Bellevue, NE | $4,095 | $6,300 | $4,780 | 0.9× |
| UNM Hospital | Albuquerque, NM | $4,107.69 | $7,468.53 | $4,780 | 0.9× |
| Baptist Health Hardin | Elizabethtown, KY | $4,112.93 | $5,483.91 | $4,780 | 0.9× |
| Baptist Health Richmond | Richmond, KY | $4,112.93 | $5,483.91 | $4,780 | 0.9× |
| Baptist Health Corbin | Corbin, KY | $4,112.93 | $5,483.91 | $4,780 | 0.9× |
| Baptist Health Lexington | Lexington, KY | $4,112.93 | $5,483.91 | $4,780 | 0.9× |
| Baptist Health Paducah | Paducah, KY | $4,112.93 | $5,483.91 | $4,780 | 0.9× |
| Baptist Health Louisville | Louisville, KY | $4,112.93 | $5,483.91 | $4,780 | 0.9× |
| Baptist Health La Grange | La Grange, KY | $4,112.93 | $5,483.91 | $4,780 | 0.9× |
| Baptist Health Floyd | New Albany, IN | $4,112.93 | $5,483.91 | $4,780 | 0.9× |
| Froedtert Memorial Lutheran Hospital range across 2 matching MRF lines |
Milwaukee, WI | $4,159.10–$5,185.40 | $7,562–$9,428 | $4,780 | varies |
| Saint Francis Hospital Muskogee | Muskogee, OK | $4,160.16 | $10,400.40 | $4,780 | 0.9× |
| Saint Francis Hospital, Inc | Tulsa, OK | $4,160.16 | $10,400.40 | $4,780 | 0.9× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $4,160.16 | $10,400.40 | $4,780 | 0.9× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $4,160.16 | $10,400.40 | $4,780 | 0.9× |
| Harrisburg Medical Center | Harrisburg, IL | $4,200 | $5,250 | $4,780 | 0.9× |
| St. Joseph Memorial Hospital | Murphysboro, IL | $4,200 | $5,250 | $4,780 | 0.9× |
| Charleston Area Medical Center | Charleston, WV | $4,222 | $4,222 | $4,780 | 0.9× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $4,229 | $4,229 | $4,780 | 0.9× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $4,295.98 | $16,523 | $4,780 | 0.9× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $4,306.50 | $5,742 | $4,780 | 0.9× |
| Childrens Medical Center Plano | Plano, TX | $4,306.50 | $5,742 | $4,780 | 0.9× |
| Atrium Health Cabarrus | Concord, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health Cleveland | Shelby, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health Anson | Wadesboro, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health Pineville | Charlotte, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health Stanly | Albemarle, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health Union | Monroe, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health Lincoln | Lincolnton, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health University City | Charlotte, NC | $4,326.10 | $8,652.20 | $4,780 | 0.9× |
| Atrium Health Navicent Baldwin | Milledgeville, GA | $4,330.50 | $8,661 | $4,780 | 0.9× |
| Atrium Health Navicent Peach | Byron, GA | $4,366 | $8,732 | $4,780 | 0.9× |
| St. Charles Bend Campus | Bend, OR | $4,397.60 | $5,497 | $4,780 | 0.9× |
| St. Charles Medical Center Prineville | Prineville, OR | $4,397.60 | $5,497 | $4,780 | 0.9× |
| St. Charles Madras | Madras, OR | $4,397.60 | $5,497 | $4,780 | 0.9× |
| Atrium Health Navicent The Medical Center | Macon, GA | $4,399.50 | $8,799 | $4,780 | 0.9× |
| WakeMed Raleigh Campus range across 2 matching MRF lines |
Raleigh, NC | $4,446.76 | $278–$11,702 | $4,780 | 0.9× |
| WakeMed Cary Hospital range across 2 matching MRF lines |
Cary, NC | $4,446.76 | $278–$11,702 | $4,780 | 0.9× |
| Atrium Health Floyd Cherokee Medical Center | Centre, AL | $4,458.50 | $8,917 | $4,780 | 0.9× |
| UW Medical Center range across 2 matching MRF lines |
Seattle, WA | $4,462.50–$18,900.13 | $6,375–$27,000.19 | $4,780 | varies |
| Harborview Medical Center range across 2 matching MRF lines |
Seattle, WA | $4,462.50–$17,500.13 | $6,375–$25,000.18 | $4,780 | varies |
| Stanford Health Care | Stanford, CA | $4,472 | $11,180 | $4,780 | 0.9× |
| ECU Health Edgecombe Hospital | Tarboro, NC | $4,472.16 | $7,986 | $4,780 | 0.9× |
| Memorial Hermann Texas Medical Center | Houston, TX | $4,493.60 | $14,042.50 | $4,780 | 0.9× |
| ECU Health Roanoke-Chowan Hospital | Ahoskie, NC | $4,562.32 | $8,147 | $4,780 | 1.0× |
| ECU Health Chowan Hospital | Edenton, NC | $4,562.32 | $8,147 | $4,780 | 1.0× |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| Trinity Muscatine | Muscatine, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| Trinity Regional Medical Center | Fort Dodge, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| St. Lukes Hospital | Cedar Rapids, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| UnityPoint Health Des Moines Iowa Methodist Medical Center | Des Moines, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| Trinity Bettendorf | Bettendorf, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| Allen Hospital | Waterloo, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| Finley Hospital | Dubuque, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| St. Lukes Regional Medical Center | Sioux City, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| Grinnell Regional Medical Center | Grinnell, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| Jones Regional Medical Center | Anamosa, IA | $4,588.80 | $5,736 | $4,780 | 1.0× |
| Trinity Rock Island | Rock Island, IL | $4,588.80 | $5,736 | $4,780 | 1.0× |
| UK Albert B. Chandler Hospital | Lexington, KY | $4,609.96 | $11,524.89 | $4,780 | 1.0× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $4,626.44 | $16,523 | $4,780 | 1.0× |
| ECU Health Duplin Hospital | Kenansville, NC | $4,653.04 | $8,309 | $4,780 | 1.0× |
| Overland Park Regional Medical Center | Overland Park, KS | $4,690.44 | $4,690.44 | $4,780 | 1.0× |
| ECU Health Bertie Hospital | Windsor, NC | $4,743.20 | $8,470 | $4,780 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $4,780 | — | $4,780 | 1.0× |
| Griffin Hospital | Derby, CT | $4,780 | — | $4,780 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $4,780 | — | $4,780 | 1.0× |
| Albany Medical Center Hospital | Albany, NY | $4,780 | $9,560 | $4,780 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Glens Falls Hospital | Glens Falls, NY | $4,780 | $9,560 | $4,780 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Bellevue Hospital Center | New York, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Harlem Hospital Center | New York, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $4,780 | $14,340 | $4,780 | 1.0× |
| Shasta Regional Medical Center | Redding, CA | $4,780 | $2,197.50 | $4,780 | 1.0× |
| Yale New Haven Hospital | New Haven, CT | $4,846.85 | $8,215 | $4,780 | 1.0× |
| Atrium Health Floyd Medical Center | Rome, GA | $4,884.50 | $9,769 | $4,780 | 1.0× |
| Atrium Health Floyd Polk Medical Center | Cedartown, GA | $4,896.50 | $9,793 | $4,780 | 1.0× |
| Outer Banks Health Hospital | Nags Head, NC | $4,908.96 | $8,766 | $4,780 | 1.0× |
| Grand River Medical Center | Rifle, CO | $4,914 | $9,828 | $4,780 | 1.0× |
| Inova Alexandria Hospital | Alexandria, VA | $4,925.50 | $9,851 | $4,780 | 1.0× |
| Inova Loudoun Hospital | Leesburg, VA | $4,925.50 | $9,851 | $4,780 | 1.0× |
| Inova Fairfax Hospital | Falls Church, VA | $4,925.50 | $9,851 | $4,780 | 1.0× |
| Inova Fair Oaks Hospital | Fairfax, VA | $4,925.50 | $9,851 | $4,780 | 1.0× |
| Inova Mount Vernon Hospital | Alexandria, VA | $4,925.50 | $9,851 | $4,780 | 1.0× |
| Valley View Hospital | Glenwood Springs, CO | $4,945.30 | $5,818 | $4,780 | 1.0× |
| Banner Thunderbird Medical Center | Glendale, AZ | $4,997.73 | $23,031 | $4,780 | 1.0× |
| ECU Health North Hospital | Roanoke Rapids, NC | $5,014.24 | $8,954 | $4,780 | 1.0× |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $5,285.70 | $7,551 | $4,780 | 1.1× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $5,285.70 | $7,551 | $4,780 | 1.1× |
| Elmhurst Memorial Hospital | Elmhurst, IL | $5,286 | $5,286 | $4,780 | 1.1× |
| Edward Hospital | Naperville, IL | $5,286 | $5,286 | $4,780 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $5,497 | $11,000 | $4,780 | 1.2× |
| St. Nicholas Hospital | Sheboygan, WI | $5,520.90 | $8,365 | $4,780 | 1.2× |
| St. Vincent Hospital | Green Bay, WI | $5,520.90 | $8,365 | $4,780 | 1.2× |
| St. Marys Hospital Medical Ctr | Green Bay, WI | $5,520.90 | $8,365 | $4,780 | 1.2× |
| HSHS St. Clare Memorial Hospital | Oconto Falls, WI | $5,520.90 | $8,365 | $4,780 | 1.2× |
| Lucile Salter Packard Children's Hsp at Stanford | Palo Alto, CA | $5,590 | $11,180 | $4,780 | 1.2× |
| DMC Sinai-Grace Hospital | Detroit, MI | $5,670 | $7,560 | $4,780 | 1.2× |
| DMC Detroit Receiving Hospital | Detroit, MI | $5,670 | $7,560 | $4,780 | 1.2× |
| DMC Huron Valley-Sinai Hospital | Commerce Township, MI | $5,670 | $7,560 | $4,780 | 1.2× |
| Children's Hospital of Michigan | Detroit, MI | $5,670 | $7,560 | $4,780 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $5,736 | — | $4,780 | 1.2× |
| Long Island Community Hospital | Patchogue, NY | $5,736 | $15,057 | $4,780 | 1.2× |
| NYU Langone Hospitals | New York, NY | $5,736 | $15,057 | $4,780 | 1.2× |
| Good Samaritan Regional Medical Center range across 2 matching MRF lines |
Corvallis, OR | $5,736–$10,896 | $7,170–$13,620 | $4,780 | varies |
| Samaritan Albany General Hospital range across 2 matching MRF lines |
Albany, OR | $5,736–$10,896 | $7,170–$13,620 | $4,780 | varies |
| Samaritan North Lincoln Hospital range across 2 matching MRF lines |
Lincoln City, OR | $5,736–$10,896 | $7,170–$13,620 | $4,780 | varies |
| Samaritan Pacific Community Hospital range across 2 matching MRF lines |
Newport, OR | $5,736–$10,896 | $7,170–$13,620 | $4,780 | varies |
| Samaritan Lebanon Community Hospital range across 2 matching MRF lines |
Lebanon, OR | $5,736–$10,896 | $7,170–$13,620 | $4,780 | varies |
| Fred Hutch Cancer Center range across 3 matching MRF lines |
Seattle, WA | $5,737.50–$24,300.17 | $6,375–$27,000.19 | $4,780 | varies |
| Boston Children's Hospital range across 2 matching MRF lines |
Boston, MA | $5,750–$10,350 | $5,750–$10,350 | $4,780 | varies |
| Barnes-Jewish Hospital | St. Louis, MO | $5,758.20 | $9,597 | $4,780 | 1.2× |
| Lima Memorial Health System | Lima, OH | $5,872.50 | $6,525 | $4,780 | 1.2× |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $5,915.25 | $13,145 | $4,780 | 1.2× |
| Hancock County Hospital | Sneedville, TN | $6,019.79 | $26,173 | $4,780 | 1.3× |
| St. Louis Children’s Hospital | St. Louis, MO | $6,060 | $10,100 | $4,780 | 1.3× |
| Bristol Regional Medical Center | Bristol, TN | $6,134.25 | $40,895 | $4,780 | 1.3× |
| Holston Valley Medical Center | Kingsport, TN | $6,134.25 | $40,895 | $4,780 | 1.3× |
| Hawkins County Memorial Hospital | Rogersville, TN | $6,134.25 | $40,895 | $4,780 | 1.3× |
| Greeneville Community Hospital | Greeneville, TN | $6,134.25 | $40,895 | $4,780 | 1.3× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $6,134.25 | $40,895 | $4,780 | 1.3× |
| ECU Health Medical Center | Greenville, NC | $6,156.48 | $11,616 | $4,780 | 1.3× |
| Salem Hospital | Salem, OR | $6,156.48 | $11,616 | $4,780 | 1.3× |
| Salem Health West Valley | Dallas, OR | $6,156.48 | $11,616 | $4,780 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $6,214 | — | $4,780 | 1.3× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $6,237.50 | $12,475 | $4,780 | 1.3× |
| Saratoga Hospital | Saratoga Springs, NY | $6,274 | $12,548 | $4,780 | 1.3× |
| AdventHealth Orlando | Orlando, FL | $6,296 | $6,296 | $4,780 | 1.3× |
| New York-Presbyterian/Queens | Flushing, NY | $6,367 | — | $4,780 | 1.3× |
| New York-Presbyterian Hospital | New York, NY | $6,367 | — | $4,780 | 1.3× |
| Hudson Valley Hospital Center | Cortlandt Manor, NY | $6,367 | — | $4,780 | 1.3× |
| Banner - University Medical Center Phoenix | Phoenix, AZ | $6,425.65 | $23,031 | $4,780 | 1.3× |
| ProMedica Charles and Virginia Hickman Hospital | Adrian, MI | $6,528.60 | $10,044 | $4,780 | 1.4× |
| ProMedica Monroe Regional Hospital | Monroe, MI | $6,528.60 | $10,044 | $4,780 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $6,596.40 | — | $4,780 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $6,596.40 | — | $4,780 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $6,596.40 | — | $4,780 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $6,596.40 | — | $4,780 | 1.4× |
| Lexington Medical Center | West Columbia, SC | $6,656 | $6,656 | $4,780 | 1.4× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Richland Hospital | Columbia, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Laurens County Hospital | Clinton, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Tuomey Hospital | Sumter, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Baptist Hospital | Columbia, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Patewood Hospital | Greenville, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $6,828.90 | $10,506 | $4,780 | 1.4× |
| Mimbres Valley Medical Center | Deming, NM | $6,933.34 | $13,866.67 | $4,780 | 1.5× |
| University Hospitals Samaritan Medical Center | Ashland, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Parma Medical Center | Parma, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Portage Medical Center | Ravenna, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| Lake Health | Concord, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals St. John Medical Center | Westlake, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Cleveland Medical Center | Cleveland, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Elyria Medical Center | Elyria, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Geneva Medical Center | Geneva, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| UH Rainbow Babies & Children's Hospital | Cleveland, OH | $7,002 | $9,336 | $4,780 | 1.5× |
| Rady Children's Hospital - San Diego | San Diego, CA | $7,047.56 | $9,396.74 | $4,780 | 1.5× |
| ProMedica Memorial Hospital | Fremont, OH | $7,062.25 | $10,865 | $4,780 | 1.5× |
| F F Thompson Hospital | Canandaigua, NY | $7,109 | — | $4,780 | 1.5× |
| University Medical Center range across 2 matching MRF lines |
Lubbock, TX | $7,121–$9,950 | $7,121–$9,950 | $4,780 | varies |
| Columbia Memorial Hospital | Hudson, NY | $7,170 | $14,340 | $4,780 | 1.5× |
| ProMedica Fostoria Community Hospital | Fostoria, OH | $7,203.95 | $11,083 | $4,780 | 1.5× |
| ProMedica Defiance Regional Hospital | Defiance, OH | $7,203.95 | $11,083 | $4,780 | 1.5× |
| Virginia Mason Medical Center | Seattle, WA | $7,240.47 | $14,197 | $4,780 | 1.5× |
| North Austin Medical Center | Austin, TX | $7,420 | $7,420 | $4,780 | 1.6× |
| Alaska Native Medical Center | Anchorage, AK | $7,480 | $7,480 | $4,780 | 1.6× |
| Berger Hospital | Circleville, OH | $7,537.40 | $11,596 | $4,780 | 1.6× |
| Southeastern Medical Center | Cambridge, OH | $7,537.40 | $11,596 | $4,780 | 1.6× |
| St. Johns Hospital | Springfield, IL | $7,594.56 | $10,548 | $4,780 | 1.6× |
| MedStar Georgetown University Hospital | Washington, DC | $7,605.42 | $11,700.64 | $4,780 | 1.6× |
| Lee's Summit Medical Center | Lee's Summit, MO | $7,656.53 | $7,656.53 | $4,780 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $7,679.07 | — | $4,780 | 1.6× |
| MedStar Washington Hospital Center | Washington, DC | $7,758.29 | $11,935.83 | $4,780 | 1.6× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Cleveland Clinic Hospital | Weston, FL | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Union Hospital | Dover, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Akron General | Akron, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Mercy Hospital | Canton, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Fairview Hospital | Cleveland, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Euclid Hospital | Euclid, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Lutheran Hospital | Cleveland, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Medina Hospital | Medina, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Marymount Hospital | Garfield Heights, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| South Pointe Hospital | Warrensville Heights, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Cleveland Clinic | Cleveland, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Hillcrest Hospital | Mayfield Heights, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Cleveland Clinic Avon Hospital | Avon, OH | $7,767.50 | $11,950 | $4,780 | 1.6× |
| Memorial Health University Medical Center | Savannah, GA | $8,047 | $8,047 | $4,780 | 1.7× |
| Marion General Hospital | Marion, OH | $8,515 | $13,100 | $4,780 | 1.8× |
| Seattle Children's Hospital | Seattle, WA | $8,584.30 | $8,584.30 | $4,780 | 1.8× |
| Riverside Methodist Hospital | Columbus, OH | $8,625.50 | $13,270 | $4,780 | 1.8× |
| Grant Medical Center | Columbus, OH | $8,625.50 | $13,270 | $4,780 | 1.8× |
| Doctors Hospital | Columbus, OH | $8,625.50 | $13,270 | $4,780 | 1.8× |
| Dublin Methodist Hospital | Dublin, OH | $8,625.50 | $13,270 | $4,780 | 1.8× |
| Menorah Medical Center | Overland Park, KS | $8,692.62 | $8,692.62 | $4,780 | 1.8× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $8,720 | $8,720 | $4,780 | 1.8× |
| Research Medical Center | Kansas City, MO | $8,892.45 | $8,892.45 | $4,780 | 1.9× |
| OhioHealth Mansfield Hospital | Mansfield, OH | $9,044.10 | $13,914 | $4,780 | 1.9× |
| OhioHealth Shelby Hospital | Shelby, OH | $9,044.10 | $13,914 | $4,780 | 1.9× |
| Gouverneur Hospital | Gouverneur, NY | $9,321 | $14,340 | $4,780 | 2.0× |
| Massena Hospital | Massena, NY | $9,321 | $14,340 | $4,780 | 2.0× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $9,464.40 | $17,208 | $4,780 | 2.0× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $9,464.40 | $17,208 | $4,780 | 2.0× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $9,464.40 | $17,208 | $4,780 | 2.0× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $9,464.40 | $17,208 | $4,780 | 2.0× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $9,464.40 | $17,208 | $4,780 | 2.0× |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $9,543.04 | $15,392 | $4,780 | 2.0× |
| Resolute Health Hospital | New Braunfels, TX | $9,872.25 | $13,163 | $4,780 | 2.1× |
| Westover Hills Baptist Hospital | San Antonio, TX | $9,872.25 | $13,163 | $4,780 | 2.1× |
| Banner Desert Medical Center | Mesa, AZ | $10,133.64 | $23,031 | $4,780 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $10,238.76 | — | $4,780 | 2.1× |
| Ingalls Memorial Hospital | Harvey, IL | $10,300 | $10,300 | $4,780 | 2.2× |
| Van Wert Hospital | Van Wert, OH | $10,336.30 | $15,902 | $4,780 | 2.2× |
| Newark-Wayne Community Hospital | Newark, NY | $10,596.93 | $16,302.97 | $4,780 | 2.2× |
| United Memorial Medical Center | Batavia, NY | $10,596.93 | $16,302.97 | $4,780 | 2.2× |
| Rochester General Hospital | Rochester, NY | $10,596.93 | $16,302.97 | $4,780 | 2.2× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $10,596.93 | $16,302.97 | $4,780 | 2.2× |
| Hardin Memorial Hospital | Kenton, OH | $10,631.40 | $16,356 | $4,780 | 2.2× |
| UMass Memorial Medical Center | Worcester, MA | $10,800 | $10,800 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital | San Rafael, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $10,925.60 | $19,510 | $4,780 | 2.3× |
| Canton-Potsdam Hospital | Potsdam, NY | $10,994 | $16,913.85 | $4,780 | 2.3× |
| Palos Community Hospital | Palos Heights, IL | $11,041.80 | $15,774 | $4,780 | 2.3× |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | $11,041.80 | $15,774 | $4,780 | 2.3× |
| Northwestern Lake Forest Hospital | Lake Forest, IL | $11,041.80 | $15,774 | $4,780 | 2.3× |
| Northwestern Medicine Delnor Community Hospital | Geneva, IL | $11,041.80 | $15,774 | $4,780 | 2.3× |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | $11,041.80 | $15,774 | $4,780 | 2.3× |
| Northwestern Memorial Hospital | Chicago, IL | $11,041.80 | $15,774 | $4,780 | 2.3× |
| Northwestern Medicine Kishwaukee Hospital | Dekalb, IL | $11,041.80 | $15,774 | $4,780 | 2.3× |
| Northwestern Medicine Valley West Hospital | Sandwich, IL | $11,041.80 | $15,774 | $4,780 | 2.3× |
| University of Cincinnati Medical Center, LLC | Cincinnati, OH | $11,265 | $18,775 | $4,780 | 2.4× |
| West Chester Hospital | West Chester, OH | $11,265 | $18,775 | $4,780 | 2.4× |
| The University of Chicago Medical Center | Chicago, IL | $11,330 | $11,330 | $4,780 | 2.4× |
| Grady Memorial Hospital | Delaware, OH | $11,595.35 | $17,839 | $4,780 | 2.4× |
| OhioHealth O'Bleness Hospital | Athens, OH | $12,528.10 | $19,274 | $4,780 | 2.6× |
| Portneuf Medical Center | Pocatello, ID | $12,841.80 | $21,403 | $4,780 | 2.7× |
| Unity Hospital of Rochester | Rochester, NY | $13,042.38 | $16,302.97 | $4,780 | 2.7× |
| Unity Specialty Hospital | Rochester, NY | $13,042.38 | $16,302.97 | $4,780 | 2.7× |
| Methodist Hospital | San Antonio, TX | $13,233.66 | $13,233.66 | $4,780 | 2.8× |
| The Hospitals of Providence East Campus | El Paso, TX | $13,591.50 | $18,122 | $4,780 | 2.8× |
| UnityPoint Health - Meriter | Madison, WI | $13,653.02 | $17,066.27 | $4,780 | 2.9× |
| Presbyterian Hospital | Albuquerque, NM | $14,134.40 | $20,192 | $4,780 | 3.0× |
| Trinity Hospitals | Minot, ND | $14,286.40 | $17,858 | $4,780 | 3.0× |
| Kenmare Community Hospital | Kenmare, ND | $14,286.40 | $17,858 | $4,780 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $14,340 | $7,925 | $4,780 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $14,340 | $7,925 | $4,780 | 3.0× |
| Westchester Medical Center | Valhalla, NY | $14,340 | $14,340 | $4,780 | 3.0× |
| Erie County Medical Center | Buffalo, NY | $14,925.46 | — | $4,780 | 3.1× |
| Hoopeston Community Memorial Hospital range across 2 matching MRF lines |
Hoopeston, IL | $14,980–$19,980 | $14,980–$19,980 | $4,780 | varies |
| Bon Secours St. Mary's Hospital | Richmond, VA | $16,600.80 | $27,668 | $4,780 | 3.5× |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | $16,600.80 | $27,668 | $4,780 | 3.5× |
| Bon Secours Richmond Community Hospital | Richmond, VA | $16,600.80 | $27,668 | $4,780 | 3.5× |
| Bon Secours St. Francis Medical Center | Midlothian, VA | $16,600.80 | $27,668 | $4,780 | 3.5× |
| Lake Chelan Health Hospital | Chelan, WA | $17,493 | $17,493 | $4,780 | 3.7× |
| Mercy Health System Corp | Janesville, WI | $19,015.64 | $25,354.19 | $4,780 | 4.0× |
| The Carle Foundation Hospital | Urbana, IL | $20,076 | $20,076 | $4,780 | 4.2× |
| Beth Israel Deaconess Medical Center | Boston, MA | $20,554 | $20,554 | $4,780 | 4.3× |
| Javon Bea Hospital | Rockford, IL | $21,885.04 | $29,180.06 | $4,780 | 4.6× |
| CAMC Plateau Medical Center | Oak Hill, WV | $23,900 | $23,900 | $4,780 | 5.0× |
| The Hospitals of Providence Memorial Campus | El Paso, TX | $24,748.50 | $32,998 | $4,780 | 5.2× |
| Centerpoint Medical Center | Independence, MO | $24,950.19 | $24,950.19 | $4,780 | 5.2× |
| Dolly Parton Children’s Hospital | Knoxville, TN | $25,229.40 | $42,049 | $4,780 | 5.3× |
| Texas Health Hospital Mansfield | Mansfield, TX | $35,285.58 | $35,285.58 | $4,780 | 7.4× |
| Medical City Dallas | Dallas, TX | $37,483.51 | $37,483.51 | $4,780 | 7.8× |
| AdventHealth Ottawa | Ottawa, KS | $40,420.52 | $40,420.52 | $4,780 | 8.5× |
| AdventHealth Shawnee Mission | Shawnee Mission, KS | $40,420.52 | $40,420.52 | $4,780 | 8.5× |
| AdventHealth South Overland Park, Inc | Overland Park, KS | $40,420.52 | $40,420.52 | $4,780 | 8.5× |
| Coralvita Richardson | Richardson, TX | $55,209 | $55,209 | $4,780‡ | 11.6× |
| AdventHealth Carrollwood | Tampa, FL | $73,779.30 | $73,779.30 | $4,780 | 15.4× |
| Womans Hospital of Texas,the | Houston, TX | $77,879.85 | $77,879.85 | $4,780 | 16.3× |
| Phoenix Children’s Hospital – Thomas Campus range across 3 matching MRF lines |
Phoenix, AZ | — | $500–$11,951 | $4,780 | — |
| Valley Children's Hospital | Madera, CA | — | $1,300 | $4,780 | — |
| Children's Nebraska range across 2 matching MRF lines |
Omaha, NE | — | $5,302–$11,503 | $4,780 | — |
| Ohio State University Hospitals | Columbus, OH | — | $7,745 | $4,780 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $7,745 | $4,780 | — |
| Montefiore Medical Center | Bronx, NY | — | $15,393 | $4,780 | — |
| St. Jude Children's Research Hospital | Memphis, TN | — | $19,120 | $4,780 | — |
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.