Liver ds alys 3 bmrk srm alg (CPT 81517)
81517 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.
855 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 Twin Cities | Templeton, CA | $12.95 | $185 | $176.19 | 0.1× |
| Adventist Health Sierra Vista | San Luis Obispo, CA | $16.65 | $185 | $176.19 | 0.1× |
| Oneida Health Hospital | Oneida, NY | $24.67 | $1,020 | $176.19 | 0.1× |
| Knox County Hospital range across 3 matching MRF lines |
Knox City, TX | $33–$1,000 | $33–$1,000 | $176.19 | varies |
| Baptist Beaumont Hospital | Beaumont, TX | $49.60 | $381.50 | $176.19 | 0.3× |
| Baptist Hospital | Pensacola, FL | $51 | $340 | $176.19 | 0.3× |
| Gulf Breeze Hospital | Gulf Breeze, FL | $51 | $340 | $176.19 | 0.3× |
| Jay Hospital | Jay, FL | $51 | $340 | $176.19 | 0.3× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $176.19 | 0.3× |
| Usc Arcadia Hospital | Arcadia, CA | $56 | $160 | $176.19 | 0.3× |
| Bsa Hospital | Amarillo, TX | $58.40 | $584 | $176.19 | 0.3× |
| Pikeville Medical Center | Pikeville, KY | $60 | $200 | $176.19 | 0.3× |
| Kern Valley Healthcare District | Lake Isabella, CA | $63 | $300 | $176.19 | 0.4× |
| Clinch Memorial Hospital | Homerville, GA | $66.66 | $133.33 | $176.19 | 0.4× |
| Touro range across 2 matching MRF lines |
New Orleans, LA | $67.90–$136.64 | $485–$976 | $176.19 | varies |
| Northwest Texas Hospital | Amarillo, TX | $70.40 | $176 | $176.19 | 0.4× |
| French Hospital Medical Center | San Luis Obispo, CA | $70.56 | $180 | $176.19 | 0.4× |
| University Health System | San Antonio, TX | $71.25 | $285 | $176.19 | 0.4× |
| Highpoint Health – Sumner with Ascension Saint Thomas | Gallatin, TN | $71.84 | $308.33 | $176.19 | 0.4× |
| North Mississippi Medical Center-Iuka range across 2 matching MRF lines |
Iuka, MS | $75.68–$645 | $176–$1,500 | $176.19 | varies |
| North Mississippi Medical Center-Tupelo range across 2 matching MRF lines |
Tupelo, MS | $75.68–$645 | $176–$1,500 | $176.19 | varies |
| North Mississippi Medical Center-Eupora range across 2 matching MRF lines |
Eupora, MS | $75.68–$645 | $176–$1,500 | $176.19 | varies |
| North Mississippi Medical Center Gilmore-Amory range across 2 matching MRF lines |
Amory, MS | $75.68–$645 | $176–$1,500 | $176.19 | varies |
| North Mississippi Medical Center-Pontotoc range across 2 matching MRF lines |
Pontotoc, MS | $75.68–$645 | $176–$1,500 | $176.19 | varies |
| Sovah Health – Danville | Danville, VA | $76 | $190 | $176.19 | 0.4× |
| Marian Regional Medical Center | Santa Maria, CA | $77.04 | $180 | $176.19 | 0.4× |
| West Jefferson Medical Center range across 2 matching MRF lines |
Marrero, LA | $77.60–$156.16 | $485–$976 | $176.19 | varies |
| Johnson County Community Hospital | Mountain City, TN | $78.20 | $340 | $176.19 | 0.4× |
| Hancock County Hospital | Sneedville, TN | $78.20 | $340 | $176.19 | 0.4× |
| Dickenson Community Hospital | Clintwood, VA | $78.20 | $340 | $176.19 | 0.4× |
| Lee County Community Hospital | Pennington Gap, VA | $78.20 | $340 | $176.19 | 0.4× |
| Baptist Health Deaconess Madisonville | Madisonville, KY | $78.81 | $606.16 | $176.19 | 0.4× |
| Boston Medical Center Brighton | Brighton, MA | $79.29 | $176.19 | $176.19 | 0.5× |
| Bristol Regional Medical Center | Bristol, TN | $79.65 | $531 | $176.19 | 0.5× |
| Holston Valley Medical Center | Kingsport, TN | $79.65 | $531 | $176.19 | 0.5× |
| Sycamore Shoals Hospital | Elizabethton, TN | $79.65 | $531 | $176.19 | 0.5× |
| Hawkins County Memorial Hospital | Rogersville, TN | $79.65 | $531 | $176.19 | 0.5× |
| Greeneville Community Hospital | Greeneville, TN | $79.65 | $531 | $176.19 | 0.5× |
| Johnson City Medical Center | Johnson City, TN | $79.65 | $531 | $176.19 | 0.5× |
| Indian Path Community Hospital | Kingsport, TN | $79.65 | $531 | $176.19 | 0.5× |
| Franklin Woods Community Hospital | Johnson City, TN | $79.65 | $531 | $176.19 | 0.5× |
| Russell County Hospital | Lebanon, VA | $79.65 | $531 | $176.19 | 0.5× |
| Smyth County Community Hospital | Marion, VA | $79.65 | $531 | $176.19 | 0.5× |
| Johnston Memorial Hospital | Abingdon, VA | $79.65 | $531 | $176.19 | 0.5× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $79.65 | $531 | $176.19 | 0.5× |
| Jackson Hospital | Montgomery, AL | $79.80 | $420 | $176.19 | 0.5× |
| Big Bend Regional Medical Center | Alpine, TX | $82.40 | $412 | $176.19 | 0.5× |
| North Okaloosa Medical Center | Crestview, FL | $83.25 | $462.50 | $176.19 | 0.5× |
| New Orleans East Hospital | New Orleans, LA | $84.64 | $529 | $176.19 | 0.5× |
| East Jefferson General Hospital range across 2 matching MRF lines |
Metairie, LA | $85.12–$171.50 | $608–$1,225 | $176.19 | varies |
| Ochsner St. Anne Hospital | Raceland, LA | $85.36 | $194 | $176.19 | 0.5× |
| University Medical Center of El Paso | El Paso, TX | $90 | $450 | $176.19 | 0.5× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $90.14 | $429.24 | $176.19 | 0.5× |
| Manatee Memorial Hospital range across 2 matching MRF lines |
Bradenton, FL | $92.40–$1,291.60 | $231–$3,229 | $176.19 | varies |
| Lakewood Ranch Medical Center range across 2 matching MRF lines |
Bradenton, FL | $92.40–$1,291.60 | $231–$3,229 | $176.19 | varies |
| Ochsner St. Mary Hospital | Morgan City, LA | $97 | $485 | $176.19 | 0.6× |
| Lake Granbury Medical Center | Granbury, TX | $99.90 | $555 | $176.19 | 0.6× |
| Highpoint Health – Riverview with Ascension Saint Thomas | Carthage, TN | $100.52 | $308.33 | $176.19 | 0.6× |
| Mercy Regional Medical Center | Ville Platte, LA | $103.60 | $345.34 | $176.19 | 0.6× |
| Palm Beach Gardens Medical Center range across 2 matching MRF lines |
Palm Beach Gardens, FL | $105–$266.25 | $140–$355 | $176.19 | varies |
| St. Mary's Medical Center | West Palm Beach, FL | $105 | $140 | $176.19 | 0.6× |
| Carthage Area Hospital | Carthage, NY | $105 | $350 | $176.19 | 0.6× |
| Marion General Hospital | Columbia, MS | $105.60 | $528 | $176.19 | 0.6× |
| Highland Community Hospital | Picayune, MS | $105.60 | $528 | $176.19 | 0.6× |
| Brookdale Hospital Medical Center | Brooklyn, NY | $105.72 | $440 | $176.19 | 0.6× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $106.40 | $532 | $176.19 | 0.6× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $106.40 | $532 | $176.19 | 0.6× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $106.70 | $485 | $176.19 | 0.6× |
| Northwest Medical Center Sahuarita | Sahuarita, AZ | $106.74 | $593 | $176.19 | 0.6× |
| Merit Health Wesley | Hattiesburg, MS | $107.84 | $513.54 | $176.19 | 0.6× |
| Franciscan Health Indianapolis | Indianapolis, IN | $107.88 | $467 | $176.19 | 0.6× |
| Bradley Medical Center range across 3 matching MRF lines |
Cleveland, TN | $111–$496.20 | $185–$827 | $176.19 | varies |
| Hamilton Medical Center range across 3 matching MRF lines |
Dalton, GA | $111–$496.20 | $185–$827 | $176.19 | varies |
| Maria Parham Health | Henderson, NC | $112 | $280 | $176.19 | 0.6× |
| Christus Health-palestine | Palestine, TX | $112.40 | $562 | $176.19 | 0.6× |
| Baptist Health-Fort Smith | Fort Smith, AR | $114.66 | $458.64 | $176.19 | 0.7× |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $114.66 | $458.64 | $176.19 | 0.7× |
| Baptist Health Medical Center-Conway | Conway, AR | $114.66 | $458.64 | $176.19 | 0.7× |
| Baptist Health Medical Center-Magnolia | Magnolia, AR | $114.66 | $458.64 | $176.19 | 0.7× |
| Banner Baywood Medical Center | Mesa, AZ | $115.32 | $529 | $176.19 | 0.7× |
| Parrish Medical Center | Titusville, FL | $117.60 | $294 | $176.19 | 0.7× |
| Morris Hospital & Healthcare Centers | Morris, IL | $118.38 | $492 | $176.19 | 0.7× |
| Franciscan Health Mooresville | Mooresville, IN | $118.62 | $467 | $176.19 | 0.7× |
| Aultman Hospital | Canton, OH | $118.80 | $264 | $176.19 | 0.7× |
| Seton Medical Center Harker Heights | Harker Heights, TX | $120.30 | $1,203 | $176.19 | 0.7× |
| Ashtabula Regional Medical Center | Ashtabula, OH | $123.34 | $176.19 | $176.19 | 0.7× |
| Putnam County Hospital | Greencastle, IN | $127.29 | $149.75 | $176.19 | 0.7× |
| Banner - University Medical Center Tucson | Tucson, AZ | $128.55 | $529 | $176.19 | 0.7× |
| Huntsville Memorial Hospital | Huntsville, TX | $132 | $529 | $176.19 | 0.7× |
| Firelands Regional Medical Center range across 4 matching MRF lines |
Sandusky, OH | $132.14–$1,470.40 | $132.14–$1,470.40 | $176.19 | varies |
| Ochsner Medical Center - Kenner | Kenner, LA | $135.80 | $485 | $176.19 | 0.8× |
| Permian Regional Medical Center Andrews County Ho | Andrews, TX | $140 | $280 | $176.19 | 0.8× |
| Pioneers Memorial Healthcare District | Brawley, CA | $140 | $400 | $176.19 | 0.8× |
| Ingalls Memorial Hospital | Harvey, IL | $141 | $141 | $176.19 | 0.8× |
| Northwest Medical Center | Tucson, AZ | $142.32 | $593 | $176.19 | 0.8× |
| Oro Valley Hospital | Oro Valley, AZ | $142.32 | $593 | $176.19 | 0.8× |
| St. Charles Parish Hospital | Luling, LA | $142.83 | $529 | $176.19 | 0.8× |
| Sarasota Memorial Hospital | Sarasota, FL | $144 | $360 | $176.19 | 0.8× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $144 | $360 | $176.19 | 0.8× |
| Whitesburg ARH Hospital | Whitesburg, KY | $145.80 | $243 | $176.19 | 0.8× |
| Highlands ARH Regional Medical Center | Prestonsburg, KY | $145.80 | $243 | $176.19 | 0.8× |
| Harlan ARH Hospital | Harlan, KY | $145.80 | $243 | $176.19 | 0.8× |
| Tug Valley ARH Regional Medical Center | South Williamson, KY | $145.80 | $243 | $176.19 | 0.8× |
| Paintsville ARH Hospital | Paintsville, KY | $145.80 | $243 | $176.19 | 0.8× |
| Morgan County ARH Hospital | West Liberty, KY | $145.80 | $243 | $176.19 | 0.8× |
| Barbourville ARH Hospital | Barbourville, KY | $145.80 | $243 | $176.19 | 0.8× |
| McDowell ARH Hospital | Mc Dowell, KY | $145.80 | $243 | $176.19 | 0.8× |
| Navarro Regional Hospital | Corsicana, TX | $145.92 | $608 | $176.19 | 0.8× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $147.52 | $461 | $176.19 | 0.8× |
| Forrest General Hospital | Hattiesburg, MS | $147.84 | $528 | $176.19 | 0.8× |
| Walthall General Hospital | Tylertown, MS | $147.84 | $528 | $176.19 | 0.8× |
| Humboldt Park Health | Chicago, IL | $148.12 | $529 | $176.19 | 0.8× |
| HCA Florida Trinity Hospital | Trinity, FL | $154 | $154 | $176.19 | 0.9× |
| Memorial Satilla Health | Waycross, GA | $154 | $154 | $176.19 | 0.9× |
| Fairview Park Hospital | Dublin, GA | $154 | $154 | $176.19 | 0.9× |
| UK Albert B. Chandler Hospital | Lexington, KY | $156 | $390 | $176.19 | 0.9× |
| Brookings Health System | Brookings, SD | $156 | $312 | $176.19 | 0.9× |
| Highpoint Health – Trousdale with Ascension Saint Thomas | Hartsville, TN | $156.32 | $308.33 | $176.19 | 0.9× |
| CommonSpirit Saint Joseph Hospital - London | London, KY | $157.01 | $440 | $176.19 | 0.9× |
| Moberly Regional Medical Center | Moberly, MO | $158.53 | $587.16 | $176.19 | 0.9× |
| Hillcrest Hospital Cushing | Cushing, OK | $158.70 | $529 | $176.19 | 0.9× |
| University of California Davis Medical Center | Sacramento, CA | $160.23 | $400.58 | $176.19 | 0.9× |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $161.26 | $440 | $176.19 | 0.9× |
| Garnet Health Medical Center - Catskills | Harris, NY | $165.20 | $893 | $176.19 | 0.9× |
| Garnet Health Medical Center - Catskills - Grover M. Hermann Hospital | Callicoon, NY | $165.20 | $893 | $176.19 | 0.9× |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | $165.94 | $782 | $176.19 | 0.9× |
| Lowell General Hospital | Lowell, MA | $166.60 | $238 | $176.19 | 0.9× |
| MelroseWakefield Hospital | Melrose, MA | $166.60 | $238 | $176.19 | 0.9× |
| Tufts Medical Center | Boston, MA | $166.60 | $238 | $176.19 | 0.9× |
| Hillcrest Medical Center | Tulsa, OK | $168.30 | $561 | $176.19 | 1.0× |
| Hillcrest Hospital Claremore | Claremore, OK | $168.30 | $561 | $176.19 | 1.0× |
| Hillcrest Hospital Henryetta | Henryetta, OK | $168.30 | $561 | $176.19 | 1.0× |
| Duke University Hospital | Durham, NC | $169.56 | $628 | $176.19 | 1.0× |
| Duke Regional Hospital | Durham, NC | $169.56 | $628 | $176.19 | 1.0× |
| Decatur Health | Oberlin, KS | $172.24 | $191.38 | $176.19 | 1.0× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $172.25 | $265 | $176.19 | 1.0× |
| Mary Rutan Health | Bellefontaine, OH | $174.40 | $218 | $176.19 | 1.0× |
| University Medical Center New Orleans range across 2 matching MRF lines |
New Orleans, LA | $174.46–$351.56 | $793–$1,598 | $176.19 | varies |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital | San Rafael, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $174.72 | $312 | $176.19 | 1.0× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $174.72 | $312 | $176.19 | 1.0× |
| Floyd Valley Healthcare | Le Mars, IA | $175 | $175 | $176.19 | 1.0× |
| Knapp Medical Center | Weslaco, TX | $176 | $920.59 | $176.19 | 1.0× |
| Saint John Hospital | Leavenworth, KS | $176 | $197.97 | $176.19 | 1.0× |
| University Hospital – UMMC | Jackson, MS | $176 | $440 | $176.19 | 1.0× |
| UMMC Madison | Canton, MS | $176 | $440 | $176.19 | 1.0× |
| Northern Nevada Medical Center range across 2 matching MRF lines |
Sparks, NV | $176–$282 | $440–$705 | $176.19 | varies |
| Garden Grove Hospital & Medical Center | Garden Grove, CA | $176 | $880.95 | $176.19 | 1.0× |
| Resurrection Medical Center | Chicago, IL | $176 | $880.95 | $176.19 | 1.0× |
| Saint Mary of Nazareth Hospital | Chicago, IL | $176 | $60 | $176.19 | 1.0× |
| East Liverpool City Hospital | East Liverpool, OH | $176 | $700 | $176.19 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $176.19 | — | $176.19 | 1.0× |
| Griffin Hospital | Derby, CT | $176.19 | $2,098.25 | $176.19 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $176.19 | — | $176.19 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $176.19 | $440.48 | $176.19 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $176.19 | $1,321.43 | $176.19 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $176.19 | $440.48 | $176.19 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $176.19 | $440.48 | $176.19 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $176.19 | $440.48 | $176.19 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $176.19 | $1,321.43 | $176.19 | 1.0× |
| Bellevue Hospital Center | New York, NY | $176.19 | $1,321.43 | $176.19 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $176.19 | $1,321.43 | $176.19 | 1.0× |
| Harlem Hospital Center | New York, NY | $176.19 | $440.48 | $176.19 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $176.19 | $1,321.43 | $176.19 | 1.0× |
| Ashley County Medical Center | Crossett, AR | $176.40 | $441 | $176.19 | 1.0× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $176.70 | $570 | $176.19 | 1.0× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $176.74 | $440 | $176.19 | 1.0× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $177.50 | $355 | $176.19 | 1.0× |
| Sentara RMH Medical Center | Harrisonburg, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara Norfolk General Hospital | Norfolk, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara Halifax Regional Hospital | South Boston, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara Obici Hospital | Suffolk, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara Leigh Hospital | Norfolk, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara CarePlex Hospital | Hampton, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $177.50 | $355 | $176.19 | 1.0× |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $177.50 | $355 | $176.19 | 1.0× |
| Memorial Hermann Hospital System | Houston, TX | $177.60 | $555 | $176.19 | 1.0× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $177.60 | $555 | $176.19 | 1.0× |
| Memorial Hermann Northeast Hospital | Humble, TX | $177.60 | $555 | $176.19 | 1.0× |
| Memorial Hermann Katy Hospital | Katy, TX | $177.60 | $555 | $176.19 | 1.0× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $177.60 | $555 | $176.19 | 1.0× |
| Trinity Medical Center East & Trinity Medical Center West | Steubenville, OH | $178.54 | $360 | $176.19 | 1.0× |
| Novant Health Pender Medical Center | Burgaw, NC | $180.26 | $400.58 | $176.19 | 1.0× |
| Riverside Smithfield Hospital | Smithfield, VA | $183.75 | $367.50 | $176.19 | 1.0× |
| Jefferson Davis Community Hospital | Prentiss, MS | $184.80 | $528 | $176.19 | 1.0× |
| Carilion Roanoke Memorial Hospital | Roanoke, VA | $184.80 | $528 | $176.19 | 1.0× |
| Carilion New River Valley Medical Center | Christiansburg, VA | $184.80 | $528 | $176.19 | 1.0× |
| Carilion Franklin Memorial Hospital | Rocky Mount, VA | $184.80 | $528 | $176.19 | 1.0× |
| Carilion Tazewell Community Hospital | Tazewell, VA | $184.80 | $528 | $176.19 | 1.0× |
| Carilion Giles Community Hospital | Pearisburg, VA | $184.80 | $528 | $176.19 | 1.0× |
| Carilion Rockbridge Community Hospital | Lexington, VA | $184.80 | $528 | $176.19 | 1.0× |
| Major Hospital | Shelbyville, IN | $186 | $600 | $176.19 | 1.1× |
| CommonSpirit Saint Joseph Hospital - Bardstown | Bardstown, KY | $186.69 | $440 | $176.19 | 1.1× |
| Ridgecrest Regional Hospital | Ridgecrest, CA | $189.21 | $357 | $176.19 | 1.1× |
| Perry County General Hospital | Richton, MS | $190.08 | $528 | $176.19 | 1.1× |
| Iu Health Bloomington Hospital | Bloomington, IN | $192.53 | $782 | $176.19 | 1.1× |
| University Medical Center | Las Vegas, NV | $194.40 | $648 | $176.19 | 1.1× |
| Holy Cross Hospital | Fort Lauderdale, FL | $195 | $300 | $176.19 | 1.1× |
| Hoag Memorial Hospital Presbyterian | Newport Beach, CA | $195 | $300 | $176.19 | 1.1× |
| Hoag Orthopedic Institute | Irvine, CA | $195 | $300 | $176.19 | 1.1× |
| Northern Louisiana Medical Center | Ruston, LA | $195.25 | $355 | $176.19 | 1.1× |
| Indiana University Health Arnett Hospital | Lafayette, IN | $195.42 | $782 | $176.19 | 1.1× |
| Lucile Salter Packard Children's Hsp at Stanford | Palo Alto, CA | $196 | $392 | $176.19 | 1.1× |
| North Mississippi Medical Center-Hamilton | Hamilton, AL | $197.80 | $460 | $176.19 | 1.1× |
| East Alabama Medical Center | Opelika, AL | $200.20 | $364 | $176.19 | 1.1× |
| Novant Health Rowan Medical Center | Salisbury, NC | $200.29 | $400.58 | $176.19 | 1.1× |
| Novant Health Presbyterian Medical Center | Charlotte, NC | $200.29 | $400.58 | $176.19 | 1.1× |
| Novant Health Brunswick Medical Center | Bolivia, NC | $200.29 | $400.58 | $176.19 | 1.1× |
| Novant Health Matthews Medical Center | Matthews, NC | $200.29 | $400.58 | $176.19 | 1.1× |
| Novant Health Huntersville Medical Center | Huntersville, NC | $200.29 | $400.58 | $176.19 | 1.1× |
| Novant Health Mint Hill Medical Center | Charlotte, NC | $200.29 | $400.58 | $176.19 | 1.1× |
| Novant Health Ballantyne Medical Center | Charlotte, NC | $200.29 | $400.58 | $176.19 | 1.1× |
| INTEGRIS Health Woodward | Woodward, OK | $200.40 | $1,002 | $176.19 | 1.1× |
| INTEGRIS Health Ponca City | Ponca City, OK | $200.40 | $1,002 | $176.19 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $202.62 | — | $176.19 | 1.2× |
| Memorial Hermann Texas Medical Center | Houston, TX | $202.96 | $634.25 | $176.19 | 1.2× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $207.28 | $440 | $176.19 | 1.2× |
| Leonard J. Chabert Medical Center | Houma, LA | $207.74 | $442 | $176.19 | 1.2× |
| Jefferson County Hospital | Waurika, OK | $208.84 | $595 | $176.19 | 1.2× |
| Dignity Health - St. Rose Dominican, San Martín Campus | Las Vegas, NV | $209.10 | $1,020 | $176.19 | 1.2× |
| Chesapeake Regional Medical Center | Chesapeake, VA | $211.39 | $352.31 | $176.19 | 1.2× |
| Tennova Jefferson Memorial Hospital | Jefferson City, TN | $211.42 | $955.35 | $176.19 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $211.43 | — | $176.19 | 1.2× |
| Natchitoches Regional Medical Center | Natchitoches, LA | $211.60 | $529 | $176.19 | 1.2× |
| Good Samaritan Regional Medical Center | Corvallis, OR | $212 | $265 | $176.19 | 1.2× |
| Samaritan Albany General Hospital | Albany, OR | $212 | $265 | $176.19 | 1.2× |
| Samaritan North Lincoln Hospital | Lincoln City, OR | $212 | $265 | $176.19 | 1.2× |
| Samaritan Pacific Community Hospital | Newport, OR | $212 | $265 | $176.19 | 1.2× |
| Samaritan Lebanon Community Hospital | Lebanon, OR | $212 | $265 | $176.19 | 1.2× |
| CommonSpirit Saint Joseph Hospital - Berea | Berea, KY | $212.11 | $440 | $176.19 | 1.2× |
| Garnet Health Medical Center | Middletown, NY | $212.50 | $850 | $176.19 | 1.2× |
| Denver Health Medical Center range across 2 matching MRF lines |
Denver, CO | $215.60–$526.40 | $616–$1,504 | $176.19 | varies |
| Alamance Regional Medical Center | Burlington, NC | $215.84 | $568 | $176.19 | 1.2× |
| Cone Health Moses Cone Hospital | Greensboro, NC | $215.84 | $568 | $176.19 | 1.2× |
| Tennova North Knoxville Medical Center | Powell, TN | $216.39 | $955.35 | $176.19 | 1.2× |
| ECU Health Medical Center range across 2 matching MRF lines |
Greenville, NC | $217.83–$302.63 | $411–$571 | $176.19 | varies |
| Vanderbilt Clarksville Hospital | Clarksville, TN | $219.02 | $1,128.90 | $176.19 | 1.2× |
| Washington County Regional Medical Center | Sandersville, GA | $220 | $440 | $176.19 | 1.2× |
| Hendricks Regional Health | Danville, IN | $222 | $555 | $176.19 | 1.3× |
| Indiana University Health | Indianapolis, IN | $222.01 | $782 | $176.19 | 1.3× |
| Franciscan Health Michigan City | Michigan City, IN | $222.14 | $1,068 | $176.19 | 1.3× |
| Indiana University Health Bedford Hospital | Bedford, IN | $223.26 | $782 | $176.19 | 1.3× |
| Tennova Newport Medical Center | Newport, TN | $224.51 | $955.35 | $176.19 | 1.3× |
| St. Bernard Parish Hospital | Chalmette, LA | $225.60 | $705 | $176.19 | 1.3× |
| UMass Memorial Health–Harrington Hospital | Southbridge, MA | $226 | $226 | $176.19 | 1.3× |
| Desoto Memorial Hospital | Arcadia, FL | $227 | $454 | $176.19 | 1.3× |
| Detar Healthcare System | Victoria, TX | $227.01 | $1,081 | $176.19 | 1.3× |
| Franciscan Health Munster | Munster, IN | $227.48 | $1,068 | $176.19 | 1.3× |
| HealthAlliance-Clinton Hospital (Leominster and Clinton campuses) | Leominster, MA | $228 | $228 | $176.19 | 1.3× |
| UMass Memorial Medical Center | Worcester, MA | $228 | $228 | $176.19 | 1.3× |
| Mackinac Straits Health System | Saint Ignace, MI | $228.90 | $381.50 | $176.19 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $229.05 | — | $176.19 | 1.3× |
| University of Michigan Health - Sparrow Eaton | Charlotte, MI | $229.05 | $916.19 | $176.19 | 1.3× |
| Touchette Regional Hospital Inc | Centreville, IL | $229.40 | $370 | $176.19 | 1.3× |
| ECU Health Roanoke-Chowan Hospital range across 2 matching MRF lines |
Ahoskie, NC | $230.16–$319.76 | $411–$571 | $176.19 | varies |
| ECU Health Edgecombe Hospital range across 2 matching MRF lines |
Tarboro, NC | $230.16–$319.76 | $411–$571 | $176.19 | varies |
| ECU Health Duplin Hospital range across 2 matching MRF lines |
Kenansville, NC | $230.16–$319.76 | $411–$571 | $176.19 | varies |
| ECU Health North Hospital range across 2 matching MRF lines |
Roanoke Rapids, NC | $230.16–$319.76 | $411–$571 | $176.19 | varies |
| ECU Health Bertie Hospital range across 2 matching MRF lines |
Windsor, NC | $230.16–$319.76 | $411–$571 | $176.19 | varies |
| ECU Health Chowan Hospital range across 2 matching MRF lines |
Edenton, NC | $230.16–$319.76 | $411–$571 | $176.19 | varies |
| Outer Banks Health Hospital range across 2 matching MRF lines |
Nags Head, NC | $230.16–$319.76 | $411–$571 | $176.19 | varies |
| Dignity Health - St. Rose Dominican, Siena Campus | Henderson, NV | $231.54 | $1,020 | $176.19 | 1.3× |
| Pomerene Hospital | Millersburg, OH | $232 | $290 | $176.19 | 1.3× |
| Fauquier Hospital range across 2 matching MRF lines |
Warrenton, VA | $232.80–$254 | $582–$635 | $176.19 | varies |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $235.50 | $1,570 | $176.19 | 1.3× |
| Laredo Medical Center | Laredo, TX | $237.56 | $989.84 | $176.19 | 1.3× |
| Medina Regional Hospital | Hondo, TX | $238.50 | $265 | $176.19 | 1.4× |
| Novant Health Forsyth Medical Center | Winston-Salem, NC | $240.35 | $400.58 | $176.19 | 1.4× |
| Novant Health Thomasville Medical Center | Thomasville, NC | $240.35 | $400.58 | $176.19 | 1.4× |
| Novant Health Medical Park Hospital | Winston-Salem, NC | $240.35 | $400.58 | $176.19 | 1.4× |
| Mountain View Regional Medical Center | Las Cruces, NM | $240.57 | $891 | $176.19 | 1.4× |
| UNM Hospital | Albuquerque, NM | $242.26 | $440.48 | $176.19 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $243.14 | — | $176.19 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $243.14 | — | $176.19 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $243.14 | — | $176.19 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $243.14 | — | $176.19 | 1.4× |
| Indiana University Health White Memorial Hospital | Monticello, IN | $243.83 | $782 | $176.19 | 1.4× |
| Reid Health | Richmond, IN | $244.63 | $747.89 | $176.19 | 1.4× |
| Rutherford Regional Medical Center | Rutherfordton, NC | $246.67 | $616.67 | $176.19 | 1.4× |
| George Washington University Hospital | Washington, DC | $246.80 | $617 | $176.19 | 1.4× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $246.80 | $617 | $176.19 | 1.4× |
| South Central Regional Medical Center | Laurel, MS | $247 | $247 | $176.19 | 1.4× |
| Putnam General Hospital | Eatonton, GA | $249.90 | $499.80 | $176.19 | 1.4× |
| Sierra View Medical Center | Porterville, CA | $249.90 | $357 | $176.19 | 1.4× |
| Salem Hospital | Salem, OR | $252.28 | $476 | $176.19 | 1.4× |
| Salem Health West Valley | Dallas, OR | $252.28 | $476 | $176.19 | 1.4× |
| Goleta Valley Cottage Hospital | Santa Barbara, CA | $252.36 | $360.52 | $176.19 | 1.4× |
| Santa Barbara Cottage Hospital | Santa Barbara, CA | $252.36 | $360.52 | $176.19 | 1.4× |
| Santa Ynez Valley Cottage Hospital | Solvang, CA | $252.36 | $360.52 | $176.19 | 1.4× |
| Saint Joseph Regional Medical Center | Mishawaka, IN | $252.85 | $389 | $176.19 | 1.4× |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | $252.85 | $389 | $176.19 | 1.4× |
| War Memorial Hospital | Berkeley Springs, WV | $253.40 | $362 | $176.19 | 1.4× |
| Hampshire Memorial Hospital | Romney, WV | $253.40 | $362 | $176.19 | 1.4× |
| Winchester Medical Center | Winchester, VA | $253.40 | $362 | $176.19 | 1.4× |
| Warren Memorial Hospital | Front Royal, VA | $253.40 | $362 | $176.19 | 1.4× |
| Shenandoah Memorial Hospital | Woodstock, VA | $253.40 | $362 | $176.19 | 1.4× |
| Page Memorial Hospital | Luray, VA | $253.40 | $362 | $176.19 | 1.4× |
| Rady Children's Hospital - San Diego | San Diego, CA | $255 | $340 | $176.19 | 1.4× |
| Piedmont Eastside | Snellville, GA | $255.30 | $851 | $176.19 | 1.4× |
| Banner Churchill Community Hospital | Fallon, NV | $257.09 | $529 | $176.19 | 1.5× |
| Tennova LaFollette Medical Center | LaFollette, TN | $257.94 | $955.35 | $176.19 | 1.5× |
| UP Health System - Portage | Hancock, MI | $258.75 | $431.25 | $176.19 | 1.5× |
| Morehouse General Hospital | Bastrop, LA | $259.20 | $324 | $176.19 | 1.5× |
| Riverside Methodist Hospital | Columbus, OH | $260.65 | $401 | $176.19 | 1.5× |
| Grant Medical Center | Columbus, OH | $260.65 | $401 | $176.19 | 1.5× |
| Doctors Hospital | Columbus, OH | $260.65 | $401 | $176.19 | 1.5× |
| Southeastern Medical Center | Cambridge, OH | $260.65 | $401 | $176.19 | 1.5× |
| Dublin Methodist Hospital | Dublin, OH | $260.65 | $401 | $176.19 | 1.5× |
| Manning Family Children's | New Orleans, LA | $263.52 | $976 | $176.19 | 1.5× |
| Citizens Medical Center | Victoria, TX | $264 | $528 | $176.19 | 1.5× |
| University of Michigan Health - Sparrow Ionia range across 2 matching MRF lines |
Ionia, MI | $264.28–$272.25 | $1,057.14–$1,089 | $176.19 | varies |
| University of Michigan Health - Sparrow Carson range across 2 matching MRF lines |
Carson City, MI | $264.29–$272.25 | $1,057.14–$1,089 | $176.19 | varies |
| University of Michigan Health - Sparrow Lansing range across 2 matching MRF lines |
Lansing, MI | $264.29–$272.25 | $1,057.14–$1,089 | $176.19 | varies |
| University of Michigan Health - Sparrow Clinton range across 2 matching MRF lines |
Saint Johns, MI | $264.29–$272.25 | $1,057.14–$1,089 | $176.19 | varies |
| Mary Washington Hospital | Fredericksburg, VA | $264.50 | $529 | $176.19 | 1.5× |
| Stafford Hospital | Stafford, VA | $264.50 | $529 | $176.19 | 1.5× |
| Columbia Memorial Hospital | Hudson, NY | $264.50 | $529 | $176.19 | 1.5× |
| Piedmont Newton | Covington, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Augusta | Augusta, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Cartersville Medical Center | Cartersville, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Walton | Monroe, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Athens Regional | Athens, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Atlanta | Atlanta, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Rockdale | Conyers, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont McDuffie | Thomson, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Macon Medical Center | Macon, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Henry Hospital | Stockbridge, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Columbus Regional Northside | Columbus, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Macon North | Macon, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Fayette | Fayetteville, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Mountainside | Jasper, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Piedmont Newnan | Newnan, GA | $265.67 | $885.58 | $176.19 | 1.5× |
| Florida Coast Medical Center | Port St. Lucie, FL | $266.25 | $355 | $176.19 | 1.5× |
| Doctors Hospital of Manteca | Manteca, CA | $266.25 | $355 | $176.19 | 1.5× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $271.26 | $1,233 | $176.19 | 1.5× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $271.26 | $1,233 | $176.19 | 1.5× |
| Norton Sound Regional Hospital | Nome, AK | $272.50 | $545 | $176.19 | 1.5× |
| Delhi Hospital | Delhi, LA | $273 | $420 | $176.19 | 1.5× |
| Franciscan Health Crown Point | Crown Point, IN | $275.54 | $1,068 | $176.19 | 1.6× |
| Mercy Health - St. Elizabeth Youngstown Hospital | Youngstown, OH | $277.20 | $462 | $176.19 | 1.6× |
| Mercy Health - St. Joseph Warren Hospital | Warren, OH | $277.20 | $462 | $176.19 | 1.6× |
| Mercy Health - St. Elizabeth Boardman Hospital | Boardman, OH | $277.20 | $462 | $176.19 | 1.6× |
| UVA Health Culpeper Medical Center | Culpeper, VA | $281.50 | $563 | $176.19 | 1.6× |
| UVA Health Prince William Medical Center | Manassas, VA | $281.50 | $563 | $176.19 | 1.6× |
| UVA Health Haymarket Medical Center | Haymarket, VA | $281.50 | $563 | $176.19 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $283.05 | — | $176.19 | 1.6× |
| Share Medical Center | Alva, OK | $286 | $440 | $176.19‡ | 1.6× |
| Doctors Medical Center | Modesto, CA | $286.13 | $381.50 | $176.19 | 1.6× |
| Mount Carmel St. Ann's | Westerville, OH | $286.65 | $441 | $176.19 | 1.6× |
| Mount Carmel East | Columbus, OH | $286.65 | $441 | $176.19 | 1.6× |
| Mount Carmel New Albany | New Albany, OH | $286.65 | $441 | $176.19 | 1.6× |
| Diley Ridge Medical Center | Canal Winchester, OH | $286.65 | $441 | $176.19 | 1.6× |
| Mount Carmel Dublin Hospital | Dublin, OH | $286.65 | $441 | $176.19 | 1.6× |
| Mark Twain Medical Center | San Andreas, CA | $286.77 | $430.58 | $176.19 | 1.6× |
| Goshen Hospital | Goshen, IN | $287 | $410 | $176.19 | 1.6× |
| Franciscan Health Dyer | Dyer, IN | $288.36 | $1,068 | $176.19 | 1.6× |
| Dignity Health - St. Rose Dominican, Rose de Lima Campus | Henderson, NV | $291.72 | $1,020 | $176.19 | 1.7× |
| Liberty Regional Medical Center | Hinesville, GA | $292.50 | $390 | $176.19 | 1.7× |
| UK St. Claire Regional Medical Center | Morehead, KY | $293.25 | $391 | $176.19 | 1.7× |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | $294.50 | $782 | $176.19 | 1.7× |
| Franciscan Health Lafayette | Lafayette, IN | $295.26 | $1,336 | $176.19 | 1.7× |
| East Georgia Regional Medical Center | Statesboro, GA | $295.38 | $1,094 | $176.19 | 1.7× |
| NEA Baptist Memorial Hospital | Jonesboro, AR | $298.30 | $1,570 | $176.19 | 1.7× |
| Indiana University Health Paoli Hospital | Paoli, IN | $300.05 | $782 | $176.19 | 1.7× |
| Natividad Medical Center | Salinas, CA | $300.40 | $300.40 | $176.19 | 1.7× |
| WakeMed Raleigh Campus range across 2 matching MRF lines |
Raleigh, NC | $300.58–$467.02 | $791–$1,229 | $176.19 | varies |
| WakeMed Cary Hospital range across 2 matching MRF lines |
Cary, NC | $300.58–$467.02 | $791–$1,229 | $176.19 | varies |
| Roper Hospital | Charleston, SC | $302.25 | $465 | $176.19 | 1.7× |
| Roper St. Francis Mount Pleasant Hospital | Mount Pleasant, SC | $302.25 | $465 | $176.19 | 1.7× |
| Roper St. Francis Berkeley Hospital | Summerville, SC | $302.25 | $465 | $176.19 | 1.7× |
| Bethesda Hospital East | Boynton Beach, FL | $305.50 | $470 | $176.19 | 1.7× |
| Baptist Hospital of Miami | Miami, FL | $305.50 | $470 | $176.19 | 1.7× |
| Homestead Hospital | Homestead, FL | $305.50 | $470 | $176.19 | 1.7× |
| South Miami Hospital | South Miami, FL | $305.50 | $470 | $176.19 | 1.7× |
| Doctors Hospital | Coral Gables, FL | $305.50 | $470 | $176.19 | 1.7× |
| West Kendall Baptist Hospital | Miami, FL | $305.50 | $470 | $176.19 | 1.7× |
| Fishermen's Community Hospital | Marathon, FL | $305.50 | $470 | $176.19 | 1.7× |
| Mariners Hospital | Tavernier, FL | $305.50 | $470 | $176.19 | 1.7× |
| Bates County Memorial Hospital | Butler, MO | $305.76 | $436.80 | $176.19 | 1.7× |
| Golden Plains Community Hospital | Borger, TX | $308 | $440 | $176.19 | 1.7× |
| Lane Regional Medical Center | Zachary, LA | $308 | $881 | $176.19 | 1.7× |
| Wyoming County Community Health System | Warsaw, NY | $308.34 | $440.48 | $176.19 | 1.8× |
| Baptist Memorial Hospital-Union City | Union City, TN | $314 | $1,570 | $176.19 | 1.8× |
| Baptist Memorial Hospital-DeSoto | Southaven, MS | $314 | $1,570 | $176.19 | 1.8× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $314.50 | $370 | $176.19 | 1.8× |
| Mosaic Medical Center - Albany | Albany, MO | $314.50 | $370 | $176.19 | 1.8× |
| Mosaic Medical Center - Maryville | Maryville, MO | $314.50 | $370 | $176.19 | 1.8× |
| Ward Memorial Hospital | Monahans, TX | $315 | $450 | $176.19 | 1.8× |
| Indiana University Health Frankfort Inc | Frankfort, IN | $315.77 | $782 | $176.19 | 1.8× |
| Boston Medical Center | Boston, MA | $319.50 | $710 | $176.19 | 1.8× |
| Fairfield Medical Center | Lancaster, OH | $325.35 | $723 | $176.19 | 1.8× |
| Nathan Littauer Hospital | Gloversville, NY | $326.14 | $407.68 | $176.19 | 1.9× |
| Reeves Memorial Medical Center | Bernice, LA | $328 | $656 | $176.19 | 1.9× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $329.70 | $1,570 | $176.19 | 1.9× |
| Mississippi Baptist Medical Center | Jackson, MS | $329.70 | $1,570 | $176.19 | 1.9× |
| Spartanburg Medical Center | Spartanburg, SC | $333 | $555 | $176.19 | 1.9× |
| Cherokee Medical Center | Gaffney, SC | $333 | $555 | $176.19 | 1.9× |
| Pelham Medical Center | Greer, SC | $333 | $555 | $176.19 | 1.9× |
| Union Medical Center | Union, SC | $333 | $555 | $176.19 | 1.9× |
| Mary Greeley Medical Center | Ames, IA | $333.94 | $445.25 | $176.19 | 1.9× |
| Sisters of Charity Hospital | Buffalo, NY | $335 | $335 | $176.19 | 1.9× |
| Kenmore Mercy Hospital | Kenmore, NY | $335 | $335 | $176.19 | 1.9× |
| Mount St. Mary's Hospital and Health Center | Lewiston, NY | $335 | $335 | $176.19 | 1.9× |
| Mercy Hospital of Buffalo | Buffalo, NY | $335 | $335 | $176.19 | 1.9× |
| Mesa View Regional Hospital | Mesquite, NV | $336 | $560 | $176.19 | 1.9× |
| Cabinet Peaks Medical Center | Libby, MT | $336.49 | $480.70 | $176.19 | 1.9× |
| Northside Hospital Forsyth | Cumming, GA | $336.75 | $449 | $176.19 | 1.9× |
| Northside Hospital Cherokee | Canton, GA | $336.75 | $449 | $176.19 | 1.9× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $336.75 | $449 | $176.19 | 1.9× |
| Northside Hospital Atlanta | Atlanta, GA | $336.75 | $449 | $176.19 | 1.9× |
| Northside Hospital Duluth | Duluth, GA | $336.75 | $449 | $176.19 | 1.9× |
| UVA Health University Medical Center | Charlottesville, VA | $337.80 | $563 | $176.19 | 1.9× |
| Mount Sinai Medical Center | Miami Beach, FL | $340 | $340 | $176.19 | 1.9× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $340 | $680 | $176.19 | 1.9× |
| United Hospital Center | Bridgeport, WV | $340 | $680 | $176.19 | 1.9× |
| Berkeley Medical Center | Martinsburg, WV | $340 | $680 | $176.19 | 1.9× |
| Thomas Memorial Hospital | South Charleston, WV | $340 | $680 | $176.19 | 1.9× |
| Camden Clark Medical Center | Parkersburg, WV | $340 | $680 | $176.19 | 1.9× |
| Braxton County Memorial Hospital | Gassaway, WV | $340 | $680 | $176.19 | 1.9× |
| Potomac Valley Hospital | Keyser, WV | $340 | $680 | $176.19 | 1.9× |
| Jefferson Medical Center | Ranson, WV | $340 | $680 | $176.19 | 1.9× |
| Jackson General Hospital | Ripley, WV | $340 | $680 | $176.19 | 1.9× |
| St. Joseph's Hospital | Buckhannon, WV | $340 | $680 | $176.19 | 1.9× |
| Usc Verdugo Hills Hospital | Glendale, CA | $340 | $340 | $176.19 | 1.9× |
| Pomona Valley Hospital Medical Center | Pomona, CA | $340 | — | $176.19 | 1.9× |
| Contra Costa Regional Medical Center | Martinez, CA | $340 | $340 | $176.19 | 1.9× |
| Usc Kenneth Norris Jr Cancer Hospital | Los Angeles, CA | $340 | $340 | $176.19 | 1.9× |
| Keck Hospital of Usc | Los Angeles, CA | $340 | $340 | $176.19 | 1.9× |
| Buchanan General Hospital | Grundy, VA | $342.80 | $857 | $176.19 | 1.9× |
| Yoakum Community Hospital | Yoakum, TX | $343.20 | $528 | $176.19 | 1.9× |
| Minden Medical Center | Minden, LA | $343.35 | $1,144.50 | $176.19 | 1.9× |
| Thibodaux Regional Health System | Thibodaux, LA | $347 | $347 | $176.19 | 2.0× |
| Iu Health Jay | Portland, IN | $349.87 | $782 | $176.19 | 2.0× |
| Self Regional Healthcare | Greenwood, SC | $354.24 | $590.40 | $176.19 | 2.0× |
| Edgefield County Healthcare | Edgefield, SC | $354.24 | $590.40 | $176.19 | 2.0× |
| Ruby Valley Medical Center | Sheridan, MT | $354.60 | $394 | $176.19 | 2.0× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $361.10 | $1,570 | $176.19 | 2.0× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $361.10 | $1,570 | $176.19 | 2.0× |
| Pampa Regional Medical Center | Pampa, TX | $362 | $1,907.50 | $176.19 | 2.1× |
| Franciscan Health Crawfordsville | Crawfordsville, IN | $362.06 | $1,336 | $176.19 | 2.1× |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $362.70 | $585 | $176.19 | 2.1× |
| Atrium Health Cabarrus | Concord, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Atrium Health Cleveland | Shelby, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Atrium Health Anson | Wadesboro, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Atrium Health Pineville | Charlotte, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Atrium Health Stanly | Albemarle, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Atrium Health Union | Monroe, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Atrium Health Lincoln | Lincolnton, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Atrium Health University City | Charlotte, NC | $365.28 | $730.55 | $176.19 | 2.1× |
| Weirton Medical Center | Weirton, WV | $365.50 | $731 | $176.19 | 2.1× |
| Atrium Health Navicent Baldwin | Milledgeville, GA | $366 | $732 | $176.19 | 2.1× |
| Alleghany Health | Sparta, NC | $366.50 | $733 | $176.19 | 2.1× |
| Southwest Medical Center | Liberal, KS | $368 | $460 | $176.19 | 2.1× |
| Atrium Health Navicent Peach | Byron, GA | $369 | $738 | $176.19 | 2.1× |
| Lexington Medical Center | Lexington, NC | $370.50 | $741 | $176.19 | 2.1× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Richland Hospital | Columbia, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Laurens County Hospital | Clinton, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Tuomey Hospital | Sumter, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Baptist Hospital | Columbia, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Patewood Hospital | Greenville, SC | $370.50 | $570 | $176.19 | 2.1× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $370.50 | $570 | $176.19 | 2.1× |
| Frio Regional Hospital | Pearsall, TX | $371 | $530 | $176.19 | 2.1× |
| Wilkes Medical Center | North Wilkesboro, NC | $371.50 | $743 | $176.19 | 2.1× |
| Hugh Chatham Health – Medical Center | Elkin, NC | $371.50 | $743 | $176.19 | 2.1× |
| Atrium Health Navicent The Medical Center | Macon, GA | $371.50 | $743 | $176.19 | 2.1× |
| Pratt Regional Medical Center | Pratt, KS | $372 | $532 | $176.19 | 2.1× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $372 | $744 | $176.19 | 2.1× |
| High Point Medical Center | High Point, NC | $372.50 | $745 | $176.19 | 2.1× |
| Baptist Memorial Hospital-Tipton | Covington, TN | $376.80 | $1,570 | $176.19 | 2.1× |
| Baptist Memorial Hospital-Union County | New Albany, MS | $376.80 | $1,570 | $176.19 | 2.1× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $376.80 | $1,570 | $176.19 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $377.40 | $625 | $176.19 | 2.1× |
| Antelope Valley Hospital | Lancaster, CA | $380.55 | $380.55 | $176.19 | 2.2× |
| Lawrence + Memorial Hospital | New London, CT | $380.57 | $1,057.14 | $176.19 | 2.2× |
| Inova Alexandria Hospital | Alexandria, VA | $381 | $762 | $176.19 | 2.2× |
| Inova Loudoun Hospital | Leesburg, VA | $381 | $762 | $176.19 | 2.2× |
| Inova Fairfax Hospital | Falls Church, VA | $381 | $762 | $176.19 | 2.2× |
| Inova Fair Oaks Hospital | Fairfax, VA | $381 | $762 | $176.19 | 2.2× |
| Inova Mount Vernon Hospital | Alexandria, VA | $381 | $762 | $176.19 | 2.2× |
| Methodist Hospital For Surgery | Addison, TX | $381.60 | $636 | $176.19 | 2.2× |
| Northern Cochise Community Hospital | Willcox, AZ | $382.80 | $638 | $176.19 | 2.2× |
| TriStar Skyline Medical Center | Nashville, TN | $383.25 | $383.25 | $176.19 | 2.2× |
| Owensboro Health Muhlenberg Community Hospital | Greenville, KY | $386.05 | $593.92 | $176.19 | 2.2× |
| Owensboro Health Twin Lakes Medical Center | Leitchfield, KY | $386.05 | $593.92 | $176.19 | 2.2× |
| Atrium Health Floyd Medical Center | Rome, GA | $386.50 | $773 | $176.19 | 2.2× |
| Atrium Health Floyd Cherokee Medical Center | Centre, AL | $387.50 | $775 | $176.19 | 2.2× |
| Atrium Health Floyd Polk Medical Center | Cedartown, GA | $387.50 | $775 | $176.19 | 2.2× |
| Candler Hospital | Savannah, GA | $387.60 | $1,292 | $176.19 | 2.2× |
| St. Joseph's Hospital | Savannah, GA | $387.60 | $1,292 | $176.19 | 2.2× |
| Bristol Hospital | Bristol, CT | $387.62 | $704.76 | $176.19 | 2.2× |
| Owensboro Health Regional Hospital | Owensboro, KY | $387.91 | $596.78 | $176.19 | 2.2× |
| Cass Regional Medical Center | Harrisonville, MO | $388.50 | $555 | $176.19 | 2.2× |
| Witham Health Services | Lebanon, IN | $388.82 | $555.45 | $176.19 | 2.2× |
| Mercy Medical Center | Roseburg, OR | $391.95 | $735 | $176.19 | 2.2× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $392.50 | $1,570 | $176.19 | 2.2× |
| Monroe County Hospital | Forsyth, GA | $393.75 | $525 | $176.19 | 2.2× |
| Union General Hospital | Farmerville, LA | $393.75 | $525 | $176.19 | 2.2× |
| Palos Community Hospital | Palos Heights, IL | $396.20 | $566 | $176.19 | 2.2× |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | $396.20 | $566 | $176.19 | 2.2× |
| Northwestern Lake Forest Hospital | Lake Forest, IL | $396.20 | $566 | $176.19 | 2.2× |
| Northwestern Medicine Delnor Community Hospital | Geneva, IL | $396.20 | $566 | $176.19 | 2.2× |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | $396.20 | $566 | $176.19 | 2.2× |
| Northwestern Memorial Hospital | Chicago, IL | $396.20 | $566 | $176.19 | 2.2× |
| Northwestern Medicine Kishwaukee Hospital | Dekalb, IL | $396.20 | $566 | $176.19 | 2.2× |
| Northwestern Medicine Valley West Hospital | Sandwich, IL | $396.20 | $566 | $176.19 | 2.2× |
| Regional Medical Center range across 2 matching MRF lines |
Memphis, TN | $396.52–$396.52 | $616.67 | $176.19 | varies |
| Pih Health Good Samaritan Hospital | Los Angeles, CA | $400.58 | $400.58 | $176.19 | 2.3× |
| Comanche County Medical Center | Comanche, TX | $401.05 | $617 | $176.19 | 2.3× |
| Clearwater Valley Health | Orofino, ID | $402 | $536 | $176.19 | 2.3× |
| St. Mary's Health | Cottonwood, ID | $402 | $536 | $176.19 | 2.3× |
| Trigg County Hospital | Cadiz, KY | $404.80 | $1,012 | $176.19 | 2.3× |
| Fisher County Hospital District | Rotan, TX | $405 | $476 | $176.19 | 2.3× |
| Tift Regional Medical Center range across 2 matching MRF lines |
Tifton, GA | $407.50–$452.50 | $815–$905 | $176.19 | varies |
| Southwell Medical range across 2 matching MRF lines |
Adel, GA | $407.50–$452.50 | $815–$905 | $176.19 | varies |
| Tanner Medical Center/Carrollton range across 2 matching MRF lines |
Carrollton, GA | $408–$424.40 | $1,020–$1,061 | $176.19 | varies |
| Higgins General Hospital range across 2 matching MRF lines |
Bremen, GA | $408–$424.40 | $1,020–$1,061 | $176.19 | varies |
| Mercy Medical Center - Cedar Rapids | Cedar Rapids, IA | $408 | $680 | $176.19 | 2.3× |
| Memorial Medical Center | Las Cruces, NM | $412.28 | $687.14 | $176.19 | 2.3× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $412.62 | $529 | $176.19 | 2.3× |
| Abbeville Area Medical Center | Abbeville, SC | $413.28 | $590.40 | $176.19 | 2.3× |
| Marietta Memorial Hospital | Marietta, OH | $417.80 | $696.34 | $176.19 | 2.4× |
| Selby General Hospital | Marietta, OH | $417.80 | $696.34 | $176.19 | 2.4× |
| Southwest General Health Center | Middleburg Heights, OH | $422.25 | $563 | $176.19 | 2.4× |
| Middle Park Medical Center | Kremmling, CO | $422.86 | $528.57 | $176.19 | 2.4× |
| Holy Cross Hospital A Div of Taos Health Systems | Taos, NM | $423.20 | $529 | $176.19 | 2.4× |
| Roosevelt Medical Center | Culbertson, MT | $425 | $425 | $176.19 | 2.4× |
| Blue Ridge Medical Center | Blue Ridge, GA | $426 | $710 | $176.19 | 2.4× |
| Lindsay Municipal Hospital | Lindsay, OK | $440 | $440 | $176.19 | 2.5× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $444 | $740 | $176.19 | 2.5× |
| Mercy Health — Marcum and Wallace Hospital | Irvine, KY | $444 | $740 | $176.19 | 2.5× |
| Mercy Health - Anderson Hospital | Cincinnati, OH | $444 | $740 | $176.19 | 2.5× |
| The Jewish Hospital - Mercy Health | Cincinnati, OH | $444 | $740 | $176.19 | 2.5× |
| Mercy Health - Fairfield Hospital | Fairfield, OH | $444 | $740 | $176.19 | 2.5× |
| Mercy Health - West Hospital | Cincinnati, OH | $444 | $740 | $176.19 | 2.5× |
| Mercy Health - Clermont Hospital | Batavia, OH | $444 | $740 | $176.19 | 2.5× |
| Mercy Health - Defiance Hospital | Defiance, OH | $444 | $740 | $176.19 | 2.5× |
| Mercy Health Kings Mills Hospital LLC | Mason, OH | $444 | $740 | $176.19 | 2.5× |
| Knox Community Hospital | Mount Vernon, OH | $450.72 | $563.40 | $176.19 | 2.6× |
| Vhs Harlingen Hospital Company LLC | Harlingen, TX | $453 | $604 | $176.19 | 2.6× |
| Harrison County Community Hospital | Bethany, MO | $455 | $700 | $176.19 | 2.6× |
| Parkview Hospital | Wheeler, TX | $460.70 | $542 | $176.19 | 2.6× |
| Red Bud Regional Hospital | Red Bud, IL | $461.50 | $1,775 | $176.19 | 2.6× |
| Memorial Hospital | Dumas, TX | $466.40 | $583 | $176.19 | 2.6× |
| Decatur County Memorial Hospital | Greensburg, IN | $467.25 | $623 | $176.19 | 2.7× |
| EvergreenHealth Medical Center | Kirkland, WA | $470.40 | $588 | $176.19 | 2.7× |
| Nevada Regional Medical Center | Nevada, MO | $472.50 | $1,050 | $176.19 | 2.7× |
| Holzer Medical Center - Gallipolis | Gallipolis, OH | $475.50 | $951 | $176.19 | 2.7× |
| Holzer Medical Center - Jackson | Jackson, OH | $475.50 | $951 | $176.19 | 2.7× |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | $478.29 | $1,336 | $176.19 | 2.7× |
| Prowers Medical Center | Lamar, CO | $479.40 | $799 | $176.19 | 2.7× |
| Winchester Hospital | Winchester, MA | $497 | $497 | $176.19 | 2.8× |
| Rome Memorial Hospital, Inc | Rome, NY | $499.38 | $1,237 | $176.19 | 2.8× |
| West Tennessee Healthcare Henry County Hospital | Paris, TN | $499.80 | $499.80 | $176.19 | 2.8× |
| Cogdell Memorial Hospital | Snyder, TX | $500 | $500 | $176.19 | 2.8× |
| Augusta Health | Fishersville, VA | $509.50 | $1,019 | $176.19 | 2.9× |
| Lewis County General Hospital | Lowville, NY | $513.07 | $624 | $176.19 | 2.9× |
| Mercer Health | Coldwater, OH | $515 | $515 | $176.19 | 2.9× |
| St. Catherine Hospital Inc | East Chicago, IN | $519.60 | $866 | $176.19 | 2.9× |
| St. Mary Medical Center Inc | Hobart, IN | $519.60 | $866 | $176.19 | 2.9× |
| Community Hospital | Munster, IN | $519.60 | $866 | $176.19 | 2.9× |
| Peterson Regional Medical Center | Kerrville, TX | $523.25 | $805 | $176.19 | 3.0× |
| Hialeah Hospital | Hialeah, FL | $528.57 | $528.57 | $176.19 | 3.0× |
| Coral Gables Hospital | Coral Gables, FL | $528.57 | $528.57 | $176.19 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $528.57 | — | $176.19 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $528.57 | — | $176.19 | 3.0× |
| Havasu Regional Medical Center | Lake Havasu City, AZ | $528.57 | $880.95 | $176.19 | 3.0× |
| Bon Secours St. Francis Downtown | Greenville, SC | $528.60 | $881 | $176.19 | 3.0× |
| Bon Secours St. Francis Hospital | Charleston, SC | $528.60 | $881 | $176.19 | 3.0× |
| Bon Secours St. Mary's Hospital | Richmond, VA | $528.60 | $881 | $176.19 | 3.0× |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | $528.60 | $881 | $176.19 | 3.0× |
| Bon Secours Richmond Community Hospital | Richmond, VA | $528.60 | $881 | $176.19 | 3.0× |
| Bon Secours St. Francis Medical Center | Midlothian, VA | $528.60 | $881 | $176.19 | 3.0× |
| Bon Secours Rappahannock General Hospital | Kilmarnock, VA | $528.60 | $881 | $176.19 | 3.0× |
| Exeter Hospital | Exeter, NH | $529 | $529 | $176.19 | 3.0× |
| Mount Auburn Hospital | Cambridge, MA | $529 | $529 | $176.19 | 3.0× |
| Elmhurst Memorial Hospital | Elmhurst, IL | $529 | $529 | $176.19 | 3.0× |
| Edward Hospital | Naperville, IL | $529 | $529 | $176.19 | 3.0× |
| Satanta District Hospital, Clinics, & LTCU | Satanta, KS | $531 | $590 | $176.19 | 3.0× |
| Southeast Health Medical Center | Dothan, AL | $534.06 | $1,335.15 | $176.19 | 3.0× |
| Presbyterian Hospital | Albuquerque, NM | $535.50 | $765 | $176.19 | 3.0× |
| Iberia Medical Center | New Iberia, LA | $540 | $900 | $176.19 | 3.1× |
| Grant Memorial Hospital | Petersburg, WV | $544 | $680 | $176.19 | 3.1× |
| Anna Jaques Hospital | Newburyport, MA | $548 | $548 | $176.19 | 3.1× |
| New England Baptist Hospital | Boston, MA | $548 | $548 | $176.19 | 3.1× |
| Bridgeport Hospital | Bridgeport, CT | $549.71 | $1,057.14 | $176.19 | 3.1× |
| Greenwich Hospital | Greenwich, CT | $549.71 | $1,057.14 | $176.19 | 3.1× |
| Alaska Native Medical Center | Anchorage, AK | $558 | $558 | $176.19 | 3.2× |
| Woodlawn Hospital | Rochester, IN | $571.50 | $762 | $176.19 | 3.2× |
| Palmetto General Hospital | Hialeah, FL | $576.14 | $576.14 | $176.19 | 3.3× |
| Glenwood Regional Medical Center | West Monroe, LA | $576.14 | $576.14 | $176.19 | 3.3× |
| University Medical Center range across 2 matching MRF lines |
Lubbock, TX | $586–$1,324 | $586–$1,324 | $176.19 | varies |
| St. Peter's Hospital | Albany, NY | $589.55 | $907 | $176.19 | 3.3× |
| Samaritan Hospital | Troy, NY | $589.55 | $907 | $176.19 | 3.3× |
| City of Hope Cancer Center Phoenix | Goodyear, AZ | $594 | $1,320 | $176.19 | 3.4× |
| Beth Israel Deaconess Hospital–Plymouth | Plymouth, MA | $599 | $599 | $176.19 | 3.4× |
| Beth Israel Deaconess Hospital–Needham | Needham, MA | $599 | $599 | $176.19 | 3.4× |
| Beth Israel Deaconess Medical Center | Boston, MA | $599 | $599 | $176.19 | 3.4× |
| Beth Israel Deaconess Hospital–Milton | Milton, MA | $599 | $599 | $176.19 | 3.4× |
| Bayhealth Hospital, Kent Campus | Dover, DE | $599.76 | $714 | $176.19 | 3.4× |
| Bayhealth Hospital, Sussex Campus | Milford, DE | $599.76 | $714 | $176.19 | 3.4× |
| Saint Francis Hospital | Wilmington, DE | $599.95 | $923 | $176.19 | 3.4× |
| USA Health University Hospital | Mobile, AL | $600 | $600 | $176.19 | 3.4× |
| USA Health Providence Hospital | Mobile, AL | $600 | $600 | $176.19 | 3.4× |
| USA Health Children's & Women's Hospital | Mobile, AL | $600 | $600 | $176.19 | 3.4× |
| Bayou Bend Health System | Franklin, LA | $600.60 | $858 | $176.19 | 3.4× |
| Baylor University Medical Center (Baylor Scott & White) range across 2 matching MRF lines |
Dallas, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center - Temple range across 2 matching MRF lines |
Temple, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott and White Medical Center Irving range across 2 matching MRF lines |
Irving, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center - Hillcrest range across 2 matching MRF lines |
Waco, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott and White All Saints Medical Center range across 2 matching MRF lines |
Fort Worth, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center- Waxahachie range across 2 matching MRF lines |
Waxahachie, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center Grapevine range across 2 matching MRF lines |
Grapevine, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott and White Medical Center Lake Pointe range across 2 matching MRF lines |
Rowlett, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Heart and Vascular Hospital range across 2 matching MRF lines |
Dallas, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center - Centennial range across 2 matching MRF lines |
Frisco, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Regional Medical Center at Plano range across 2 matching MRF lines |
Plano, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| The Heart Hospital Baylor Denton range across 2 matching MRF lines |
Denton, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center -taylor range across 2 matching MRF lines |
Taylor, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White The Heart Hospital Plano range across 2 matching MRF lines |
Plano, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Scott & White Hospital-round Rock range across 2 matching MRF lines |
Round Rock, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott and White Medical Center Mckinney range across 2 matching MRF lines |
Mc Kinney, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center- College Stati range across 2 matching MRF lines |
College Station, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center - Marble Falls range across 2 matching MRF lines |
Marble Falls, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center - Pflugerville range across 2 matching MRF lines |
Pflugerville, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center - Buda range across 2 matching MRF lines |
Buda, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Medical Center- Austin range across 2 matching MRF lines |
Austin, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott & White Hospital Brenham range across 2 matching MRF lines |
Brenham, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Baylor Scott and White Medical Center Frisco at Pg range across 2 matching MRF lines |
Frisco, TX | $600.87–$660 | $1,001.45–$1,100 | $176.19 | varies |
| Longmont United Hospital | Longmont, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Mary-Corwin Hospital | Pueblo, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| Mercy Hospital Durango | Durango, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Anthony Hospital | Lakewood, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| Penrose Hospital | Colorado Springs, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Elizabeth Hospital | Fort Morgan, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Anthony North Health Campus | Westminster, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Anthony Summit Medical Center | Frisco, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| OrthoColorado Hospital | Lakewood, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Thomas More Hospital | Canon City, CO | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Catherine Hospital - Garden City | Garden City, KS | $604.08 | $1,510.20 | $176.19 | 3.4× |
| St. Catherine Hospital - Dodge City | Dodge City, KS | $604.08 | $1,510.20 | $176.19 | 3.4× |
| Bob Wilson Memorial Hospital | Ulysses, KS | $604.08 | $1,510.20 | $176.19 | 3.4× |
| Licking Memorial Hospital | Newark, OH | $605.05 | $605.05 | $176.19 | 3.4× |
| St. Joseph's Hospital Health Center | Syracuse, NY | $607.10 | $934 | $176.19 | 3.4× |
| Newark-Wayne Community Hospital | Newark, NY | $610.08 | $938.58 | $176.19 | 3.5× |
| United Memorial Medical Center | Batavia, NY | $610.08 | $938.58 | $176.19 | 3.5× |
| Rochester General Hospital | Rochester, NY | $610.08 | $938.58 | $176.19 | 3.5× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $610.08 | $938.58 | $176.19 | 3.5× |
| Golden Valley Memorial Healthcare | Clinton, MO | $612 | $1,020 | $176.19 | 3.5× |
| Osf Saint Anthony's Health Center | Alton, IL | $612 | $1,020 | $176.19‡ | 3.5× |
| St. Mary Medical Center | Galesburg, IL | $612 | $1,020 | $176.19‡ | 3.5× |
| Saint Francis Medical Center | Peoria, IL | $612 | $1,020 | $176.19‡ | 3.5× |
| Osf Sacred Heart Medical Center | Danville, IL | $612 | $1,020 | $176.19‡ | 3.5× |
| Osf Saint Elizabeth Medical Center | Peru, IL | $612 | $1,020 | $176.19‡ | 3.5× |
| Osf Heart of Mary Medical Center | Urbana, IL | $612 | $1,020 | $176.19‡ | 3.5× |
| St. Joseph Medical Center | Bloomington, IL | $612 | $1,020 | $176.19‡ | 3.5× |
| Osf Little Company of Mary Medical Center | Evergreen Park, IL | $612 | $1,020 | $176.19‡ | 3.5× |
| Saint Anthony Medical Center | Rockford, IL | $612 | $1,020 | $176.19 | 3.5× |
| Page Hospital | Page, AZ | $613.11 | $529 | $176.19 | 3.5× |
| Osceola Community Hospital | Sibley, IA | $613.19 | $766 | $176.19 | 3.5× |
| Avera St. Lukes | Aberdeen, SD | $615.60 | $684 | $176.19 | 3.5× |
| Yale New Haven Hospital | New Haven, CT | $623.71 | $1,057.14 | $176.19 | 3.5× |
| Samaritan Medical Center | Watertown, NY | $626 | $626 | $176.19 | 3.6× |
| Javon Bea Hospital | Rockford, IL | $631.87 | $842.49 | $176.19 | 3.6× |
| Baptist Memorial Hospital-Yazoo | Yazoo City, MS | $643.70 | $1,570 | $176.19 | 3.7× |
| Sheridan Hospital | Sheridan, MI | $646.40 | $808 | $176.19 | 3.7× |
| William Newton Memorial Hospital | Winfield, KS | $648.75 | $648.75 | $176.19 | 3.7× |
| T.J. Samson Community Hospital | Glasgow, KY | $651.30 | $1,002 | $176.19 | 3.7× |
| T.J. Health Columbia | Columbia, KY | $651.30 | $1,002 | $176.19 | 3.7× |
| Woman's Hospital | Baton Rouge, LA | $663 | $663 | $176.19 | 3.8× |
| Adena Regional Medical Center | Chillicothe, OH | $665.97 | $1,331.93 | $176.19 | 3.8× |
| Adena Greenfield Medical Center | Greenfield, OH | $665.97 | $1,331.93 | $176.19 | 3.8× |
| Adena Fayette Medical Center range across 2 matching MRF lines |
Washington Ch, OH | $665.97–$1,331.93 | $1,331.93 | $176.19 | varies |
| Adena Pike Medical Center | Waverly, OH | $665.97 | $1,331.93 | $176.19 | 3.8× |
| University Hospitals Samaritan Medical Center range across 2 matching MRF lines |
Ashland, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals Parma Medical Center range across 2 matching MRF lines |
Parma, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals Regional Hospitals - Geauga Medical Center range across 2 matching MRF lines |
Chardon, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals Portage Medical Center range across 2 matching MRF lines |
Ravenna, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| Lake Health range across 2 matching MRF lines |
Concord, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals St. John Medical Center range across 2 matching MRF lines |
Westlake, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals Cleveland Medical Center range across 2 matching MRF lines |
Cleveland, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals Elyria Medical Center range across 2 matching MRF lines |
Elyria, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals Ahuja Medical Center range across 2 matching MRF lines |
Beachwood, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals Beachwood Medical Center range across 2 matching MRF lines |
Beachwood, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| University Hospitals Geneva Medical Center range across 2 matching MRF lines |
Geneva, OH | $669.75–$780.75 | $893–$1,041 | $176.19 | varies |
| University Hospitals Conneaut Medical Center range across 2 matching MRF lines |
Conneaut, OH | $669.75–$780.75 | $893–$1,041 | $176.19 | varies |
| UH Rainbow Babies & Children's Hospital range across 2 matching MRF lines |
Cleveland, OH | $669.75–$812.25 | $893–$1,083 | $176.19 | varies |
| Gateway Regional Medical Center | Granite City, IL | $685.80 | $1,143 | $176.19 | 3.9× |
| St. Luke's Hospital | Chesterfield, MO | $687 | $1,145 | $176.19 | 3.9× |
| Southcoast Hospitals Group | Fall River, MA | $687 | $1,374 | $176.19 | 3.9× |
| Baptist Memorial Hospital-Attala | Kosciusko, MS | $690.80 | $1,570 | $176.19 | 3.9× |
| MultiCare Auburn Medical Center | Auburn, WA | $694 | $1,735 | $176.19 | 3.9× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $694 | $1,735 | $176.19 | 3.9× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $694 | $1,735 | $176.19 | 3.9× |
| MultiCare Covington Medical Center | Covington, WA | $694 | $1,735 | $176.19 | 3.9× |
| Mary Bridge Children's Hospital | Tacoma, WA | $694 | $1,735 | $176.19 | 3.9× |
| MetroWest Medical Center | Framingham, MA | $696.75 | $929 | $176.19 | 4.0× |
| Southeast Colorado Hospital | Springfield, CO | $702 | $878 | $176.19 | 4.0× |
| Copper Queen Community Hospital | Bisbee, AZ | $704 | $880 | $176.19 | 4.0× |
| Stamford Hospital | Stamford, CT | $704.76 | $704.76 | $176.19 | 4.0× |
| Astria Sunnyside Hospital | Sunnyside, WA | $705.66 | $1,238 | $176.19 | 4.0× |
| Baptist Memorial Hospital-Leake | Carthage, MS | $706.50 | $1,570 | $176.19 | 4.0× |
| Centerpoint Health – Winchester | Winchester, KY | $709.81 | $1,774.52 | $176.19 | 4.0× |
| Clay County Memorial Hospital | Henrietta, TX | $714 | $1,020 | $176.19 | 4.1× |
| Our Lady of Lourdes Memorial Hospital, Inc | Binghamton, NY | $727.28 | $1,454.55 | $176.19 | 4.1× |
| Hereford Regional Medical Center | Hereford, TX | $731.16 | $731.16 | $176.19 | 4.1× |
| Lahey Hospital & Medical Center | Burlington, MA | $734 | $734 | $176.19 | 4.2× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $742.30 | $1,142 | $176.19 | 4.2× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $742.30 | $1,142 | $176.19 | 4.2× |
| Cleveland Clinic Hospital | Weston, FL | $742.30 | $1,142 | $176.19 | 4.2× |
| Unity Hospital of Rochester | Rochester, NY | $750.86 | $938.58 | $176.19 | 4.3× |
| Unity Specialty Hospital | Rochester, NY | $750.86 | $938.58 | $176.19 | 4.3× |
| Catholic Medical Center | Manchester, NH | $751 | $751 | $176.19 | 4.3× |
| Cambridge Health Alliance | Cambridge, MA | $755.10 | $755.10 | $176.19 | 4.3× |
| The Physicians' Hospital in Anadarko | Anadarko, OK | $756.13 | $1,260.21 | $176.19 | 4.3× |
| Rural Wellness Stroud Hospital | Stroud, OK | $756.13 | $1,260.21 | $176.19 | 4.3× |
| Rural Wellness Fairfax Hospital | Fairfax, OK | $756.13 | $1,260.21 | $176.19 | 4.3× |
| Boone County Hospital | Boone, IA | $763 | $953.75 | $176.19 | 4.3× |
| Baton Rouge General - Bluebonnet | Baton Rouge, LA | $766.85 | $1,095.50 | $176.19 | 4.4× |
| Baton Rouge General - Mid City | Baton Rouge, LA | $766.85 | $1,095.50 | $176.19 | 4.4× |
| ThedaCare Regional Medical Center - Neenah Inc | Neenah, WI | $780.86 | $1,394.40 | $176.19 | 4.4× |
| ThedaCare Regional Medical Center - Appleton Inc | Appleton, WI | $780.86 | $1,394.40 | $176.19 | 4.4× |
| ThedaCare Medical Center - Wild Rose Inc | Wild Rose, WI | $780.86 | $1,394.40 | $176.19 | 4.4× |
| ThedaCare Medical Center New London | New London, WI | $780.86 | $1,394.40 | $176.19 | 4.4× |
| ThedaCare Medical Center - Waupaca Inc | Waupaca, WI | $780.86 | $1,394.40 | $176.19 | 4.4× |
| ThedaCare Medical Center - Shawano Inc | Shawano, WI | $780.86 | $1,394.40 | $176.19 | 4.4× |
| ThedaCare Medical Center - Berlin Inc | Berlin, WI | $780.86 | $1,394.40 | $176.19 | 4.4× |
| Sullivan County Community Hospital | Sullivan, IN | $786.38 | $1,048.50 | $176.19 | 4.5× |
| Union Hospital | Dover, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Akron General | Akron, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Mercy Hospital | Canton, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Fairview Hospital | Cleveland, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Euclid Hospital | Euclid, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Lutheran Hospital | Cleveland, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Medina Hospital | Medina, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Marymount Hospital | Garfield Heights, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| South Pointe Hospital | Warrensville Heights, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Cleveland Clinic | Cleveland, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Hillcrest Hospital | Mayfield Heights, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| Cleveland Clinic Avon Hospital | Avon, OH | $790.40 | $1,216 | $176.19 | 4.5× |
| TriHealth Clinton Regional Hospital | Wilmington, OH | $800.75 | $1,601.50 | $176.19 | 4.5× |
| Portneuf Medical Center | Pocatello, ID | $801.60 | $1,336 | $176.19 | 4.5× |
| Emory Hospital Warner Robins | Warner Robins, GA | $811 | $811 | $176.19 | 4.6× |
| Emory Hospital Perry | Perry, GA | $811 | $811 | $176.19 | 4.6× |
| Texas Health Hospital Frisco | Frisco, TX | $814.20 | $1,357 | $176.19 | 4.6× |
| Saint James Hospital | Pontiac, IL | $816 | $1,020 | $176.19‡ | 4.6× |
| Osf Saint Paul Medical Center | Mendota, IL | $816 | $1,020 | $176.19‡ | 4.6× |
| Osf Holy Family Medical Center | Monmouth, IL | $816 | $1,020 | $176.19‡ | 4.6× |
| Osf Saint Luke Medical Center | Kewanee, IL | $816 | $1,020 | $176.19‡ | 4.6× |
| Osf Saint Clare Medical Center | Princeton, IL | $816 | $1,020 | $176.19‡ | 4.6× |
| OSF St. Francis Hospital | Escanaba, MI | $816 | $1,020 | $176.19‡ | 4.6× |
| Western Reserve Hospital | Cuyahoga Falls, OH | $816.20 | $1,484 | $176.19 | 4.6× |
| Baptist Memorial Hospital-Calhoun | Calhoun City, MS | $816.40 | $1,570 | $176.19 | 4.6× |
| River Hospital | Alexandria Bay, NY | $823.40 | $1,001.45 | $176.19 | 4.7× |
| Astria Toppenish Hospital | Toppenish, WA | $828.75 | $1,275 | $176.19 | 4.7× |
| Lake Cumberland Regional Hospital | Somerset, KY | $844.40 | $2,111 | $176.19 | 4.8× |
| HCA Healthcare Colleton Hospital | Walterboro, SC | $845 | $845 | $176.19 | 4.8× |
| Grady Memorial Hospital | Atlanta, GA | $850 | $850 | $176.19 | 4.8× |
| Wesley Medical Center | Wichita, KS | $859 | $859 | $176.19 | 4.9× |
| Mayo Clinic Hospital - Rochester | Rochester, MN | $869.53 | $977 | $176.19 | 4.9× |
| The University of Chicago Medical Center | Chicago, IL | $880 | $880 | $176.19 | 5.0× |
| Baptist Health Hardin | Elizabethtown, KY | $880.74 | $1,174.32 | $176.19 | 5.0× |
| Baptist Health Richmond | Richmond, KY | $880.74 | $1,174.32 | $176.19 | 5.0× |
| Baptist Health Corbin | Corbin, KY | $880.74 | $1,174.32 | $176.19 | 5.0× |
| Baptist Health Lexington | Lexington, KY | $880.74 | $1,174.32 | $176.19 | 5.0× |
| Baptist Health Paducah | Paducah, KY | $880.74 | $1,174.32 | $176.19 | 5.0× |
| Baptist Health Louisville | Louisville, KY | $880.74 | $1,174.32 | $176.19 | 5.0× |
| Baptist Health La Grange | La Grange, KY | $880.74 | $1,174.32 | $176.19 | 5.0× |
| Baptist Health Floyd | New Albany, IN | $880.74 | $1,174.32 | $176.19 | 5.0× |
| Mercy Health System Corp | Janesville, WI | $896.40 | $1,195.20 | $176.19 | 5.1× |
| Mercy Walworth Hospital & Medical Center | Lake Geneva, WI | $896.40 | $1,195.20 | $176.19 | 5.1× |
| Martin County Hospital District | Stanton, TX | $900 | $900 | $176.19 | 5.1× |
| Carson Tahoe Regional Medical Center | Carson City, NV | $901.31 | $1,287.59 | $176.19 | 5.1× |
| Community Memorial Hospital, Inc | Hamilton, NY | $961.39 | $1,201.74 | $176.19 | 5.5× |
| Hansford County Hospital | Spearman, TX | $968 | $1,290 | $176.19 | 5.5× |
| UPMC Chautauqua at WCA | Jamestown, NY | $972.60 | $1,621 | $176.19 | 5.5× |
| Texas Orthopedic Hospital | Houston, TX | $987 | $987 | $176.19 | 5.6× |
| Avera McKennan Hospital & University Health Center | Sioux Falls, SD | $995.40 | $1,106 | $176.19 | 5.6× |
| Carondelet St. Mary's Hospital | Tucson, AZ | $996.75 | $1,329 | $176.19 | 5.7× |
| Carondelet St. Joseph's Hospital | Tucson, AZ | $996.75 | $1,329 | $176.19 | 5.7× |
| Holy Cross Hospital | Nogales, AZ | $996.75 | $1,329 | $176.19 | 5.7× |
| MultiCare Capital Medical Center | Olympia, WA | $1,001.60 | $2,504 | $176.19 | 5.7× |
| McLeod Health Dillon | Dillon, SC | $1,086.30 | $1,530 | $176.19 | 6.2× |
| McLeod Regional Medical Center | Florence, SC | $1,086.30 | $1,530 | $176.19 | 6.2× |
| McLeod Health Loris | Loris, SC | $1,086.30 | $1,530 | $176.19 | 6.2× |
| McLeod Health Cheraw | Cheraw, SC | $1,086.30 | $1,530 | $176.19 | 6.2× |
| McLeod Health Clarendon | Manning, SC | $1,086.30 | $1,530 | $176.19 | 6.2× |
| UMass Memorial Health–Milford Regional Medical Center | Milford, MA | $1,088 | $1,088 | $176.19 | 6.2× |
| The Hospitals of Providence Transmountain Campus | El Paso, TX | $1,097.25 | $1,463 | $176.19 | 6.2× |
| Emerson Hospital | West Concord, MA | $1,132.50 | $1,510 | $176.19 | 6.4× |
| Guthrie Cortland Regional Medical Center | Cortland, NY | $1,163.64 | $1,454.55 | $176.19 | 6.6× |
| Corning Hospital | Corning, NY | $1,163.64 | $1,454.55 | $176.19 | 6.6× |
| Genesis Hospital | Zanesville, OH | $1,186.92 | $1,978.20 | $176.19 | 6.7× |
| Catawba Valley Medical Center | Hickory, NC | $1,200 | $2,000 | $176.19 | 6.8× |
| Willis Knighton North range across 2 matching MRF lines |
Shreveport, LA | $1,208.16–$1,400 | $1,510.20–$1,750 | $176.19 | varies |
| Amberwell Hiawatha | Hiawatha, KS | $1,213 | $1,213 | $176.19 | 6.9× |
| Amberwell Atchison Association | Atchison, KS | $1,213 | $1,213 | $176.19 | 6.9× |
| Speare Memorial Hospital | Plymouth, NH | $1,218.30 | $1,965 | $176.19 | 6.9× |
| TidalHealth Nanticoke | Seaford, DE | $1,258.50 | $1,258.50 | $176.19 | 7.1× |
| Sierra Medical Center | El Paso, TX | $1,287.75 | $1,717 | $176.19 | 7.3× |
| Eskenazi Health | Indianapolis, IN | $1,383.30 | $1,537 | $176.19 | 7.9× |
| Manchester Memorial Hospital | Manchester, CT | $1,510.20 | $1,510.20 | $176.19 | 8.6× |
| Bon Secours Community Hospital | Port Jervis, NY | $1,602 | $1,602 | $176.19 | 9.1× |
| Good Samaritan Hospital of Suffern | Suffern, NY | $1,602 | $1,602 | $176.19 | 9.1× |
| St. Anthony Community Hospital | Warwick, NY | $1,602 | $1,602 | $176.19 | 9.1× |
| Westchester Medical Center | Valhalla, NY | $1,602 | $1,602 | $176.19 | 9.1× |
| Milbank Area Hospital/avera Health | Milbank, SD | $1,649.97 | $1,701 | $176.19 | 9.4× |
| Avera Queen of Peace | Mitchell, SD | $1,649.97 | $1,701 | $176.19 | 9.4× |
| Coteau Des Prairies Health Care System | Sisseton, SD | $1,673 | $1,673 | $176.19 | 9.5× |
| Mille Lacs Health System | Onamia, MN | $1,689.10 | $2,413 | $176.19 | 9.6× |
| Eastern Plumas Hospital - Portola Campus | Portola, CA | $1,689.60 | $2,112 | $176.19 | 9.6× |
| Platte Health Center | Platte, SD | $1,954 | $1,954 | $176.19 | 11.1× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $2,189.50 | $4,379 | $176.19 | 12.4× |
| Acadia St. Landry Hospital | Church Point, LA | $2,265.30 | $3,020.40 | $176.19 | 12.9× |
| StoneSprings Hospital Center | Dulles, VA | $2,806.92 | $2,806.92 | $176.19 | 15.9× |
| The Hospitals of Providence Memorial Campus | El Paso, TX | $3,525.75 | $4,701 | $176.19 | 20.0× |
| The Hospitals of Providence East Campus | El Paso, TX | $4,092.75 | $5,457 | $176.19 | 23.2× |
| Avera Granite Falls | Granite Falls, MN | $4,239.87 | $4,371 | $176.19 | 24.1× |
| Avera Tyler Hospital | Tyler, MN | $4,239.87 | $4,371 | $176.19 | 24.1× |
| Avera Marshall Regional Medical Center | Marshall, MN | $4,239.87 | $4,371 | $176.19 | 24.1× |
| Erie County Medical Center | Buffalo, NY | — | $247.21 | $176.19 | — |
| UAB Hospital range across 3 matching MRF lines |
Birmingham, AL | — | $249–$622 | $176.19 | — |
| White Plains Hospital Center | White Plains, NY | — | $486 | $176.19 | — |
| Montefiore Medical Center | Bronx, NY | — | $507 | $176.19 | — |
| Nyack Hospital | Nyack, NY | — | $608 | $176.19 | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $643.53 | $176.19 | — |
| Stormont Vail Hospital | Topeka, KS | — | $660.87 | $176.19 | — |
| Ohio State University Hospitals | Columbus, OH | — | $893 | $176.19 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $893 | $176.19 | — |
| Mount San Rafael Hospital | Trinidad, CO | — | $1,583 | $176.19 | — |
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.