L/s ratio (CPT 83661)
83661 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.
1037 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | $1.54 | $21.99 | $21.99 | 0.1× |
| Baptist Hospital range across 2 matching MRF lines |
Pensacola, FL | $4.95–$5.25 | $33–$35 | $21.99 | varies |
| Gulf Breeze Hospital | Gulf Breeze, FL | $4.95 | $33 | $21.99 | 0.2× |
| Baptist Beaumont Hospital | Beaumont, TX | $6.37 | $49 | $21.99 | 0.3× |
| Good Samaritan Medical Center range across 4 matching MRF lines |
West Palm Beach, FL | $7.20–$684.75 | $9.60–$913 | $21.99 | varies |
| St. Mary's Medical Center range across 3 matching MRF lines |
West Palm Beach, FL | $7.20–$753 | $9.60–$1,004 | $21.99 | varies |
| Florida Coast Medical Center | Port St. Lucie, FL | $7.20 | $9.60 | $21.99 | 0.3× |
| Glendale Adventist Medical Center | Glendale, CA | $7.50 | $50 | $21.99 | 0.3× |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $8 | $8 | $21.99 | 0.4× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $8 | $8 | $21.99 | 0.4× |
| HCA Florida Oak Hill Hospital | Brooksville, FL | $8 | $8 | $21.99 | 0.4× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $8.63 | $8.63 | $21.99 | 0.4× |
| Manatee Memorial Hospital range across 2 matching MRF lines |
Bradenton, FL | $9.20–$322.80 | $23–$807 | $21.99 | varies |
| Lakewood Ranch Medical Center range across 2 matching MRF lines |
Bradenton, FL | $9.20–$322.80 | $23–$807 | $21.99 | varies |
| Ochsner Acadia General Hospital | Crowley, LA | $9.43 | $41 | $21.99 | 0.4× |
| East Jefferson General Hospital | Metairie, LA | $9.94 | $71 | $21.99 | 0.5× |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach, FL | $10.50 | $10.50 | $21.99 | 0.5× |
| West Jefferson Medical Center | Marrero, LA | $11.36 | $71 | $21.99 | 0.5× |
| HCA Florida Brandon Hospital | Brandon, FL | $11.55 | $11.55 | $21.99 | 0.5× |
| John F Kennedy Memorial Hospital | Indio, CA | $11.99 | $15.99 | $21.99 | 0.5× |
| DMC Sinai-Grace Hospital | Detroit, MI | $12 | $16 | $21.99 | 0.5× |
| Roseland Community Hospital | Chicago, IL | $12.17 | $68 | $21.99 | 0.6× |
| Adventist Health and Rideout | Marysville, CA | $12.54 | $57 | $21.99 | 0.6× |
| Children's Hospital of Michigan | Detroit, MI | $12.75 | $17 | $21.99 | 0.6× |
| University Medical Center of El Paso range across 2 matching MRF lines |
El Paso, TX | $12.94–$40.75 | $64.68–$203.73 | $21.99 | varies |
| Singing River Gulfport | Gulfport, MS | $13.60 | $68 | $21.99 | 0.6× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $14.52 | $66 | $21.99 | 0.7× |
| San Gabriel Valley Medical Center | San Gabriel, CA | $15 | $50 | $21.99 | 0.7× |
| Unity Health - White County Medical Center | Searcy, AR | $15.25 | $61 | $21.99 | 0.7× |
| Unity Health - Jacksonville | Jacksonville, AR | $15.25 | $61 | $21.99 | 0.7× |
| Unity Health - Newport | Newport, AR | $15.25 | $61 | $21.99 | 0.7× |
| Adventist Health Hanford | Hanford, CA | $16.08 | $84.64 | $21.99 | 0.7× |
| Adventist Health Reedley | Reedley, CA | $16.08 | $84.64 | $21.99 | 0.7× |
| Adventist Health Tulare range across 2 matching MRF lines |
Tulare, CA | $16.08–$17.10 | $84.64–$90 | $21.99 | varies |
| HCA Florida Largo Hospital | Largo, FL | $16.29 | $16.29 | $21.99 | 0.7× |
| Glendale Mem Hospital & Hlth Center | Glendale, CA | $16.30 | $50 | $21.99 | 0.7× |
| Firelands Regional Medical Center range across 4 matching MRF lines |
Sandusky, OH | $16.49–$218.30 | $16.49–$218.30 | $21.99 | varies |
| St. Bernardine Medical Center | San Bernardino, CA | $16.65 | $50 | $21.99 | 0.8× |
| Oak Valley Hospital District | Oakdale, CA | $17 | $22.66 | $21.99 | 0.8× |
| Wellington Regional Medical Center range across 2 matching MRF lines |
Wellington, FL | $18–$1,395.75 | $24–$1,861 | $21.99 | varies |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $18.75 | $18.75 | $21.99 | 0.9× |
| West Boca Medical Center range across 2 matching MRF lines |
Boca Raton, FL | $18.75–$112.50 | $25–$150 | $21.99 | varies |
| Adventist Health White Memorial | Los Angeles, CA | $19.13 | $106.27 | $21.99 | 0.9× |
| Adventist Health White Memorial Montebello | Montebello, CA | $19.13 | $106.27 | $21.99 | 0.9× |
| Community Hospital of San Bernardino | San Bernardino, CA | $19.55 | $50 | $21.99 | 0.9× |
| Memorial Regional Hospital | Hollywood, FL | $19.60 | $28 | $21.99 | 0.9× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $19.60 | $28 | $21.99 | 0.9× |
| Memorial Hospital West | Pembroke Pines, FL | $19.60 | $28 | $21.99 | 0.9× |
| Memorial Hospital Miramar | Miramar, FL | $19.60 | $28 | $21.99 | 0.9× |
| El Paso Children's Hospital | El Paso, TX | $20.40 | $102 | $21.99 | 0.9× |
| Pascagoula Hospital | Pascagoula, MS | $20.40 | $68 | $21.99 | 0.9× |
| WakeMed Raleigh Campus range across 2 matching MRF lines |
Raleigh, NC | $20.52–$60.80 | $54–$160 | $21.99 | varies |
| WakeMed Cary Hospital range across 2 matching MRF lines |
Cary, NC | $20.52–$60.80 | $54–$160 | $21.99 | varies |
| Knapp Medical Center | Weslaco, TX | $21 | $192 | $21.99 | 1.0× |
| Mission Regional Medical Center | Mission, TX | $21 | $239.82 | $21.99 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $21 | $1,779 | $21.99 | 1.0× |
| Harlingen Medical Center | Harlingen, TX | $21 | $375 | $21.99 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $21 | $368.29 | $21.99 | 1.0× |
| Coosa Valley Medical Center range across 3 matching MRF lines |
Sylacauga, AL | $21–$29 | $88–$120 | $21.99 | varies |
| North Vista Hospital | North Las Vegas, NV | $21 | $368.29 | $21.99 | 1.0× |
| Saint Mary's Regional Medical Center | Reno, NV | $21 | $280 | $21.99 | 1.0× |
| Paradise Valley Hospital | National City, CA | $21 | $250 | $21.99 | 1.0× |
| Saint Francis Medical Center | Lynwood, CA | $21 | $24.30 | $21.99 | 1.0× |
| Garden Grove Hospital & Medical Center | Garden Grove, CA | $21 | $59.80 | $21.99 | 1.0× |
| West Anaheim Medical Center | Anaheim, CA | $21 | $59.80 | $21.99 | 1.0× |
| Huntington Beach Hospital | Huntington Beach, CA | $21 | $59.80 | $21.99 | 1.0× |
| La Palma Intercommunity Hospital | La Palma, CA | $21 | $59.80 | $21.99 | 1.0× |
| Centinela Hospital Medical Center range across 2 matching MRF lines |
Inglewood, CA | $21 | $13.93–$22.71 | $21.99 | 1.0× |
| Saint Joseph Medical Center | Joliet, IL | $21 | $228 | $21.99 | 1.0× |
| Coshocton Regional Medical Center | Coshocton, OH | $21 | $79 | $21.99 | 1.0× |
| Lake Huron Medical Center | Port Huron, MI | $21 | $123 | $21.99 | 1.0× |
| Garden City Hospital | Garden City, MI | $21 | $123 | $21.99 | 1.0× |
| St. Mary Medical Center | Long Beach, CA | $21.50 | $50 | $21.99 | 1.0× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $21.55 | $53.87 | $21.99 | 1.0× |
| Ascension Sacred Heart Bay | Panama City, FL | $21.55 | $53.87 | $21.99 | 1.0× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $21.55 | $53.87 | $21.99 | 1.0× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $21.55 | $53.87 | $21.99 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $21.99 | — | $21.99 | 1.0× |
| Griffin Hospital | Derby, CT | $21.99 | — | $21.99 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $21.99 | — | $21.99 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Bellevue Hospital Center | New York, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Harlem Hospital Center | New York, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $21.99 | $80.62 | $21.99 | 1.0× |
| Summa Health System range across 4 matching MRF lines |
Akron, OH | $21.99–$230.50 | $21.99–$230.50 | $21.99 | varies |
| Oakdale Community Hospital | Oakdale, LA | $22 | $110 | $21.99 | 1.0× |
| Albany Medical Center Hospital | Albany, NY | $22 | $44 | $21.99 | 1.0× |
| Glens Falls Hospital | Glens Falls, NY | $22 | $44 | $21.99 | 1.0× |
| Springhill Medical Center | Springhill, LA | $22.43 | $65.97 | $21.99 | 1.0× |
| HCA Florida North Florida Hospital | Gainesville, FL | $23.54 | $23.54 | $21.99 | 1.1× |
| The Hospital at Westlake Medical Center | Austin, TX | $24.19 | $160.45 | $21.99 | 1.1× |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr range across 3 matching MRF lines |
San Diego, CA | $24.75–$140.25 | $45–$255 | $21.99 | varies |
| Valleywise Health Medical Center | Phoenix, AZ | $25.29 | $170 | $21.99 | 1.2× |
| Russell Medical range across 2 matching MRF lines |
Alexander City, AL | $25.38–$33.39 | $70.50–$92.75 | $21.99 | varies |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $25.50 | $85 | $21.99 | 1.2× |
| Monroe County Hospital range across 2 matching MRF lines |
Monroeville, AL | $25.60–$124.80 | $64–$312 | $21.99 | varies |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $26.39 | — | $21.99 | 1.2× |
| Long Island Community Hospital | Patchogue, NY | $26.39 | $130.59 | $21.99 | 1.2× |
| NYU Langone Hospitals | New York, NY | $26.39 | $130.59 | $21.99 | 1.2× |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | $26.53 | $125 | $21.99 | 1.2× |
| Vaughan Regional Medical Center | Selma, AL | $26.86 | $76.75 | $21.99 | 1.2× |
| Flowers Hospital | Dothan, AL | $26.88 | $179.19 | $21.99 | 1.2× |
| Hurley Medical Center range across 3 matching MRF lines |
Flint, MI | $27–$198.50 | $27–$198.50 | $21.99 | varies |
| Nocona General Hospital range across 2 matching MRF lines |
Nocona, TX | $27.85 | $95–$325 | $21.99 | 1.3× |
| Lima Memorial Health System range across 2 matching MRF lines |
Lima, OH | $27.90–$46.80 | $31–$52 | $21.99 | varies |
| New York Community Hospital of Brooklyn, Inc. | Brooklyn, NY | $28.45 | $28.45 | $21.99 | 1.3× |
| Summit Medical Center, LLC | Edmond, OK | $28.59 | — | $21.99 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $28.59 | — | $21.99 | 1.3× |
| Sarasota Memorial Hospital | Sarasota, FL | $28.80 | $72 | $21.99 | 1.3× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $28.80 | $72 | $21.99 | 1.3× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $29 | $58 | $21.99 | 1.3× |
| Saratoga Hospital | Saratoga Springs, NY | $29 | $58 | $21.99 | 1.3× |
| Covenant HealthCare | Saginaw, MI | $29.06 | $41.51 | $21.99 | 1.3× |
| J.W. Ruby Memorial Hospital range across 2 matching MRF lines |
Morgantown, WV | $29.50–$247.50 | $59–$495 | $21.99 | varies |
| Boone County Hospital range across 2 matching MRF lines |
Boone, IA | $29.60–$137.21 | $37–$171.51 | $21.99 | varies |
| Pacifica Hospital of the Valley range across 3 matching MRF lines |
Sun Valley, CA | $30–$123 | $30–$123 | $21.99 | varies |
| Northwest Community Hospital 1 range across 2 matching MRF lines |
Arlington Heights, IL | $30–$128 | $30–$128 | $21.99 | varies |
| Holland Hospital | Holland, MI | $30 | $50 | $21.99 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $30.35 | — | $21.99 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $30.35 | $90.59 | $21.99 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $30.35 | — | $21.99 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $30.35 | $90.59 | $21.99 | 1.4× |
| Iu Health Bloomington Hospital | Bloomington, IN | $30.78 | $125 | $21.99 | 1.4× |
| Uci Health-orange | Orange, CA | $30.80 | $77 | $21.99‡ | 1.4× |
| Indiana University Health Arnett Hospital | Lafayette, IN | $31.24 | $125 | $21.99 | 1.4× |
| North Texas Medical Center | Gainesville, TX | $32 | $128 | $21.99 | 1.5× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $32.34 | $147 | $21.99 | 1.5× |
| Doctors Memorial Hospital | Perry, FL | $32.40 | $81 | $21.99 | 1.5× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $33 | $33 | $21.99 | 1.5× |
| Columbia Memorial Hospital | Hudson, NY | $33 | $66 | $21.99 | 1.5× |
| Oroville Hospital range across 2 matching MRF lines |
Oroville, CA | $33–$38 | $65–$76 | $21.99 | varies |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $33.30 | $74 | $21.99 | 1.5× |
| Palomar Health Downtown Campus | Escondido, CA | $33.60 | $56 | $21.99 | 1.5× |
| Palomar Medical Center Poway | Poway, CA | $33.60 | $56 | $21.99 | 1.5× |
| Henry Ford Rochester Hospital range across 3 matching MRF lines |
Rochester, MI | $34.31–$71.44 | $73–$152 | $21.99 | varies |
| Riverside University Health System-medical Center | Moreno Valley, CA | $34.62 | $34.62 | $21.99 | 1.6× |
| Tucson Medical Center range across 3 matching MRF lines |
Tucson, AZ | $35.28–$139.72 | $126–$499 | $21.99 | varies |
| Dunes Surgical Hospital | Dakota Dunes, SD | $35.33 | — | $21.99 | 1.6× |
| Indiana University Health | Indianapolis, IN | $35.49 | $125 | $21.99 | 1.6× |
| Indiana University Health Bedford Hospital | Bedford, IN | $35.69 | $125 | $21.99 | 1.6× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $36.14 | $139 | $21.99 | 1.6× |
| Cape Fear Valley Medical Center range across 2 matching MRF lines |
Fayetteville, NC | $36.65–$296.40 | $61.08–$494 | $21.99 | varies |
| Cape Fear Valley Betsy Johnson Hospital range across 2 matching MRF lines |
Dunn, NC | $36.65–$296.40 | $61.08–$494 | $21.99 | varies |
| Cape Fear Valley Hoke Hospital range across 2 matching MRF lines |
Raeford, NC | $36.65–$296.40 | $61.08–$494 | $21.99 | varies |
| Cape Fear Valley Bladen County Hospital range across 2 matching MRF lines |
Elizabethtown, NC | $36.65–$296.40 | $61.08–$494 | $21.99 | varies |
| Lucile Salter Packard Children's Hsp at Stanford | Palo Alto, CA | $36.75 | $73.51 | $21.99 | 1.7× |
| Cox Medical Center Branson | Branson, MO | $37.43 | $164.91 | $21.99 | 1.7× |
| Hancock County Hospital | Sneedville, TN | $37.72 | $164 | $21.99 | 1.7× |
| MultiCare Auburn Medical Center | Auburn, WA | $38 | $95 | $21.99 | 1.7× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $38 | $95 | $21.99 | 1.7× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $38 | $95 | $21.99 | 1.7× |
| MultiCare Covington Medical Center | Covington, WA | $38 | $95 | $21.99 | 1.7× |
| Mary Bridge Children's Hospital | Tacoma, WA | $38 | $95 | $21.99 | 1.7× |
| Barnes-Jewish Hospital | St. Louis, MO | $38.40 | $64 | $21.99 | 1.7× |
| Jefferson County Hospital range across 2 matching MRF lines |
Waurika, OK | $38.50–$135.48 | $109.70–$386 | $21.99 | varies |
| John H Stroger Jr Hospital | Chicago, IL | $38.50 | $55 | $21.99 | 1.8× |
| Provident Hospital of Chicago | Chicago, IL | $38.50 | $55 | $21.99 | 1.8× |
| Bristol Regional Medical Center | Bristol, TN | $38.55 | $257 | $21.99 | 1.8× |
| Holston Valley Medical Center | Kingsport, TN | $38.55 | $257 | $21.99 | 1.8× |
| Hawkins County Memorial Hospital | Rogersville, TN | $38.55 | $257 | $21.99 | 1.8× |
| Greeneville Community Hospital | Greeneville, TN | $38.55 | $257 | $21.99 | 1.8× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $38.55 | $257 | $21.99 | 1.8× |
| Indiana University Health White Memorial Hospital | Monticello, IN | $38.98 | $125 | $21.99 | 1.8× |
| Blue Ridge Medical Center range across 4 matching MRF lines |
Blue Ridge, GA | $39.54–$525.84 | $65.91–$876.41 | $21.99 | varies |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $40.32 | $126 | $21.99 | 1.8× |
| Niagara Falls Memorial Medical Center range across 2 matching MRF lines |
Niagara Falls, NY | $40.66–$63.29 | $58.08–$90.42 | $21.99 | varies |
| Torrance Memorial Medical Center | Torrance, CA | $41 | $50 | $21.99 | 1.9× |
| Avoyelles Hospital | Marksville, LA | $41.10 | $137 | $21.99 | 1.9× |
| Gadsden Regional Medical Center | Gadsden, AL | $41.16 | $342.98 | $21.99 | 1.9× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $41.18 | $142 | $21.99 | 1.9× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $41.18 | $142 | $21.99 | 1.9× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $41.18 | $142 | $21.99 | 1.9× |
| UofL Health – UofL Hospital | Louisville, KY | $41.28 | $172 | $21.99 | 1.9× |
| Cox Medical Centers | Springfield, MO | $41.56 | $164.91 | $21.99 | 1.9× |
| Park Nicollet Methodist Hospital | Saint Louis Park, MN | $42.12 | $162 | $21.99 | 1.9× |
| Nathan Littauer Hospital | Gloversville, NY | $42.43 | $53.04 | $21.99 | 1.9× |
| Andalusia Health range across 2 matching MRF lines |
Andalusia, AL | $42.52–$118.70 | $121.50–$339.15 | $21.99 | varies |
| Garnet Health Medical Center | Middletown, NY | $42.75 | $171 | $21.99 | 1.9× |
| Parkland Memorial Hospital range across 3 matching MRF lines |
Dallas, TX | $42.80–$424.40 | $107–$1,061 | $21.99 | varies |
| Scheurer Health - Pigeon | Pigeon, MI | $42.90 | $66 | $21.99 | 2.0× |
| Rapides Regional Medical Center range across 2 matching MRF lines |
Alexandria, LA | $44–$133 | $44–$133 | $21.99 | varies |
| Wellstar West Georgia Medical Center range across 2 matching MRF lines |
LaGrange, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| Wellstar Spalding Medical Center range across 2 matching MRF lines |
Griffin, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| Wellstar MCG Health Medical Center range across 2 matching MRF lines |
Augusta, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| Wellstar Kennestone Regional Medical Center range across 2 matching MRF lines |
Marietta, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| Wellstar Paulding Medical Center range across 2 matching MRF lines |
Hiram, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| Wellstar Cobb Medical Center range across 2 matching MRF lines |
Austell, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| Wellstar Douglas Medical Center range across 2 matching MRF lines |
Douglasville, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| Wellstar North Fulton Medical Center range across 2 matching MRF lines |
Roswell, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| Wellstar Sylvan Grove Medical Center range across 2 matching MRF lines |
Jackson, GA | $44.85–$476.19 | $115–$1,221 | $21.99 | varies |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $46 | $115 | $21.99 | 2.1× |
| Good Samaritan Hospital | San Jose, CA | $46.75 | $46.75 | $21.99 | 2.1× |
| Huntsville Memorial Hospital | Huntsville, TX | $47 | $187 | $21.99 | 2.1× |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | $47.08 | $125 | $21.99 | 2.1× |
| Duncan Regional Hospital, Inc range across 2 matching MRF lines |
Duncan, OK | $47.10 | $143–$503 | $21.99 | 2.1× |
| Progressive Health of Batesville | Batesville, MS | $47.19 | $121.02 | $21.99 | 2.1× |
| Indiana University Health Paoli Hospital | Paoli, IN | $47.96 | $125 | $21.99 | 2.2× |
| Riverside Community Hospital | Riverside, CA | $48 | $48 | $21.99 | 2.2× |
| Southwest Arkansas Regional Medical Center | Hope, AR | $48.41 | $121.02 | $21.99 | 2.2× |
| Legacy Salmon Creek Medical Center range across 4 matching MRF lines |
Vancouver, WA | $48.50–$253.50 | $74.61–$390 | $21.99 | varies |
| Legacy Emanuel Medical Center range across 4 matching MRF lines |
Portland, OR | $48.50–$253.50 | $74.61–$390 | $21.99 | varies |
| Legacy Good Samaritan Medical Center range across 4 matching MRF lines |
Portland, OR | $48.50–$253.50 | $74.61–$390 | $21.99 | varies |
| Legacy Mount Hood Medical Center range across 4 matching MRF lines |
Gresham, OR | $48.50–$253.50 | $74.61–$390 | $21.99 | varies |
| Legacy Silverton Medical Center | Silverton, OR | $48.50 | $74.61 | $21.99 | 2.2× |
| Legacy Meridian Park Medical Center range across 4 matching MRF lines |
Tualatin, OR | $48.50–$253.50 | $74.61–$390 | $21.99 | varies |
| Henry Ford Providence Southfield Hospital range across 2 matching MRF lines |
Southfield, MI | $48.72–$49.28 | $87–$88 | $21.99 | varies |
| North Oaks Medical Center | Hammond, LA | $48.94 | $551 | $21.99 | 2.2× |
| Pemiscot Memorial Hospital | Hayti, MO | $49 | $70 | $21.99 | 2.2× |
| Marion General Hospital range across 2 matching MRF lines |
Columbia, MS | $49.61–$60.75 | $248.05–$303.71 | $21.99 | varies |
| Highland Community Hospital range across 2 matching MRF lines |
Picayune, MS | $49.61–$60.75 | $248.05–$303.71 | $21.99 | varies |
| Virginia Mason Medical Center | Seattle, WA | $49.98 | $98 | $21.99 | 2.3× |
| Ahmc Anaheim Regional Medical Center range across 2 matching MRF lines |
Anaheim, CA | $50–$234 | $50–$234 | $21.99 | varies |
| Pomona Valley Hospital Medical Center range across 2 matching MRF lines |
Pomona, CA | $50–$136 | — | $21.99 | varies |
| Greater El Monte Community Hospital range across 2 matching MRF lines |
South El Monte, CA | $50–$67.50 | $50–$67.50 | $21.99 | varies |
| Cox Monett Hospital | Monett, MO | $50.30 | $164.91 | $21.99 | 2.3× |
| Indiana University Health Frankfort Inc | Frankfort, IN | $50.48 | $125 | $21.99 | 2.3× |
| University Medical Center New Orleans | New Orleans, LA | $50.60 | $230 | $21.99 | 2.3× |
| Dignity Health St. Joseph's Hospital and Medical Center | Phoenix, AZ | $51.19 | $134 | $21.99 | 2.3× |
| Henry Ford St. John Hospital | Detroit, MI | $51.58 | $92.10 | $21.99 | 2.3× |
| Henry Ford Warren Hospital | Warren, MI | $51.58 | $92.10 | $21.99 | 2.3× |
| Henry Ford River District Hospital | East China, MI | $51.58 | $92.10 | $21.99 | 2.3× |
| Manning Family Children's | New Orleans, LA | $51.84 | $192 | $21.99 | 2.4× |
| Pampa Regional Medical Center | Pampa, TX | $52 | $278 | $21.99 | 2.4× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $52.27 | $52.27 | $21.99 | 2.4× |
| Cox Barton County Hospital | Lamar, MO | $52.61 | $164.91 | $21.99 | 2.4× |
| Willis Knighton North range across 2 matching MRF lines |
Shreveport, LA | $52.78–$370.40 | $65.97–$463 | $21.99 | varies |
| Community Hospital of Huntington Park | Huntington Park, CA | $53.50 | $53.50 | $21.99 | 2.4× |
| Memorial Hospital of Gardena | Gardena, CA | $53.50 | $53.50 | $21.99 | 2.4× |
| East Los Angeles Doctors Hospital | Los Angeles, CA | $53.50 | $53.50 | $21.99 | 2.4× |
| Coast Plaza Hospital | Norwalk, CA | $53.50 | $53.50 | $21.99 | 2.4× |
| Dignity Health Arizona General Hospital – Laveen | Laveen, AZ | $53.82 | $235 | $21.99 | 2.4× |
| MelroseWakefield Hospital | Melrose, MA | $53.90 | $77 | $21.99 | 2.5× |
| Tufts Medical Center | Boston, MA | $53.90 | $77 | $21.99 | 2.5× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $21.99 | 2.5× |
| Providence Holy Family Hospital | Spokane, WA | $54.60 | $78 | $21.99 | 2.5× |
| UCF Lake Nona Hospital | Orlando, FL | $54.80 | $54.80 | $21.99 | 2.5× |
| Starr Regional Medical Center | Athens, TN | $54.81 | $274.05 | $21.99 | 2.5× |
| HCA Florida Osceola Hospital | Kissimmee, FL | $55 | $55 | $21.99 | 2.5× |
| Anaheim Global Medical Center | Anaheim, CA | $55 | $55 | $21.99 | 2.5× |
| Orange County Global Medical Center | Santa Ana, CA | $55 | $55 | $21.99 | 2.5× |
| South Coast Global Medical Center | Santa Ana, CA | $55 | $55 | $21.99 | 2.5× |
| University of Cincinnati Medical Center, LLC range across 2 matching MRF lines |
Cincinnati, OH | $55.80–$186 | $93–$310 | $21.99 | varies |
| West Chester Hospital range across 2 matching MRF lines |
West Chester, OH | $55.80–$186 | $93–$310 | $21.99 | varies |
| Iu Health Jay | Portland, IN | $55.93 | $125 | $21.99 | 2.5× |
| Longmont United Hospital | Longmont, CO | $56.95 | $142.37 | $21.99 | 2.6× |
| St. Anthony Hospital | Lakewood, CO | $56.95 | $142.37 | $21.99 | 2.6× |
| Penrose Hospital | Colorado Springs, CO | $56.95 | $142.37 | $21.99 | 2.6× |
| St. Anthony North Health Campus | Westminster, CO | $56.95 | $142.37 | $21.99 | 2.6× |
| OrthoColorado Hospital | Lakewood, CO | $56.95 | $142.37 | $21.99 | 2.6× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $56.95 | $142.37 | $21.99 | 2.6× |
| Titus Regional Medical Center | Mount Pleasant, TX | $57 | $95 | $21.99 | 2.6× |
| Good Samaritan Hospital | Vincennes, IN | $57.60 | $96 | $21.99 | 2.6× |
| University Health Truman Medical Center | Kansas City, MO | $57.75 | $105 | $21.99 | 2.6× |
| University Health Lakewood Medical Center | Kansas City, MO | $57.75 | $105 | $21.99 | 2.6× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $57.96 | $276 | $21.99 | 2.6× |
| Dignity Health Arizona General Hospital – Mesa | Mesa, AZ | $58.05 | $235 | $21.99 | 2.6× |
| Tmc- Bonham Hospital | Bonham, TX | $59.40 | $200.20 | $21.99 | 2.7× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $60.04 | $150.10 | $21.99 | 2.7× |
| Saint Francis Hospital, Inc | Tulsa, OK | $60.04 | $150.10 | $21.99 | 2.7× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $60.04 | $150.10 | $21.99 | 2.7× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $60.04 | $150.10 | $21.99 | 2.7× |
| Mercy Hospital Durango | Durango, CO | $60.45 | $151.12 | $21.99 | 2.7× |
| Delta County Memorial Hospital | Delta, CO | $60.60 | $101 | $21.99 | 2.8× |
| SSM Health St. Anthony Hospital - Oklahoma City range across 2 matching MRF lines |
Oklahoma City, OK | $61.60–$66.55 | $112–$121 | $21.99 | varies |
| Mary Washington Hospital | Fredericksburg, VA | $62.50 | $125 | $21.99 | 2.8× |
| Stafford Hospital | Stafford, VA | $62.50 | $125 | $21.99 | 2.8× |
| HCA Florida Poinciana Hospital | Kissimmee, FL | $65.20 | $65.20 | $21.99 | 3.0× |
| Rome Memorial Hospital, Inc | Rome, NY | $65.40 | $162 | $21.99 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $65.97 | — | $21.99 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $65.97 | — | $21.99 | 3.0× |
| Watsonville Community Hospital | Watsonville, CA | $67.20 | $112 | $21.99 | 3.1× |
| Adventist Health Ukiah Valley | Ukiah, CA | $67.60 | $338 | $21.99 | 3.1× |
| Lawrence + Memorial Hospital | New London, CT | $68.04 | $189 | $21.99 | 3.1× |
| Community First Medical Center | Chicago, IL | $68.13 | $136.25 | $21.99 | 3.1× |
| St. Bernards Medical Center | Jonesboro, AR | $68.25 | $105 | $21.99 | 3.1× |
| Lake Regional Hospital | Osage Beach, MO | $68.40 | $228 | $21.99 | 3.1× |
| Mercy Health - Tiffin Hospital | Tiffin, OH | $68.40 | $114 | $21.99 | 3.1× |
| North Arkansas Regional Medical Center | Harrison, AR | $69.46 | $74.40 | $21.99 | 3.2× |
| Forrest General Hospital range across 2 matching MRF lines |
Hattiesburg, MS | $69.46–$85.04 | $248.05–$303.71 | $21.99 | varies |
| Walthall General Hospital range across 2 matching MRF lines |
Tylertown, MS | $69.46–$85.04 | $248.05–$303.71 | $21.99 | varies |
| Antelope Valley Hospital | Lancaster, CA | $71 | $71 | $21.99 | 3.2× |
| Rady Children's Hospital Orange County | Orange, CA | $71 | $71 | $21.99 | 3.2× |
| Norton Hospital | Louisville, KY | $71.60 | $358 | $21.99 | 3.3× |
| Mount Sinai Hospital | New York, NY | $72 | $80 | $21.99 | 3.3× |
| Mount Sinai West | New York, NY | $72 | $80 | $21.99 | 3.3× |
| Mount Sinai Brooklyn | Brooklyn, NY | $72 | $80 | $21.99 | 3.3× |
| Reid Health | Richmond, IN | $72.57 | $221.85 | $21.99 | 3.3× |
| CHI St. Vincent North | Sherwood, AR | $72.71 | $286 | $21.99 | 3.3× |
| Clinch Valley Medical Center | Richlands, VA | $73.26 | $183.15 | $21.99 | 3.3× |
| CHI St. Vincent Infirmary | Little Rock, AR | $73.39 | $286 | $21.99 | 3.3× |
| Los Robles Hospital & Medical Center | Thousand Oaks, CA | $73.50 | $73.50 | $21.99 | 3.3× |
| Ascension St. Vincent Evansville range across 2 matching MRF lines |
Evansville, IN | $73.80–$134.40 | $123–$224 | $21.99 | varies |
| Altru Hospital | Grand Forks, ND | $73.81 | $121 | $21.99 | 3.4× |
| Great Plains Regional Medical Center | Elk City, OK | $75.29 | $115.83 | $21.99 | 3.4× |
| Chi St. Lukes Health Memorial Lufkin | Lufkin, TX | $75.30 | $502 | $21.99 | 3.4× |
| Chi St. Lukes Health Memorial Livingston | Livingston, TX | $75.30 | $502 | $21.99 | 3.4× |
| Chi St. Lukes Health Memorial San Augustine | San Augustine, TX | $75.30 | $502 | $21.99 | 3.4× |
| Valley Regional Hospital | Claremont, NH | $75.35 | $137 | $21.99 | 3.4× |
| Liberty Regional Medical Center | Hinesville, GA | $75.75 | $101 | $21.99 | 3.4× |
| Methodist Dallas Medical Center | Dallas, TX | $76.50 | $153 | $21.99 | 3.5× |
| Methodist Richardson Medical Center | Richardson, TX | $76.50 | $153 | $21.99 | 3.5× |
| Methodist Charlton Medical Center | Dallas, TX | $76.50 | $153 | $21.99 | 3.5× |
| Methodist Mansfield Medical Center | Mansfield, TX | $76.50 | $153 | $21.99 | 3.5× |
| Methodist Southlake Medical Center | Southlake, TX | $76.50 | $153 | $21.99 | 3.5× |
| Methodist Midlothian Medical Center | Midlothian, TX | $76.50 | $153 | $21.99 | 3.5× |
| Methodist Celina Medical Center | Celina, TX | $76.50 | $153 | $21.99 | 3.5× |
| Stephens County Hospital | Toccoa, GA | $76.50 | $127.50 | $21.99 | 3.5× |
| Vanderbilt University Hospital | Nashville, TN | $76.68 | $142 | $21.99 | 3.5× |
| Prowers Medical Center | Lamar, CO | $76.80 | $128 | $21.99 | 3.5× |
| Ascension St. Vincent Salem | Salem, IN | $76.80 | $128 | $21.99 | 3.5× |
| Regional Medical Center range across 5 matching MRF lines |
Anniston, AL | $77.16–$1,529.94 | $118.70–$2,353.75 | $21.99 | varies |
| Washington County Regional Medical Center | Sandersville, GA | $78 | $156 | $21.99 | 3.5× |
| Cape Cod Hospital | Hyannis, MA | $78.21 | $184.03 | $21.99 | 3.6× |
| Falmouth Hospital | Falmouth, MA | $78.21 | $184.03 | $21.99 | 3.6× |
| UMMC Greenwood | Greenwood, MS | $78.40 | $98 | $21.99 | 3.6× |
| Ascension St. Vincent Kokomo | Kokomo, IN | $78.60 | $131 | $21.99 | 3.6× |
| Bronson Methodist Hospital | Kalamazoo, MI | $79.07 | $98.84 | $21.99 | 3.6× |
| Bronson Battle Creek Hospital | Battle Creek, MI | $79.07 | $98.84 | $21.99 | 3.6× |
| Bronson South Haven Hospital | South Haven, MI | $79.07 | $98.84 | $21.99 | 3.6× |
| Bronson Lakeview Hospital | Paw Paw, MI | $79.07 | $98.84 | $21.99 | 3.6× |
| Ascension Seton Hays range across 3 matching MRF lines |
Kyle, TX | $79.38–$250.65 | $220.50–$696.25 | $21.99 | varies |
| Ascension Seton Smithville range across 2 matching MRF lines |
Smithville, TX | $79.38–$250.65 | $220.50–$696.25 | $21.99 | varies |
| Bothwell Regional Health Center | Sedalia, MO | $79.50 | $106 | $21.99 | 3.6× |
| Lallie Kemp Regional Medical Center | Independence, LA | $79.53 | $132.55 | $21.99 | 3.6× |
| CHRISTUS Santa Rosa Medical Center range across 2 matching MRF lines |
San Antonio, TX | $80.85–$173.91 | $245–$527 | $21.99 | varies |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $81.03 | $463 | $21.99 | 3.7× |
| Burleson St. Joseph Health Center | Caldwell, TX | $81.03 | $463 | $21.99 | 3.7× |
| Madison St. Joseph Health Center | Madisonville, TX | $81.03 | $463 | $21.99 | 3.7× |
| Grimes St. Joseph Health Center | Navasota, TX | $81.03 | $463 | $21.99 | 3.7× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $81.95 | $204 | $21.99 | 3.7× |
| Corona Regional Medical Center | Corona, CA | $82 | $204 | $21.99 | 3.7× |
| Kansas Medical Center LLC | Andover, KS | $82.32 | $137.20 | $21.99 | 3.7× |
| Trinity Health Grand Rapids Hospital | Grand Rapids, MI | $82.55 | $127 | $21.99 | 3.8× |
| Ascension St. Vincent Carmel | Carmel, IN | $82.80 | $138 | $21.99 | 3.8× |
| Ascension St. Vincent Fishers | Fishers, IN | $82.80 | $138 | $21.99 | 3.8× |
| Garnet Health Medical Center - Catskills range across 3 matching MRF lines |
Harris, NY | $83.44–$103.23 | $451–$558 | $21.99 | varies |
| Garnet Health Medical Center - Catskills - Grover M. Hermann Hospital range across 3 matching MRF lines |
Callicoon, NY | $83.44–$103.23 | $451–$558 | $21.99 | varies |
| Reynolds Memorial Hospital | Glen Dale, WV | $83.50 | $167 | $21.99 | 3.8× |
| JPS Health Network | Fort Worth, TX | $84 | $140 | $21.99 | 3.8× |
| Centerpoint Health – Georgetown | Georgetown, KY | $84.67 | $211.68 | $21.99 | 3.9× |
| Franciscan Health Michigan City | Michigan City, IN | $86.11 | $414 | $21.99 | 3.9× |
| Pomerene Hospital | Millersburg, OH | $86.40 | $108 | $21.99 | 3.9× |
| Jefferson Davis Community Hospital range across 2 matching MRF lines |
Prentiss, MS | $86.82–$106.30 | $248.05–$303.71 | $21.99 | varies |
| CHI Health St. Mary's | Nebraska City, NE | $87.15 | $105 | $21.99 | 4.0× |
| Havasu Regional Medical Center | Lake Havasu City, AZ | $87.29 | $145.48 | $21.99 | 4.0× |
| Sampson Regional Medical Center | Clinton, NC | $87.50 | $125 | $21.99 | 4.0× |
| Hannibal Regional Hospital | Hannibal, MO | $87.60 | $146 | $21.99 | 4.0× |
| Redlands Community Hospital | Redlands, CA | $88.32 | $368 | $21.99 | 4.0× |
| Baptist Memorial Hospital-Union County | New Albany, MS | $88.80 | $370 | $21.99 | 4.0× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $88.80 | $370 | $21.99 | 4.0× |
| Mountain West Medical Center | Tooele, UT | $88.99 | $148.31 | $21.99 | 4.0× |
| St. Catherine Hospital - Garden City | Garden City, KS | $89.28 | $223.19 | $21.99 | 4.1× |
| Bob Wilson Memorial Hospital | Ulysses, KS | $89.28 | $223.19 | $21.99 | 4.1× |
| Perry County General Hospital range across 2 matching MRF lines |
Richton, MS | $89.30–$109.34 | $248.05–$303.71 | $21.99 | varies |
| Bonner General Health | Sandpoint, ID | $90.32 | $112.90 | $21.99 | 4.1× |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $90.40 | $226 | $21.99 | 4.1× |
| University Hospital – UMMC | Jackson, MS | $90.80 | $227 | $21.99 | 4.1× |
| UMMC Madison | Canton, MS | $90.80 | $227 | $21.99 | 4.1× |
| Highlands Medical Center | Scottsboro, AL | $91 | $130 | $21.99 | 4.1× |
| Sturdy Memorial Hospital | Attleboro, MA | $91.31 | $186.35 | $21.99 | 4.2× |
| Hoopeston Community Memorial Hospital range across 2 matching MRF lines |
Hoopeston, IL | $92–$557 | $92–$557 | $21.99 | varies |
| Southern Ohio Medical Center | Portsmouth, OH | $92 | $184 | $21.99 | 4.2× |
| Mount Carmel St. Ann's | Westerville, OH | $92.30 | $142 | $21.99 | 4.2× |
| Mount Carmel East | Columbus, OH | $92.30 | $142 | $21.99 | 4.2× |
| Diley Ridge Medical Center | Canal Winchester, OH | $92.30 | $142 | $21.99 | 4.2× |
| Mount Carmel Dublin Hospital | Dublin, OH | $92.30 | $142 | $21.99 | 4.2× |
| Russellville Hospital | Russellville, AL | $92.43 | $355.50 | $21.99 | 4.2× |
| Norwalk Hospital | Norwalk, CT | $93 | $93 | $21.99 | 4.2× |
| Hilton Head Medical Center | Hilton Head Island, SC | $93.60 | — | $21.99 | 4.3× |
| East Cooper Medical Center | Mount Pleasant, SC | $93.60 | — | $21.99 | 4.3× |
| Coastal Carolina Medical Center | Hardeeville, SC | $93.60 | — | $21.99 | 4.3× |
| Erie County Medical Center | Buffalo, NY | $93.64 | — | $21.99 | 4.3× |
| INTEGRIS Miami Hospital | Miami, OK | $94 | $470 | $21.99 | 4.3× |
| INTEGRIS Grove Hospital | Grove, OK | $94 | $470 | $21.99 | 4.3× |
| Sharon Hospital | Sharon, CT | $94 | $94 | $21.99 | 4.3× |
| Vassar Brothers Medical Center | Poughkeepsie, NY | $94 | $94 | $21.99 | 4.3× |
| Northern Dutchess Hospital | Rhinebeck, NY | $94 | $94 | $21.99 | 4.3× |
| Putnam Hospital Center | Carmel, NY | $94 | $94 | $21.99 | 4.3× |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $94.50 | $105 | $21.99 | 4.3× |
| Emerson Hospital | West Concord, MA | $94.50 | $126 | $21.99 | 4.3× |
| Goleta Valley Cottage Hospital | Santa Barbara, CA | $94.51 | $135.02 | $21.99 | 4.3× |
| Santa Barbara Cottage Hospital | Santa Barbara, CA | $94.51 | $135.02 | $21.99 | 4.3× |
| Santa Ynez Valley Cottage Hospital | Solvang, CA | $94.51 | $135.02 | $21.99 | 4.3× |
| Baxter Health | Mountain Home, AR | $95.40 | $159 | $21.99 | 4.3× |
| HCA Florida Raulerson Hospital | Okeechobee, FL | $96 | $96 | $21.99 | 4.4× |
| Self Regional Healthcare | Greenwood, SC | $96 | $160 | $21.99 | 4.4× |
| Edgefield County Healthcare | Edgefield, SC | $96 | $160 | $21.99 | 4.4× |
| Good Samaritan Regional Medical Center | Corvallis, OR | $96 | $120 | $21.99 | 4.4× |
| Samaritan Albany General Hospital | Albany, OR | $96 | $120 | $21.99 | 4.4× |
| Samaritan North Lincoln Hospital | Lincoln City, OR | $96 | $120 | $21.99 | 4.4× |
| Samaritan Pacific Community Hospital | Newport, OR | $96 | $120 | $21.99 | 4.4× |
| Samaritan Lebanon Community Hospital | Lebanon, OR | $96 | $120 | $21.99 | 4.4× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $96.11 | $204 | $21.99 | 4.4× |
| Rutherford Regional Medical Center | Rutherfordton, NC | $96.30 | $240.74 | $21.99 | 4.4× |
| MultiCare Deaconess Hospital | Spokane, WA | $97.20 | $243 | $21.99 | 4.4× |
| MultiCare Valley Hospital | Spokane, WA | $97.20 | $243 | $21.99 | 4.4× |
| MercyOne Genesis | Davenport, IA | $97.20 | $162 | $21.99 | 4.4× |
| Wooster Community Hospital | Wooster, OH | $97.34 | $97.34 | $21.99 | 4.4× |
| Westover Hills Baptist Hospital | San Antonio, TX | $98.25 | $131 | $21.99 | 4.5× |
| Bridgeport Hospital | Bridgeport, CT | $98.28 | $189 | $21.99 | 4.5× |
| Greenwich Hospital | Greenwich, CT | $98.28 | $189 | $21.99 | 4.5× |
| Cleveland Clinic | Cleveland, OH | $98.80 | $152 | $21.99 | 4.5× |
| Monadnock Community Hospital | Peterborough, NH | $98.88 | $164.80 | $21.99 | 4.5× |
| White Mountain Regional Medical Center | Springerville, AZ | $98.93 | $173.57 | $21.99 | 4.5× |
| Kaiser Permanente Central Hospital | Seattle, WA | $99.20 | $124 | $21.99 | 4.5× |
| Doctors Hospital of Riverside, LLC range across 2 matching MRF lines |
Riverside, CA | $100–$230 | $100–$230 | $21.99 | varies |
| Emory Hospital Warner Robins | Warner Robins, GA | $101 | $101 | $21.99 | 4.6× |
| Emory Hospital Perry | Perry, GA | $101 | $101 | $21.99 | 4.6× |
| Winchester Hospital | Winchester, MA | $102 | $102 | $21.99 | 4.6× |
| Bath Community Hospital | Hot Springs, VA | $102.41 | $146.30 | $21.99 | 4.7× |
| Upson Regional Medical Center range across 2 matching MRF lines |
Thomaston, GA | $102.60–$153.60 | $171–$256 | $21.99 | varies |
| Danbury Hospital | Danbury, CT | $103 | $103 | $21.99 | 4.7× |
| Gateway Regional Medical Center | Granite City, IL | $105.08 | $175.14 | $21.99 | 4.8× |
| Hennepin County Medical Center | Minneapolis, MN | $105.30 | $234 | $21.99 | 4.8× |
| Granville Medical Center | Oxford, NC | $105.60 | $132 | $21.99 | 4.8× |
| Waverly Health Center | Waverly, IA | $107.12 | $206 | $21.99 | 4.9× |
| HCA Florida Lake Monroe Hospital | Sanford, FL | $107.75 | $107.75 | $21.99 | 4.9× |
| Allendale County Hospital | Fairfax, SC | $107.95 | $127 | $21.99 | 4.9× |
| Oviedo Medical Center | Oviedo, FL | $108.58 | $108.58 | $21.99 | 4.9× |
| Salinas Valley Health Medical Center | Salinas, CA | $108.82 | $108.82 | $21.99 | 4.9× |
| Vandalia Health Broaddus Hospital | Philippi, WV | $109.82 | $156.88 | $21.99 | 5.0× |
| Humboldt Park Health | Chicago, IL | $110.25 | $393.75 | $21.99 | 5.0× |
| Wythe County Community Hospital | Wytheville, VA | $110.94 | $277.34 | $21.99 | 5.0× |
| Salem Hospital | Salem, OR | $111.30 | $210 | $21.99 | 5.1× |
| Salem Health West Valley | Dallas, OR | $111.30 | $210 | $21.99 | 5.1× |
| Yale New Haven Hospital | New Haven, CT | $111.51 | $189 | $21.99 | 5.1× |
| Abbeville Area Medical Center | Abbeville, SC | $112 | $160 | $21.99 | 5.1× |
| Daviess Community Hospital | Washington, IN | $112 | $160 | $21.99 | 5.1× |
| Southcoast Hospitals Group | Fall River, MA | $113.50 | $227 | $21.99 | 5.2× |
| Evanston Regional Hospital | Evanston, WY | $113.59 | $189.31 | $21.99 | 5.2× |
| Madera Community Hospital | Madera, CA | $114 | $190 | $21.99 | 5.2× |
| Whitfield Regional Hospital | Demopolis, AL | $115.20 | $192 | $21.99 | 5.2× |
| Ascension St. Vincent Mercy range across 2 matching MRF lines |
Elwood, IN | $115.80–$234 | $193–$390 | $21.99 | varies |
| Maimonides Medical Center | Brooklyn, NY | $116 | $116 | $21.99 | 5.3× |
| Memorialcare Long Beach Medical Center range across 2 matching MRF lines |
Long Beach, CA | $117–$468 | $117–$468 | $21.99 | varies |
| Memorialcare Saddleback Medical Center range across 2 matching MRF lines |
Laguna Hills, CA | $117–$468 | $117–$468 | $21.99 | varies |
| Memorialcare Orange Coast Medical Center range across 2 matching MRF lines |
Fountain Valley, CA | $117–$468 | $117–$468 | $21.99 | varies |
| Memorial Care Miller Children's & Women's Hosp Lb range across 2 matching MRF lines |
Long Beach, CA | $117–$468 | $117–$468 | $21.99 | varies |
| Baton Rouge General - Bluebonnet | Baton Rouge, LA | $119 | $170 | $21.99 | 5.4× |
| Baton Rouge General - Mid City | Baton Rouge, LA | $119 | $170 | $21.99 | 5.4× |
| CHI St. Joseph's Health | Park Rapids, MN | $119.35 | $217 | $21.99 | 5.4× |
| Mena Regional Health System range across 2 matching MRF lines |
Mena, AR | $120.60–$133.20 | $201–$222 | $21.99 | varies |
| War Memorial Hospital | Berkeley Springs, WV | $121.10 | $173 | $21.99 | 5.5× |
| Hampshire Memorial Hospital | Romney, WV | $121.10 | $173 | $21.99 | 5.5× |
| Winchester Medical Center | Winchester, VA | $121.10 | $173 | $21.99 | 5.5× |
| Warren Memorial Hospital | Front Royal, VA | $121.10 | $173 | $21.99 | 5.5× |
| Shenandoah Memorial Hospital | Woodstock, VA | $121.10 | $173 | $21.99 | 5.5× |
| Page Memorial Hospital | Luray, VA | $121.10 | $173 | $21.99 | 5.5× |
| Yoakum County Hospital | Denver City, TX | $121.75 | $121.75 | $21.99 | 5.5× |
| Summit Medical Center | Casper, WY | $121.77 | $297 | $21.99 | 5.5× |
| Jackson Purchase Medical Center | Mayfield, KY | $121.95 | $304.88 | $21.99 | 5.5× |
| Boundary Community Hospital | Bonners Ferry, ID | $122.40 | $153 | $21.99 | 5.6× |
| Adventist Health Tillamook | Tillamook, OR | $122.85 | $227.50 | $21.99 | 5.6× |
| Emanuel Medical Center | Swainsboro, GA | $123 | $164 | $21.99 | 5.6× |
| Wyoming County Community Health System | Warsaw, NY | $123.70 | $176.71 | $21.99 | 5.6× |
| Northern Nevada Medical Center | Sparks, NV | $124 | $310 | $21.99 | 5.6× |
| Ascension St. Vincent Randolph range across 2 matching MRF lines |
Winchester, IN | $124.80–$318.60 | $208–$531 | $21.99 | varies |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $124.97 | $341 | $21.99 | 5.7× |
| Crouse Hospital | Syracuse, NY | $125 | $125 | $21.99 | 5.7× |
| Fairbanks Memorial Hospital | Fairbanks, AK | $125.12 | $131.71 | $21.99 | 5.7× |
| ProMedica Defiance Regional Hospital | Defiance, OH | $126.10 | $194 | $21.99 | 5.7× |
| Deaconess Union County Hospital | Morganfield, KY | $126.43 | $269 | $21.99 | 5.7× |
| Franciscan Health Lafayette | Lafayette, IN | $126.85 | $574 | $21.99 | 5.8× |
| Boca Raton Regional Hospital | Boca Raton, FL | $128.05 | $197 | $21.99 | 5.8× |
| Mercy Hospital Berryville | Berryville, AR | $128.70 | $198 | $21.99 | 5.9× |
| Grady Memorial Hospital | Chickasha, OK | $129.60 | $324 | $21.99 | 5.9× |
| Franciscan Health Munster | Munster, IN | $129.93 | $610 | $21.99 | 5.9× |
| Mt Sinai Hospital Medical Center range across 2 matching MRF lines |
Chicago, IL | $130.55–$157.54 | $186.50–$225.05 | $21.99 | varies |
| Holy Cross Hospital range across 2 matching MRF lines |
Chicago, IL | $130.55–$157.54 | $186.50–$225.05 | $21.99 | varies |
| Novant Health Pender Medical Center | Burgaw, NC | $130.95 | $291 | $21.99 | 6.0× |
| Southern Tennessee Regional Health System - Lawrenceburg | Lawrenceburg, TN | $130.99 | $523.95 | $21.99 | 6.0× |
| Northwest Medical Center Sahuarita | Sahuarita, AZ | $132.30 | $735 | $21.99 | 6.0× |
| Permian Regional Medical Center Andrews County Ho | Andrews, TX | $132.50 | $265 | $21.99 | 6.0× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $132.65 | $189.49 | $21.99 | 6.0× |
| Star Valley Medical Center | Afton, WY | $133 | $190 | $21.99 | 6.0× |
| Kaiser Permanente Moanalua Medical Center | Honolulu, HI | $134.25 | $179 | $21.99 | 6.1× |
| King’s Daughters Medical Center | Brookhaven, MS | $134.40 | $448 | $21.99 | 6.1× |
| HCA Florida Citrus Hospital | Inverness, FL | $134.68 | $134.68 | $21.99 | 6.1× |
| Sky Lakes Medical Center | Klamath Falls, OR | $134.84 | $179.78 | $21.99 | 6.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $135 | $451 | $21.99 | 6.1× |
| Riverview Health | Noblesville, IN | $135 | $225 | $21.99 | 6.1× |
| Byrd Regional Hospital | Leesville, LA | $135.60 | $452 | $21.99 | 6.2× |
| Ascension Saint Thomas River Park | McMinnville, TN | $136.35 | $454.50 | $21.99 | 6.2× |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $136.38 | $454.60 | $21.99 | 6.2× |
| Ascension Saint Thomas DeKalb | Smithville, TN | $136.38 | $454.60 | $21.99 | 6.2× |
| Ascension Saint Thomas Highlands | Sparta, TN | $136.38 | $454.60 | $21.99 | 6.2× |
| Ascension Saint Thomas Stones River | Woodbury, TN | $136.38 | $454.60 | $21.99 | 6.2× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $136.50 | $546 | $21.99 | 6.2× |
| George Washington University Hospital | Washington, DC | $136.80 | $342 | $21.99 | 6.2× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $136.80 | $342 | $21.99 | 6.2× |
| CHI St. Francis Health | Breckenridge, MN | $136.80 | $228 | $21.99 | 6.2× |
| Mercy Health - Willard Hospital | Willard, OH | $136.80 | $228 | $21.99 | 6.2× |
| Newberry Health Hospital | Newberry, SC | $137.27 | $371 | $21.99 | 6.2× |
| Coffee Regional Medical Center range across 2 matching MRF lines |
Douglas, GA | $137.36–$439.96 | $202–$647 | $21.99 | varies |
| Valley Presbyterian Hospital | Van Nuys, CA | $138 | $138 | $21.99 | 6.3× |
| Livingston Regional Hospital | Livingston, TN | $138.36 | $487.20 | $21.99 | 6.3× |
| Big Bend Regional Medical Center | Alpine, TX | $138.58 | $692.90 | $21.99 | 6.3× |
| Northbay Medical Center | Fairfield, CA | $139 | $139 | $21.99 | 6.3× |
| Mercy Health - Defiance Hospital | Defiance, OH | $139.80 | $233 | $21.99 | 6.4× |
| Wayne Memorial Hospital | Jesup, GA | $140 | $280 | $21.99 | 6.4× |
| United Hospital Center | Bridgeport, WV | $142 | $284 | $21.99 | 6.5× |
| Camden Clark Medical Center | Parkersburg, WV | $142 | $284 | $21.99 | 6.5× |
| Salina Regional Health Center | Salina, KS | $143.64 | $205.20 | $21.99 | 6.5× |
| North Central Kansas Medical Center | Concordia, KS | $143.64 | $205.20 | $21.99 | 6.5× |
| Lindsborg Community Hospital | Lindsborg, KS | $143.64 | $205.20 | $21.99 | 6.5× |
| Mercy Health - Allen Hospital | Oberlin, OH | $144 | $240 | $21.99 | 6.5× |
| Merrick Medical Center | Central City, NE | $144.60 | $241 | $21.99 | 6.6× |
| Crete Area Medical Center | Crete, NE | $144.60 | $241 | $21.99 | 6.6× |
| Denver Health Medical Center range across 2 matching MRF lines |
Denver, CO | $144.79–$258.72 | $413.68–$739.20 | $21.99 | varies |
| Arrowhead Regional Medical Center | Colton, CA | $145 | $145 | $21.99 | 6.6× |
| Cabinet Peaks Medical Center | Libby, MT | $145.60 | $208 | $21.99 | 6.6× |
| Mercy Health - Urbana Hospital | Urbana, OH | $145.80 | $243 | $21.99 | 6.6× |
| INTEGRIS Health Enid Hospital | Enid, OK | $147.20 | $736 | $21.99 | 6.7× |
| Lakeside Women's Hospital, A Member of INTEGRIS He | Oklahoma City, OK | $147.20 | $736 | $21.99 | 6.7× |
| INTEGRIS Canadian Valley Hospital | Yukon, OK | $147.20 | $736 | $21.99 | 6.7× |
| INTEGRIS Health Edmond Hospital | Edmond, OK | $147.20 | $736 | $21.99 | 6.7× |
| Washington County Hospital | Washington, KS | $148 | $148 | $21.99 | 6.7× |
| University of Michigan Health - West | Wyoming, MI | $148.30 | $370.75 | $21.99 | 6.7× |
| Mercy Hospital Northwest Arkansas | Rogers, AR | $149.50 | $230 | $21.99 | 6.8× |
| Spring View Hospital | Lebanon, KY | $150.91 | $377.28 | $21.99 | 6.9× |
| Mercy Hospital Lebanon | Lebanon, MO | $151.45 | $233 | $21.99 | 6.9× |
| HCA Florida Blake Hospital | Bradenton, FL | $152 | $152 | $21.99 | 6.9× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $153 | $255 | $21.99 | 7.0× |
| Mercy Health — Marcum and Wallace Hospital | Irvine, KY | $153 | $255 | $21.99 | 7.0× |
| Colquitt Regional Medical Center range across 3 matching MRF lines |
Moultrie, GA | $153–$163 | $153–$163 | $21.99 | varies |
| Mercy Health - Springfield Regional Medical Center | Springfield, OH | $153 | $255 | $21.99 | 7.0× |
| Mercy Health - Lorain Hospital | Lorain, OH | $153 | $255 | $21.99 | 7.0× |
| Carthage Area Hospital | Carthage, NY | $153.90 | $513 | $21.99 | 7.0× |
| Dell Children's Medical Center range across 2 matching MRF lines |
Austin, TX | $154.35–$487.38 | $220.50–$696.25 | $21.99 | varies |
| Hancock Regional Hospital | Greenfield, IN | $156.80 | $196 | $21.99 | 7.1× |
| Aurora Medical Center Bay Area | Marinette, WI | $157.50 | $315 | $21.99 | 7.2× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $158 | $158 | $21.99 | 7.2× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $158 | $158 | $21.99 | 7.2× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $158 | $158 | $21.99 | 7.2× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $158 | $158 | $21.99 | 7.2× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $158 | $158 | $21.99 | 7.2× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $158 | $158 | $21.99 | 7.2× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $158 | $158 | $21.99 | 7.2× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $158 | $158 | $21.99 | 7.2× |
| Alamance Regional Medical Center | Burlington, NC | $158.08 | $416 | $21.99 | 7.2× |
| Cone Health Moses Cone Hospital | Greensboro, NC | $158.08 | $416 | $21.99 | 7.2× |
| Frances Mahon Deaconess Hospital | Glasgow, MT | $159.30 | $177 | $21.99 | 7.2× |
| Ochsner Laird Hospital | Union, MS | $161.04 | $264 | $21.99 | 7.3× |
| Mercy Medical Center | Roseburg, OR | $161.05 | $302 | $21.99 | 7.3× |
| Ahs Sherman Medical Center | Sherman, TX | $161.06 | $536.87 | $21.99 | 7.3× |
| Decatur Health | Oberlin, KS | $161.57 | $179.52 | $21.99 | 7.3× |
| Desoto Memorial Hospital | Arcadia, FL | $163 | $326 | $21.99 | 7.4× |
| Franciscan Health Dyer | Dyer, IN | $164.70 | $610 | $21.99 | 7.5× |
| Mercy Health - St. Elizabeth Youngstown Hospital | Youngstown, OH | $165.60 | $276 | $21.99 | 7.5× |
| Mercy Health - St. Joseph Warren Hospital | Warren, OH | $165.60 | $276 | $21.99 | 7.5× |
| Mercy Health - St. Elizabeth Boardman Hospital | Boardman, OH | $165.60 | $276 | $21.99 | 7.5× |
| Central Peninsula General Hospital | Soldotna, AK | $166 | $166 | $21.99 | 7.5× |
| Mountrail County Medical Center Inc | Stanley, ND | $166 | $184 | $21.99 | 7.5× |
| VHC Health | Arlington, VA | $166.08 | $207.60 | $21.99 | 7.6× |
| Kingman Regional Medical Center | Kingman, AZ | $166.25 | $475 | $21.99 | 7.6× |
| Ochsner Scott Regional | Morton, MS | $166.32 | $264 | $21.99 | 7.6× |
| Southwest Medical Center range across 2 matching MRF lines |
Liberal, KS | $166.40–$318.40 | $208–$398 | $21.99 | varies |
| University Medical Center | Las Vegas, NV | $167.70 | $559 | $21.99 | 7.6× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $168 | $168 | $21.99 | 7.6× |
| Athens-Limestone Hospital | Athens, AL | $168 | $168 | $21.99 | 7.6× |
| Mercy Hospital Springfield | Springfield, MO | $169.65 | $261 | $21.99 | 7.7× |
| HCA Florida Highlands Hospital | Sebring, FL | $169.68 | $169.68 | $21.99 | 7.7× |
| W J Mangold Memorial Hospital | Lockney, TX | $171 | $171 | $21.99 | 7.8× |
| Flagstaff Medical Center | Flagstaff, AZ | $171.93 | $343.85 | $21.99 | 7.8× |
| CHI LakeWood Health | Baudette, MN | $172.26 | $261 | $21.99 | 7.8× |
| Trinity Hospitals | Minot, ND | $172.80 | $216 | $21.99 | 7.9× |
| Kenmare Community Hospital | Kenmare, ND | $172.80 | $216 | $21.99 | 7.9× |
| MyMichigan Medical Center Alpena | Alpena, MI | $172.80 | $288 | $21.99 | 7.9× |
| Onslow Memorial Hospital | Jacksonville, NC | $172.85 | $172.85 | $21.99 | 7.9× |
| Carle Bromenn Medical Center range across 2 matching MRF lines |
Normal, IL | $173–$621 | $173–$621 | $21.99 | varies |
| Carle Eureka Hospital range across 2 matching MRF lines |
Eureka, IL | $173–$621 | $173–$621 | $21.99 | varies |
| Trinity Medical Center East & Trinity Medical Center West range across 2 matching MRF lines |
Steubenville, OH | $173.08–$286.16 | $349–$577 | $21.99 | varies |
| Clarinda Regional Health Center | Clarinda, IA | $173.46 | $294 | $21.99 | 7.9× |
| Mercy Hospital Paris | Paris, AR | $173.55 | $267 | $21.99 | 7.9× |
| Mercy Hospital Ozark | Ozark, AR | $173.55 | $267 | $21.99 | 7.9× |
| Mercy Hospital Waldron | Waldron, AR | $173.55 | $267 | $21.99 | 7.9× |
| Mercy Hospital Booneville | Booneville, AR | $173.55 | $267 | $21.99 | 7.9× |
| The University of Chicago Medical Center | Chicago, IL | $174 | $174 | $21.99 | 7.9× |
| Franciscan Health Indianapolis | Indianapolis, IN | $175.33 | $759 | $21.99 | 8.0× |
| Mercy Hospital Watonga, Inc | Watonga, OK | $176.15 | $271 | $21.99 | 8.0× |
| Mercy Hospital Kingfisher, Inc | Kingfisher, OK | $176.15 | $271 | $21.99 | 8.0× |
| Mercy Hospital Logan County, Inc | Guthrie, OK | $176.15 | $271 | $21.99 | 8.0× |
| Northwest Medical Center | Tucson, AZ | $176.40 | $735 | $21.99 | 8.0× |
| Oro Valley Hospital | Oro Valley, AZ | $176.40 | $735 | $21.99 | 8.0× |
| Ochsner Watkins Hospital | Quitman, MS | $176.88 | $264 | $21.99 | 8.0× |
| Touchette Regional Hospital Inc | Centreville, IL | $177.32 | $286 | $21.99 | 8.1× |
| Mercy Health System Corp | Janesville, WI | $178.23 | $237.64 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - Panorama City | Panorama City, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - Los Angeles | Los Angeles, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - Downey | Downey, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital Fontana | Fontana, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - South Bay | Harbor City, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - Zion | San Diego, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - West La | Los Angeles, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - Orange County - Anahe | Anaheim, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - Woodland Hills | Woodland Hills, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital, Riverside | Riverside, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - Baldwin Park | Baldwin Park, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital-moreno Valley | Moreno Valley, CA | $178.36 | $343 | $21.99 | 8.1× |
| Kaiser Foundation Hospital - San Marcos | San Marcos, CA | $178.36 | $343 | $21.99 | 8.1× |
| Laredo Medical Center | Laredo, TX | $179.34 | $747.25 | $21.99 | 8.2× |
| Mercy Hospital Tishomingo | Tishomingo, OK | $179.40 | $276 | $21.99 | 8.2× |
| Mercy Hospital Healdton, Inc. | Healdton, OK | $179.40 | $276 | $21.99 | 8.2× |
| Missouri Baptist Medical Center | Town and Country, MO | $180.60 | $301 | $21.99 | 8.2× |
| Barnes-Jewish West County Hospital | Creve Coeur, MO | $180.60 | $301 | $21.99 | 8.2× |
| Barnes-Jewish St. Peters Hospital | St. Peters, MO | $180.60 | $301 | $21.99 | 8.2× |
| Progress West Hospital | O'Fallon, MO | $180.60 | $301 | $21.99 | 8.2× |
| Memorial Hospital | Belleville, IL | $180.60 | $301 | $21.99 | 8.2× |
| Bristol Hospital | Bristol, CT | $181.42 | $329.85 | $21.99 | 8.3× |
| Brooklyn Hospital Center - Downtown Campus | Brooklyn, NY | $181.97 | $181.97 | $21.99 | 8.3× |
| Ochsner Stennis Hospital | De Kalb, MS | $182.16 | $264 | $21.99 | 8.3× |
| MedStar Georgetown University Hospital | Washington, DC | $183.11 | $281.70 | $21.99 | 8.3× |
| Othello Community Hospital | Othello, WA | $183.19 | $244.25 | $21.99 | 8.3× |
| Wayne Hospital | Greenville, OH | $183.75 | $245 | $21.99 | 8.4× |
| Labette Health | Parsons, KS | $183.79 | $262.55 | $21.99 | 8.4× |
| San Antonio Regional Hospital range across 3 matching MRF lines |
Upland, CA | $185 | $125.50–$293 | $21.99 | 8.4× |
| Mercy Hospital Perry | Perryville, MO | $185.25 | $285 | $21.99 | 8.4× |
| Northern Montana Hospital | Havre, MT | $185.85 | $265.50 | $21.99 | 8.5× |
| Aspire Hospital range across 2 matching MRF lines |
Conroe, TX | $186–$187 | $186–$187 | $21.99 | varies |
| Portneuf Medical Center | Pocatello, ID | $186 | $310 | $21.99 | 8.5× |
| Mercy Hospital Ada | Ada, OK | $187.85 | $289 | $21.99 | 8.5× |
| Community Memorial Healthcare, Inc | Marysville, KS | $189.20 | $189.20 | $21.99 | 8.6× |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | $190.45 | $293 | $21.99 | 8.7× |
| Athol Hospital | Athol, MA | $191 | $191 | $21.99 | 8.7× |
| Olean General Hospital | Olean, NY | $191 | $191 | $21.99 | 8.7× |
| Brooks-TLC Hospital System, Inc | Dunkirk, NY | $191 | $191 | $21.99 | 8.7× |
| Cuba Memorial Hospital, Inc | Cuba, NY | $191 | $191 | $21.99 | 8.7× |
| Mercy Hospital Aurora | Aurora, MO | $191.10 | $294 | $21.99 | 8.7× |
| Mercy Hospital Cassville | Cassville, MO | $191.10 | $294 | $21.99 | 8.7× |
| Mercy St. Francis Hospital | Mountain View, MO | $191.10 | $294 | $21.99 | 8.7× |
| Madison Medical Center | Fredericktown, MO | $192 | $192 | $21.99 | 8.7× |
| Franciscan Health Mooresville | Mooresville, IN | $192.79 | $759 | $21.99 | 8.8× |
| McKenzie-willamette Medical Center | Springfield, OR | $193.38 | $322.30 | $21.99 | 8.8× |
| Mercy Hospital Oklahoma City, Inc | Oklahoma City, OK | $193.70 | $298 | $21.99 | 8.8× |
| The Hospitals of Providence Memorial Campus | El Paso, TX | $194.25 | $259 | $21.99 | 8.8× |
| Springhill Medical Center | Mobile, AL | $195.07 | $229.49 | $21.99 | 8.9× |
| Heywood Hospital | Gardner, MA | $198 | $198 | $21.99 | 9.0× |
| New York-Presbyterian/Queens | Flushing, NY | $198 | — | $21.99 | 9.0× |
| New York-Presbyterian Hospital | New York, NY | $198 | — | $21.99 | 9.0× |
| Hudson Valley Hospital Center | Cortlandt Manor, NY | $198 | — | $21.99 | 9.0× |
| Mercy Hospital Fort Smith | Fort Smith, AR | $198.90 | $306 | $21.99 | 9.0× |
| Sibley Memorial Hospital range across 3 matching MRF lines |
Washington, DC | $199–$646 | $199–$646 | $21.99 | varies |
| Inova Alexandria Hospital | Alexandria, VA | $199 | $398 | $21.99 | 9.0× |
| Inova Loudoun Hospital | Leesburg, VA | $199 | $398 | $21.99 | 9.0× |
| Inova Fairfax Hospital | Falls Church, VA | $199 | $398 | $21.99 | 9.0× |
| Inova Fair Oaks Hospital | Fairfax, VA | $199 | $398 | $21.99 | 9.0× |
| Inova Mount Vernon Hospital | Alexandria, VA | $199 | $398 | $21.99 | 9.0× |
| Mercy Harvard Hospital | Harvard, IL | $199.16 | $265.55 | $21.99 | 9.1× |
| Texoma Medical Center | Denison, TX | $199.50 | $266 | $21.99 | 9.1× |
| SCK Health | Arkansas City, KS | $199.93 | $199.93 | $21.99 | 9.1× |
| Northwest Mississippi Regional Medical Center | Clarksdale, MS | $199.93 | $799.75 | $21.99 | 9.1× |
| Ochsner Choctaw General | Butler, AL | $200.64 | $264 | $21.99 | 9.1× |
| Bay Area Hospital | Coos Bay, OR | $201 | $268 | $21.99 | 9.1× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $201.94 | $878 | $21.99 | 9.2× |
| Caldwell Medical Center | Princeton, KY | $202.39 | $269.85 | $21.99 | 9.2× |
| Memorial Hospital & Manor | Bainbridge, GA | $203 | $290 | $21.99 | 9.2× |
| Northwest Texas Hospital | Amarillo, TX | $203.60 | $509 | $21.99 | 9.3× |
| Memorial Hospital | Abilene, KS | $205.20 | $205.20 | $21.99 | 9.3× |
| Franciscan Health Crawfordsville | Crawfordsville, IN | $205.69 | $759 | $21.99 | 9.4× |
| Northside Hospital Forsyth | Cumming, GA | $206.25 | $275 | $21.99 | 9.4× |
| Northside Hospital Cherokee | Canton, GA | $206.25 | $275 | $21.99 | 9.4× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $206.25 | $275 | $21.99 | 9.4× |
| Northside Hospital Atlanta | Atlanta, GA | $206.25 | $275 | $21.99 | 9.4× |
| Northside Hospital Duluth | Duluth, GA | $206.25 | $275 | $21.99 | 9.4× |
| St. Catherine Hospital - Dodge City | Dodge City, KS | $207.76 | $519.39 | $21.99 | 9.4× |
| Centerpoint Health – Winchester | Winchester, KY | $208.84 | $522.09 | $21.99 | 9.5× |
| St. John's Riverside Hospital | Yonkers, NY | $209.10 | $246 | $21.99 | 9.5× |
| Candler Hospital | Savannah, GA | $209.70 | $699 | $21.99 | 9.5× |
| St. Joseph's Hospital | Savannah, GA | $209.70 | $699 | $21.99 | 9.5× |
| Mercy Hospital St. Louis | St. Louis, MO | $209.95 | $323 | $21.99 | 9.5× |
| Mercy Hospital Jefferson | Festus, MO | $209.95 | $323 | $21.99 | 9.5× |
| Mercy Hospital Washington | Washington, MO | $209.95 | $323 | $21.99 | 9.5× |
| UP Health System - Marquette | Marquette, MI | $210.85 | $351.41 | $21.99 | 9.6× |
| Nationwide Children's Hospital Toledo | Toledo, OH | $211.20 | $352 | $21.99 | 9.6× |
| Abrazo Arrowhead Campus | Glendale, AZ | $211.50 | $282 | $21.99 | 9.6× |
| Endeavor Health Clinical Operations | Evanston, IL | $212 | $212 | $21.99 | 9.6× |
| Swedish Hospital | Chicago, IL | $212 | $212 | $21.99 | 9.6× |
| William Newton Memorial Hospital | Winfield, KS | $213.90 | $213.90 | $21.99 | 9.7× |
| Harlan County Health System | Alma, NE | $214.73 | $268.41 | $21.99 | 9.8× |
| Highpoint Health – Sumner with Ascension Saint Thomas | Gallatin, TN | $215.09 | $923.15 | $21.99 | 9.8× |
| MedStar Washington Hospital Center | Washington, DC | $215.16 | $331.02 | $21.99 | 9.8× |
| Mesa View Regional Hospital | Mesquite, NV | $215.39 | $358.98 | $21.99 | 9.8× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $215.40 | $1,077 | $21.99 | 9.8× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $215.40 | $1,077 | $21.99 | 9.8× |
| Baptist Medical Center South | Montgomery, AL | $220.93 | $368.22 | $21.99 | 10.0× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Scott & White Hospital-round Rock | Round Rock, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $220.97 | $368.29 | $21.99 | 10.0× |
| Novant Health Brunswick Medical Center | Bolivia, NC | $221.50 | $443 | $21.99 | 10.1× |
| Mercy Hospital Lincoln | Troy, MO | $222.30 | $342 | $21.99 | 10.1× |
| El Campo Memorial Hospital | El Campo, TX | $223 | $223 | $21.99 | 10.1× |
| Palacios Community Medical Center | Palacios, TX | $223 | $223 | $21.99 | 10.1× |
| Mid Coast Medical Center - Central | Llano, TX | $223 | $223 | $21.99 | 10.1× |
| Mid Coast Medical Center-trinity | Trinity, TX | $223 | $223 | $21.99 | 10.1× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital | San Rafael, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $224.56 | $401 | $21.99 | 10.2× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $224.56 | $401 | $21.99 | 10.2× |
| SageWest Health Care (Riverton Campus) | Riverton, WY | $225.60 | $376 | $21.99 | 10.3× |
| SageWest Health Care (Lander Campus) | Lander, WY | $225.60 | $376 | $21.99 | 10.3× |
| Mercy Hospital South | St. Louis, MO | $226.85 | $349 | $21.99 | 10.3× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $227.70 | $414 | $21.99 | 10.4× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $227.70 | $414 | $21.99 | 10.4× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $227.70 | $414 | $21.99 | 10.4× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $227.70 | $414 | $21.99 | 10.4× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $227.70 | $414 | $21.99 | 10.4× |
| Minden Medical Center | Minden, LA | $227.70 | $759 | $21.99 | 10.4× |
| Vista Medical Center East | Waukegan, IL | $229.77 | $382.95 | $21.99 | 10.4× |
| St. Bernard Hospital | Chicago, IL | $230 | $230 | $21.99 | 10.5× |
| Red Bud Regional Hospital | Red Bud, IL | $231.12 | $888.89 | $21.99 | 10.5× |
| Wyckoff Heights Medical Center | Brooklyn, NY | $232.20 | $232.20 | $21.99 | 10.6× |
| Advocate Sherman Hospital | Elgin, IL | $232.50 | $465 | $21.99 | 10.6× |
| United Regional Health Care System | Wichita Falls, TX | $232.84 | $245.10 | $21.99 | 10.6× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $233.32 | $307 | $21.99 | 10.6× |
| Mercy Hospital Carthage | Carthage, MO | $234.65 | $361 | $21.99 | 10.7× |
| Schneck Medical Center | Seymour, IN | $237.30 | $339 | $21.99 | 10.8× |
| Fort Memorial Hospital | Fort Atkinson, WI | $240 | $750 | $21.99 | 10.9× |
| Medina Regional Hospital | Hondo, TX | $240.56 | $267.28 | $21.99 | 10.9× |
| Southern Tennessee Regional Health System - Pulaski | Pulaski, TN | $241.16 | $831.60 | $21.99 | 11.0× |
| ProMedica Charles and Virginia Hickman Hospital | Adrian, MI | $241.80 | $372 | $21.99 | 11.0× |
| Vandalia Health Davis Medical Center | Elkins, WV | $241.90 | $345.56 | $21.99 | 11.0× |
| Mercy Health - St. Rita's Medical Center | Lima, OH | $243.60 | $406 | $21.99 | 11.1× |
| Twin County Regional Hospital | Galax, VA | $243.82 | $609.55 | $21.99 | 11.1× |
| Mercy Health St. Vincent Medical Center | Toledo, OH | $244.80 | $408 | $21.99 | 11.1× |
| Bellville Medical Center | Bellville, TX | $245 | $245 | $21.99 | 11.1× |
| Novant Health Rowan Medical Center | Salisbury, NC | $245 | $490 | $21.99 | 11.1× |
| Novant Health Presbyterian Medical Center | Charlotte, NC | $245 | $490 | $21.99 | 11.1× |
| Novant Health Matthews Medical Center | Matthews, NC | $245 | $490 | $21.99 | 11.1× |
| Novant Health Huntersville Medical Center | Huntersville, NC | $245 | $490 | $21.99 | 11.1× |
| Novant Health Mint Hill Medical Center | Charlotte, NC | $245 | $490 | $21.99 | 11.1× |
| Novant Health Ballantyne Medical Center | Charlotte, NC | $245 | $490 | $21.99 | 11.1× |
| Thibodaux Regional Health System | Thibodaux, LA | $245 | $245 | $21.99 | 11.1× |
| St. Anthony Hospital | Pendleton, OR | $245.25 | $360 | $21.99 | 11.2× |
| Ascension Seton Medical Center Austin | Austin, TX | $250.65 | $696.25 | $21.99 | 11.4× |
| Dell Seton Med Center at The University of Tx | Austin, TX | $250.65 | $696.25 | $21.99 | 11.4× |
| Ascension Seton Southwest | Austin, TX | $250.65 | $696.25 | $21.99 | 11.4× |
| Ascension Seton Northwest | Austin, TX | $250.65 | $696.25 | $21.99 | 11.4× |
| Highpoint Health – Riverview with Ascension Saint Thomas | Carthage, TN | $250.67 | $768.94 | $21.99 | 11.4× |
| ProMedica Fostoria Community Hospital | Fostoria, OH | $252.85 | $389 | $21.99 | 11.5× |
| Verde Valley Medical Center range across 2 matching MRF lines |
Cottonwood, AZ | $253–$281.18 | $506–$562.35 | $21.99 | varies |
| Coralvita Richardson | Richardson, TX | $254.10 | $254.10 | $21.99‡ | 11.6× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Regional Medical Center at Plano | Plano, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| The Heart Hospital Baylor Denton | Denton, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $254.12 | $423.53 | $21.99 | 11.6× |
| Providence St. Joseph Medical Center | Polson, MT | $255.20 | $319 | $21.99 | 11.6× |
| Atrium Medical Center | Franklin, OH | $258 | $258 | $21.99 | 11.7× |
| The Hospitals of Providence Transmountain Campus | El Paso, TX | $260.25 | $347 | $21.99 | 11.8× |
| St. Mary's Healthcare range across 2 matching MRF lines |
Amsterdam, NY | $261.86–$345.93 | $380–$502 | $21.99 | varies |
| CommonSpirit Saint Joseph Hospital - London | London, KY | $261.92 | $734 | $21.99 | 11.9× |
| Berger Hospital | Circleville, OH | $261.95 | $403 | $21.99 | 11.9× |
| Southeastern Medical Center | Cambridge, OH | $261.95 | $403 | $21.99 | 11.9× |
| Unity Medical Center | Manchester, TN | $262.40 | $328 | $21.99 | 11.9× |
| Oswego Hospital | Oswego, NY | $262.57 | $350.09 | $21.99 | 11.9× |
| Holy Cross Hospital A Div of Taos Health Systems | Taos, NM | $263.60 | $329.50 | $21.99 | 12.0× |
| Greene County General Hospital | Linton, IN | $264.15 | $440.25 | $21.99 | 12.0× |
| Novant Health Forsyth Medical Center | Winston-Salem, NC | $265.20 | $442 | $21.99 | 12.1× |
| Novant Health Medical Park Hospital | Winston-Salem, NC | $265.20 | $442 | $21.99 | 12.1× |
| Lanai Community Hospital | Lanai City, HI | $265.50 | $450 | $21.99 | 12.1× |
| Kula Hospital | Kula, HI | $265.50 | $450 | $21.99 | 12.1× |
| Memorial Satilla Health | Waycross, GA | $266.25 | $266.25 | $21.99 | 12.1× |
| Eureka Springs Hospital | Eureka Springs, AR | $269 | $269 | $21.99 | 12.2× |
| St. Elizabeth Hospital | Fort Morgan, CO | $271.19 | $677.97 | $21.99 | 12.3× |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | $271.72 | $759 | $21.99 | 12.4× |
| Elmhurst Memorial Hospital | Elmhurst, IL | $275 | $275 | $21.99 | 12.5× |
| Edward Hospital | Naperville, IL | $275 | $275 | $21.99 | 12.5× |
| Baptist Health Hardin | Elizabethtown, KY | $276.17 | $368.22 | $21.99 | 12.6× |
| Baptist Health Richmond | Richmond, KY | $276.17 | $368.22 | $21.99 | 12.6× |
| Baptist Health Corbin | Corbin, KY | $276.17 | $368.22 | $21.99 | 12.6× |
| Baptist Health Lexington | Lexington, KY | $276.17 | $368.22 | $21.99 | 12.6× |
| Baptist Health Paducah | Paducah, KY | $276.17 | $368.22 | $21.99 | 12.6× |
| Baptist Health Louisville | Louisville, KY | $276.17 | $368.22 | $21.99 | 12.6× |
| Baptist Health La Grange | La Grange, KY | $276.17 | $368.22 | $21.99 | 12.6× |
| Baptist Health Floyd | New Albany, IN | $276.17 | $368.22 | $21.99 | 12.6× |
| Summerlin Hospital Medical Center | Las Vegas, NV | $281.20 | $703 | $21.99 | 12.8× |
| Spring Valley Hospital Medical Center | Las Vegas, NV | $281.20 | $703 | $21.99 | 12.8× |
| Centennial Hills Hospital Medical Center | Las Vegas, NV | $281.20 | $703 | $21.99 | 12.8× |
| Henderson Hospital | Henderson, NV | $281.20 | $703 | $21.99 | 12.8× |
| West Henderson Hospital | Henderson, NV | $281.20 | $703 | $21.99 | 12.8× |
| Mimbres Valley Medical Center | Deming, NM | $283.79 | $567.57 | $21.99 | 12.9× |
| CHI St. Vincent Hot Springs | Hot Springs, AR | $284 | $284 | $21.99 | 12.9× |
| CommonSpirit Saint Joseph Hospital - Bardstown | Bardstown, KY | $284.27 | $670 | $21.99 | 12.9× |
| Memorial Medical Center | Las Cruces, NM | $285.75 | $476.25 | $21.99 | 13.0× |
| UP Health System - Portage | Hancock, MI | $288.01 | $480.01 | $21.99 | 13.1× |
| St. Marys Hospital | Decatur, IL | $290.16 | $403 | $21.99 | 13.2× |
| Tri Valley Health System | Cambridge, NE | $292.50 | $325 | $21.99 | 13.3× |
| Novant Health Thomasville Medical Center | Thomasville, NC | $294 | $490 | $21.99 | 13.4× |
| Methodist Hospitals Inc | Gary, IN | $295.40 | $422 | $21.99 | 13.4× |
| Alta Vista Regional Hospital | Las Vegas, NM | $297.12 | $594.24 | $21.99 | 13.5× |
| CHI Health - Mercy Corning | Corning, IA | $298.56 | $622 | $21.99 | 13.6× |
| Maniilaq Health Center | Kotzebue, AK | $299 | $299 | $21.99 | 13.6× |
| Baptist Memorial Hospital-DeSoto | Southaven, MS | $301.60 | $1,508 | $21.99 | 13.7× |
| The Christ Hospital | Cincinnati, OH | $301.80 | $503 | $21.99 | 13.7× |
| Ascension Seton Highland Lakes | Burnet, TX | $302.40 | $840 | $21.99 | 13.8× |
| Ascension Seton Edgar B Davis | Luling, TX | $302.40 | $840 | $21.99 | 13.8× |
| SSM Health St. Mary's Hospital -centralia | Centralia, IL | $303.05 | $551 | $21.99 | 13.8× |
| Good Samaritan Regional Hlth Center | Mount Vernon, IL | $303.05 | $551 | $21.99 | 13.8× |
| CHI Health Missouri Valley | Missouri Valley, IA | $304.78 | $622 | $21.99 | 13.9× |
| St. Catherine Hospital Inc | East Chicago, IN | $305.40 | $509 | $21.99 | 13.9× |
| St. Mary Medical Center Inc | Hobart, IN | $305.40 | $509 | $21.99 | 13.9× |
| Community Hospital | Munster, IN | $305.40 | $509 | $21.99 | 13.9× |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $305.66 | $493 | $21.99 | 13.9× |
| York General Health Care Services range across 2 matching MRF lines |
York, NE | $305.75–$319.25 | $305.75–$319.25 | $21.99 | varies |
| East Georgia Regional Medical Center | Statesboro, GA | $305.91 | $1,133 | $21.99 | 13.9× |
| Contra Costa Regional Medical Center | Martinez, CA | $310 | $310 | $21.99 | 14.1× |
| Miami Valley Hospital | Dayton, OH | $310 | $310 | $21.99 | 14.1× |
| Upper Valley Medical Center | Troy, OH | $310 | $310 | $21.99 | 14.1× |
| Osf Sacred Heart Medical Center | Danville, IL | $313.20 | $522 | $21.99 | 14.2× |
| Osf Heart of Mary Medical Center | Urbana, IL | $313.20 | $522 | $21.99 | 14.2× |
| Highpoint Health – Winchester with Ascension Saint Thomas | Winchester, TN | $316.86 | $1,282.83 | $21.99 | 14.4× |
| Howard University Hospital | Washington, DC | $322.24 | $402.80 | $21.99 | 14.7× |
| Community Hospital East | Indianapolis, IN | $322.80 | $538 | $21.99 | 14.7× |
| The Women's Hospital | Newburgh, IN | $322.92 | $547.31 | $21.99 | 14.7× |
| Castleview Hospital | Price, UT | $323.95 | $589 | $21.99 | 14.7× |
| Southwestern Medical Center | Lawton, OK | $328.63 | $821.58 | $21.99 | 14.9× |
| Valley Medical Center | Renton, WA | $334.60 | $478 | $21.99 | 15.2× |
| OhioHealth O'Bleness Hospital | Athens, OH | $336.70 | $518 | $21.99 | 15.3× |
| Ascension Seton Cedar Park | Cedar Park, TX | $336.74 | $935.40 | $21.99 | 15.3× |
| Franciscan Health Crown Point | Crown Point, IN | $338.24 | $1,311 | $21.99 | 15.4× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $341.88 | $814 | $21.99 | 15.5× |
| CHI Health Immanuel | Omaha, NE | $341.88 | $814 | $21.99 | 15.5× |
| CHI Health Midlands | Papillion, NE | $341.88 | $814 | $21.99 | 15.5× |
| CHI Health Lakeside | Omaha, NE | $341.88 | $814 | $21.99 | 15.5× |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $341.88 | $814 | $21.99 | 15.5× |
| Navarro Regional Hospital | Corsicana, TX | $344.40 | $1,435 | $21.99 | 15.7× |
| Alaska Native Medical Center | Anchorage, AK | $345 | $345 | $21.99 | 15.7× |
| Cody Regional Health | Cody, WY | $346.80 | $408 | $21.99 | 15.8× |
| HealthAlliance Hospital Mary's Avenue Campus | Kingston, NY | $348 | $348 | $21.99 | 15.8× |
| Margaretville Memorial Hospital | Margaretville, NY | $348 | $348 | $21.99 | 15.8× |
| HCA Florida Mercy Hospital | Miami, FL | $350 | $350 | $21.99 | 15.9× |
| Piedmont Medical Center | Rock Hill, SC | $351 | $468 | $21.99 | 16.0× |
| Memorial Hospital | Seward, NE | $353 | $353 | $21.99 | 16.1× |
| Brownfield Regional Medical Center | Brownfield, TX | $366 | $366 | $21.99 | 16.6× |
| Nassau University Medical Center | East Meadow, NY | $369.63 | $528.03 | $21.99 | 16.8× |
| Marion General Hospital | Marion, OH | $371.15 | $571 | $21.99 | 16.9× |
| Pulaski Memorial Hospital | Winamac, IN | $376.18 | $537.40 | $21.99 | 17.1× |
| Merit Health River Region | Vicksburg, MS | $376.38 | $2,091 | $21.99 | 17.1× |
| Riverside Methodist Hospital | Columbus, OH | $377 | $580 | $21.99 | 17.1× |
| Grant Medical Center | Columbus, OH | $377 | $580 | $21.99 | 17.1× |
| Doctors Hospital | Columbus, OH | $377 | $580 | $21.99 | 17.1× |
| Dublin Methodist Hospital | Dublin, OH | $377 | $580 | $21.99 | 17.1× |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $380.80 | $476 | $21.99 | 17.3× |
| Providence Alaska Medical Center | Anchorage, AK | $386.10 | $495 | $21.99 | 17.6× |
| Highpoint Health – Trousdale with Ascension Saint Thomas | Hartsville, TN | $390.17 | $769.56 | $21.99 | 17.7× |
| Hillsboro Area Hospital | Hillsboro, IL | $390.20 | $433.55 | $21.99 | 17.7× |
| Grady Memorial Hospital | Delaware, OH | $395.85 | $609 | $21.99 | 18.0× |
| HSHS St. Elizabeth's Hospital | O Fallon, IL | $396 | $550 | $21.99 | 18.0× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $404.62 | $404.62 | $21.99 | 18.4× |
| MultiCare Capital Medical Center | Olympia, WA | $404.80 | $1,012 | $21.99 | 18.4× |
| INTEGRIS Health Woodward | Woodward, OK | $406 | $2,030 | $21.99 | 18.5× |
| INTEGRIS Health Ponca City | Ponca City, OK | $406 | $2,030 | $21.99 | 18.5× |
| WhidbeyHealth Medical Center | Coupeville, WA | $406 | $406 | $21.99 | 18.5× |
| HCA Florida Aventura Hospital | Aventura, FL | $408 | $408 | $21.99 | 18.6× |
| HCA Florida University Hospital | Davie, FL | $408 | $408 | $21.99 | 18.6× |
| Johnson County Healthcare Center | Buffalo, WY | $416 | $416 | $21.99 | 18.9× |
| Fairfield Memorial Hospital 1 | Fairfield, IL | $435.20 | $544 | $21.99 | 19.8× |
| Lewis County General Hospital | Lowville, NY | $439.07 | $534 | $21.99 | 20.0× |
| UF Health Jacksonville | Jacksonville, FL | $441.95 | $803.54 | $21.99 | 20.1× |
| Vhs Harlingen Hospital Company LLC | Harlingen, TX | $446.25 | $595 | $21.99 | 20.3× |
| Harrisburg Medical Center | Harrisburg, IL | $454.40 | $568 | $21.99 | 20.7× |
| St. Joseph Memorial Hospital | Murphysboro, IL | $454.40 | $568 | $21.99 | 20.7× |
| Doctors Hospital of Laredo | Laredo, TX | $460 | $1,150 | $21.99 | 20.9× |
| Osf Saint Paul Medical Center | Mendota, IL | $462.40 | $578 | $21.99‡ | 21.0× |
| TriStar Southern Hills Medical Center range across 4 matching MRF lines |
Nashville, TN | $462.93–$944.32 | $462.93–$944.32 | $21.99 | varies |
| OhioHealth Mansfield Hospital | Mansfield, OH | $475.80 | $732 | $21.99 | 21.6× |
| OhioHealth Shelby Hospital | Shelby, OH | $475.80 | $732 | $21.99 | 21.6× |
| Doctors Hospital | Augusta, GA | $483.32 | $483.32 | $21.99 | 22.0× |
| Aiken Regional Medical Centers | Aiken, SC | $498 | $1,245 | $21.99 | 22.6× |
| Carle Richland Memorial Hospital | Olney, IL | $509 | $509 | $21.99 | 23.1× |
| The Carle Foundation Hospital | Urbana, IL | $515 | $515 | $21.99 | 23.4× |
| CHI Health Plainview | Plainview, NE | $522.48 | $622 | $21.99 | 23.8× |
| Carson Valley Health | Gardnerville, NV | $525 | $750 | $21.99 | 23.9× |
| CHI Health Schuyler | Schuyler, NE | $528.70 | $622 | $21.99 | 24.0× |
| Stamford Hospital | Stamford, CT | $529.26 | $529.26 | $21.99 | 24.1× |
| Windom Area Health | Windom, MN | $531.76 | $782 | $21.99 | 24.2× |
| Van Wert Hospital | Van Wert, OH | $534.95 | $823 | $21.99 | 24.3× |
| Samaritan Medical Center | Watertown, NY | $550.50 | $550.50 | $21.99 | 25.0× |
| LewisGale Hospital Alleghany | Low Moor, VA | $552 | $552 | $21.99 | 25.1× |
| Graham Regional Medical Center | Graham, TX | $555 | $555 | $21.99 | 25.2× |
| Round Rock Medical Center range across 2 matching MRF lines |
Round Rock, TX | $573–$1,979 | $573–$1,979 | $21.99 | varies |
| Tallahassee Memorial Hospital | Tallahassee, FL | $626.28 | $894.69 | $21.99 | 28.5× |
| HCA Florida Westside Hospital | Plantation, FL | $642 | $642 | $21.99 | 29.2× |
| Sutter Solano Medical Center | Vallejo, CA | $644 | $644 | $21.99 | 29.3× |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | $644 | $644 | $21.99 | 29.3× |
| Sutter Delta Medical Center | Antioch, CA | $644 | $644 | $21.99 | 29.3× |
| Hardin Memorial Hospital | Kenton, OH | $648.05 | $997 | $21.99 | 29.5× |
| Barton Memorial Hospital | South Lake Tahoe, CA | $663.81 | $948.30 | $21.99 | 30.2× |
| Fort Duncan Medical Center | Eagle Pass, TX | $668.40 | $1,671 | $21.99 | 30.4× |
| Palos Community Hospital | Palos Heights, IL | $672.70 | $961 | $21.99 | 30.6× |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | $672.70 | $961 | $21.99 | 30.6× |
| Northwestern Lake Forest Hospital | Lake Forest, IL | $672.70 | $961 | $21.99 | 30.6× |
| Northwestern Medicine Delnor Community Hospital | Geneva, IL | $672.70 | $961 | $21.99 | 30.6× |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | $672.70 | $961 | $21.99 | 30.6× |
| Northwestern Memorial Hospital | Chicago, IL | $672.70 | $961 | $21.99 | 30.6× |
| Northwestern Medicine Kishwaukee Hospital | Dekalb, IL | $672.70 | $961 | $21.99 | 30.6× |
| Northwestern Medicine Valley West Hospital | Sandwich, IL | $672.70 | $961 | $21.99 | 30.6× |
| Saint Francis Hospital-Memphis | Memphis, TN | $675.75 | $901 | $21.99 | 30.7× |
| Jackson County Memorial Hospital Authority | Altus, OK | $677.59 | $677.59 | $21.99 | 30.8× |
| Harmon Memorial Hospital | Hollis, OK | $677.59 | $677.59 | $21.99 | 30.8× |
| Lee's Summit Medical Center | Lee's Summit, MO | $681.21 | $681.21 | $21.99 | 31.0× |
| Westchester Medical Center | Valhalla, NY | $752 | $752 | $21.99 | 34.2× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $764.15 | $899 | $21.99 | 34.7× |
| Frankfort Regional Medical Center range across 3 matching MRF lines |
Frankfort, KY | $798.44–$1,981.58 | $798.44–$1,981.58 | $21.99 | varies |
| HCA Healthcare Trident Hospital | Charleston, SC | $832 | $832 | $21.99 | 37.8× |
| St. David's Medical Center range across 2 matching MRF lines |
Austin, TX | $834–$1,565 | $834–$1,565 | $21.99 | varies |
| South Texas Health System Behavioral | Edinburg, TX | $844 | $2,110 | $21.99 | 38.4× |
| St. Mark's Hospital | Salt Lake City, UT | $859.70 | $859.70 | $21.99 | 39.1× |
| Valley Baptist Medical Center- Brownsville | Brownsville, TX | $868.50 | $1,158 | $21.99 | 39.5× |
| Resolute Health Hospital range across 2 matching MRF lines |
New Braunfels, TX | $870–$1,027.50 | $1,160–$1,370 | $21.99 | varies |
| St. Mary's Regional Medical Center | Enid, OK | $878.80 | $2,197 | $21.99 | 40.0× |
| Freeman Hospital West | Joplin, MO | $894.60 | $1,491 | $21.99 | 40.7× |
| LewisGale Hospital Pulaski | Pulaski, VA | $897 | $897 | $21.99 | 40.8× |
| LewisGale Medical Center | Salem, VA | $899 | $899 | $21.99 | 40.9× |
| Lone Peak Hospital | Draper, UT | $921.88 | $921.88 | $21.99 | 41.9× |
| Ogden Regional Medical Center | Ogden, UT | $923.76 | $923.76 | $21.99 | 42.0× |
| UAB Medical West | Bessemer, AL | $925.50 | $1,234 | $21.99 | 42.1× |
| Valley Regional Medical Center | Brownsville, TX | $938.03 | $938.03 | $21.99 | 42.7× |
| HCA Healthcare Colleton Hospital | Walterboro, SC | $1,025 | $1,025 | $21.99 | 46.6× |
| Alaska Regional Hospital | Anchorage, AK | $1,055.37 | $1,055.37 | $21.99 | 48.0× |
| LewisGale Hospital Montgomery | Blacksburg, VA | $1,147 | $1,147 | $21.99 | 52.2× |
| Three Rivers Medical Center | Louisa, KY | $1,170.79 | $1,951.32 | $21.99 | 53.2× |
| Medical City Fort Worth | Fort Worth, TX | $1,256.48 | $1,256.48 | $21.99 | 57.1× |
| HCA Houston Healthcare Clear Lake range across 2 matching MRF lines |
Webster, TX | $1,268.72–$3,390.47 | $1,268.72–$3,390.47 | $21.99 | varies |
| HCA Florida Putnam Hospital | Palatka, FL | $1,288 | $1,288 | $21.99 | 58.6× |
| Lafayette Regional Health Center | Lexington, MO | $1,322.52 | $1,322.52 | $21.99 | 60.1× |
| HCA Florida Northwest Hospital | Margate, FL | $1,370 | $1,370 | $21.99 | 62.3× |
| Methodist Hospital | Atascosa | Jourdanton, TX | $1,480.70 | $1,480.70 | $21.99 | 67.3× |
| Methodist Hospital | San Antonio, TX | $1,480.70 | $1,480.70 | $21.99 | 67.3× |
| Methodist Hospital Stone Oak | San Antonio, TX | $1,480.70 | $1,480.70 | $21.99 | 67.3× |
| Las Palmas Medical Center A Campus of Lpds Healthc | El Paso, TX | $1,485 | $1,485 | $21.99 | 67.5× |
| Centerpoint Medical Center | Independence, MO | $1,547.09 | $1,547.09 | $21.99 | 70.4× |
| Fairview Park Hospital | Dublin, GA | $1,561 | $1,561 | $21.99 | 71.0× |
| St. David's South Austin Medical Center | Austin, TX | $1,639 | $1,639 | $21.99 | 74.5× |
| Mountain View Hospital | Payson, UT | $1,665.04 | $1,665.04 | $21.99 | 75.7× |
| Medical City Mckinney | Mckinney, TX | $1,813.08 | $1,813.08 | $21.99 | 82.5× |
| HCA HealthOne Rose Medical Center | Denver, CO | $1,901 | $1,901 | $21.99 | 86.4× |
| Belton Regional Medical Center | Belton, MO | $2,049.69 | $2,049.69 | $21.99 | 93.2× |
| Research Medical Center | Kansas City, MO | $2,104.20 | $2,104.20 | $21.99 | 95.7× |
| North Austin Medical Center | Austin, TX | $2,171 | $2,171 | $21.99 | 98.7× |
| Medical City North Hills | North Richland Hills, TX | $2,203.14 | $2,203.14 | $21.99 | 100.2× |
| HCA Houston Healthcare Medical Center | Houston, TX | $2,203.70 | $2,203.70 | $21.99 | 100.2× |
| MountainView Hospital | Las Vegas, NV | $2,254 | $2,254 | $21.99 | 102.5× |
| HCA Houston Healthcare Kingwood | Kingwood, TX | $2,287.78 | $2,287.78 | $21.99 | 104.0× |
| Menorah Medical Center | Overland Park, KS | $2,357.87 | $2,357.87 | $21.99 | 107.2× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $2,372.35 | $2,372.35 | $21.99 | 107.9× |
| Medical City Alliance | Fort Worth, TX | $2,529.23 | $2,529.23 | $21.99 | 115.0× |
| Medical City Denton | Denton, TX | $2,670.14 | $2,670.14 | $21.99 | 121.4× |
| Medical City Dallas | Dallas, TX | $2,820.42 | $2,820.42 | $21.99 | 128.3× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $2,945.50 | $2,945.50 | $21.99 | 133.9× |
| Overland Park Regional Medical Center | Overland Park, KS | $2,977.27 | $2,977.27 | $21.99 | 135.4× |
| Womans Hospital of Texas,the | Houston, TX | $3,183.35 | $3,183.35 | $21.99 | 144.8× |
| Medical City Plano | Plano, TX | $3,193.20 | $3,193.20 | $21.99 | 145.2× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $3,261.18 | $3,261.18 | $21.99 | 148.3× |
| Wesley Medical Center | Wichita, KS | $3,282 | $3,282 | $21.99 | 149.2× |
| Medical City Weatherford | Weatherford, TX | $3,292.19 | $3,292.19 | $21.99 | 149.7× |
| Sunrise Hospital and Medical Center | Las Vegas, NV | $3,589 | $3,589 | $21.99 | 163.2× |
| HCA Houston Healthcare Conroe | Conroe, TX | $3,595.04 | $3,595.04 | $21.99 | 163.5× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $3,888.77 | $3,888.77 | $21.99 | 176.8× |
| Medical City Lewisville | Lewisville, TX | $4,457.42 | $4,457.42 | $21.99 | 202.7× |
| Southern Hills Hospital and Medical Center | Las Vegas, NV | $4,614 | $4,614 | $21.99 | 209.8× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $5,708.50 | $5,708.50 | $21.99 | 259.6× |
| Medical City Las Colinas | Irving, TX | $6,375.18 | $6,375.18 | $21.99 | 289.9× |
| Medical City Arlington | Arlington, TX | $13,384.03 | $13,384.03 | $21.99 | 608.6× |
| Southwest Healthcare Rancho Springs Hospital range across 2 matching MRF lines |
Murrieta, CA | — | $54–$424 | $21.99 | — |
| Temecula Valley Hospital range across 2 matching MRF lines |
Temecula, CA | — | $54–$312 | $21.99 | — |
| Hanover Hospital | Hanover, KS | — | $74 | $21.99 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $75.95 | $21.99 | — |
| Brookdale Hospital Medical Center | Brooklyn, NY | — | $95 | $21.99 | — |
| Dodge County Hospital range across 4 matching MRF lines |
Eastman, GA | — | $95.06–$266.05 | $21.99 | — |
| UAB St. Vincent's East | Birmingham, AL | — | $109 | $21.99 | — |
| UAB St. Vincent's Birmingham | Birmingham, AL | — | $109 | $21.99 | — |
| UAB St. Vincent's St. Clair | Pell City, AL | — | $109 | $21.99 | — |
| UAB St. Vincent's Chilton | Clanton, AL | — | $109 | $21.99 | — |
| UAB St. Vincent's Blount | Oneonta, AL | — | $109 | $21.99 | — |
| Cobre Valley Regional Medical Center | Globe, AZ | — | $123 | $21.99 | — |
| Prairie Lakes Hospital | Watertown, SD | — | $124 | $21.99 | — |
| Matagorda Regional Medical Center | Bay City, TX | — | $195 | $21.99 | — |
| Stormont Vail Hospital | Topeka, KS | — | $196.61 | $21.99 | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $197 | $21.99 | — |
| Intermountain Health St. James Hospital | Butte, MT | — | $219.24 | $21.99 | — |
| Canyon Vista Medical Center | Sierra Vista, AZ | — | $242 | $21.99 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $309.25 | $21.99 | — |
| Uvalde Memorial Hospital | Uvalde, TX | — | $340.73 | $21.99 | — |
| Evans Memorial Hospital | Claxton, GA | — | $435 | $21.99 | — |
| Central Carolina Hospital | Sanford, NC | — | $563.40 | $21.99 | — |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $575 | $21.99 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $575 | $21.99 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $575 | $21.99 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $575 | $21.99 | — |
| St. Joseph Hospital | Bethpage, NY | — | $575 | $21.99 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $575 | $21.99 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $675.98 | $21.99 | — |
| Valley Hospital Medical Center | Las Vegas, NV | — | $773 | $21.99 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $802.36 | $21.99 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $826.73 | $21.99 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $826.73 | $21.99 | — |
| Intermountain Health St. Vincent Regional Hospital | Billings, MT | — | $826.73 | $21.99 | — |
| Holy Rosary Healthcare | Miles City, MT | — | $826.73 | $21.99 | — |
| Willamette Valley Medical Center | McMinnville, OR | — | $879 | $21.99 | — |
| Upstate University Hospital | Syracuse, NY | — | $1,122 | $21.99 | — |
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.