Sugars, chromatographic, TLC or paper chromatography Facility (CPT 84375)
84375 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.
245 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 |
|---|---|---|---|---|---|
| Ucsf Benioff Children's Hospital Oakland | Oakland, CA | $6 | $20 | $39 | 0.2× |
| Unity Health - White County Medical Center | Searcy, AR | $13.50 | $54 | $39 | 0.3× |
| Unity Health - Jacksonville | Jacksonville, AR | $13.50 | $54 | $39 | 0.3× |
| Unity Health - Newport | Newport, AR | $13.50 | $54 | $39 | 0.3× |
| Children's Hosp of Los Angeles | Los Angeles, CA | $15 | $15 | $39 | 0.4× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $15.08 | $52 | $39 | 0.4× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $15.08 | $52 | $39 | 0.4× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $15.08 | $52 | $39 | 0.4× |
| Benson Hospital | Benson, AZ | $17.28 | $36 | $39 | 0.4× |
| Henry Ford Rochester Hospital | Rochester, MI | $18.33 | $39 | $39 | 0.5× |
| Hilton Head Medical Center | Hilton Head Island, SC | $21.44 | — | $39 | 0.5× |
| East Cooper Medical Center | Mount Pleasant, SC | $21.44 | — | $39 | 0.5× |
| Coastal Carolina Medical Center | Hardeeville, SC | $21.44 | — | $39 | 0.5× |
| Ucsf Medical Center range across 3 matching MRF lines |
San Francisco, CA | $22.50–$32.40 | $75–$108 | $39 | varies |
| Baptist Memorial Hospital-Union County | New Albany, MS | $22.56 | $94 | $39 | 0.6× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $22.56 | $94 | $39 | 0.6× |
| UAMS Medical Center | Little Rock, AR | $25.80 | $43 | $39 | 0.7× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $25.96 | $118 | $39 | 0.7× |
| Touro | New Orleans, LA | $26.04 | $186 | $39 | 0.7× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $26.50 | $53 | $39 | 0.7× |
| Hurley Medical Center range across 2 matching MRF lines |
Flint, MI | $27–$56 | $27–$56 | $39 | varies |
| Baptist Memorial Hospital-Union City | Union City, TN | $27.20 | $136 | $39 | 0.7× |
| Corona Regional Medical Center | Corona, CA | $28 | $70 | $39 | 0.7× |
| MetroHealth System | Cleveland, OH | $28 | $80 | $39 | 0.7× |
| Vanderbilt University Hospital | Nashville, TN | $28.08 | $52 | $39 | 0.7× |
| Lakeside Medical Center | Belle Glade, FL | $39 | — | $39 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $39 | $337.66 | $39 | 1.0× |
| Griffin Hospital | Derby, CT | $39 | — | $39 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $39 | $337.66 | $39 | 1.0× |
| North Vista Hospital | North Las Vegas, NV | $39 | $337.66 | $39 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $39 | — | $39 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $39 | $117 | $39 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $39 | $117 | $39 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $39 | $117 | $39 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $39 | $117 | $39 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $39 | $117 | $39 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $39 | $117 | $39 | 1.0× |
| Bellevue Hospital Center | New York, NY | $39 | $117 | $39 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $39 | $117 | $39 | 1.0× |
| Harlem Hospital Center | New York, NY | $39 | $117 | $39 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $39 | $117 | $39 | 1.0× |
| Garden Grove Hospital & Medical Center | Garden Grove, CA | $39 | $240.12 | $39 | 1.0× |
| West Anaheim Medical Center | Anaheim, CA | $39 | $240.12 | $39 | 1.0× |
| Huntington Beach Hospital | Huntington Beach, CA | $39 | $240.12 | $39 | 1.0× |
| La Palma Intercommunity Hospital | La Palma, CA | $39 | $240.12 | $39 | 1.0× |
| Lake Huron Medical Center | Port Huron, MI | $39 | $240.12 | $39 | 1.0× |
| University Hospital – UMMC | Jackson, MS | $39.20 | $98 | $39 | 1.0× |
| UMMC Madison | Canton, MS | $39.20 | $98 | $39 | 1.0× |
| Torrance Memorial Medical Center range across 22 matching MRF lines |
Torrance, CA | $43.46–$7,209.44 | $53–$8,792 | $39 | varies |
| Hancock Regional Hospital | Greenfield, IN | $44.80 | $56 | $39 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $44.85 | — | $39 | 1.2× |
| University Medical Center New Orleans | New Orleans, LA | $45.32 | $206 | $39 | 1.2× |
| Manning Family Children's range across 2 matching MRF lines |
New Orleans, LA | $46.17–$82.35 | $171–$305 | $39 | varies |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $46.80 | — | $39 | 1.2× |
| Bates County Memorial Hospital | Butler, MO | $47.02 | $67.16 | $39 | 1.2× |
| Memorial Regional Hospital | Hollywood, FL | $47.60 | $68 | $39 | 1.2× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $47.60 | $68 | $39 | 1.2× |
| Memorial Hospital West | Pembroke Pines, FL | $47.60 | $68 | $39 | 1.2× |
| Memorial Hospital Miramar | Miramar, FL | $47.60 | $68 | $39 | 1.2× |
| Lima Memorial Health System | Lima, OH | $47.70 | $53 | $39 | 1.2× |
| Beaufort Memorial | Beaufort, SC | $50.40 | $84 | $39 | 1.3× |
| Summit Medical Center, LLC | Edmond, OK | $50.70 | — | $39 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $50.70 | — | $39 | 1.3× |
| Summit Medical Center | Casper, WY | $53.71 | $131 | $39 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $53.82 | — | $39 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $53.82 | — | $39 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $53.82 | — | $39 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $53.82 | — | $39 | 1.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $39 | 1.4× |
| CommonSpirit Saint Joseph Hospital - Bardstown | Bardstown, KY | $56.43 | $133 | $39 | 1.4× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $57.60 | $288 | $39 | 1.5× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $57.60 | $288 | $39 | 1.5× |
| Lallie Kemp Regional Medical Center | Independence, LA | $57.60 | $96 | $39 | 1.5× |
| Virginia Mason Medical Center | Seattle, WA | $59.16 | $116 | $39 | 1.5× |
| Ascension St. Vincent Jennings range across 2 matching MRF lines |
North Vernon, IN | $60–$142.80 | $100–$238 | $39 | varies |
| Ascension St. Vincent Clay | Brazil, IN | $60.60 | $101 | $39 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $62.66 | $172 | $39 | 1.6× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $63.08 | $83 | $39 | 1.6× |
| Southcoast Hospitals Group | Fall River, MA | $63.50 | $127 | $39 | 1.6× |
| Ascension St. Vincent Evansville range across 2 matching MRF lines |
Evansville, IN | $68.40–$106.20 | $114–$177 | $39 | varies |
| John H Stroger Jr Hospital | Chicago, IL | $68.60 | $98 | $39 | 1.8× |
| Provident Hospital of Chicago | Chicago, IL | $68.60 | $98 | $39 | 1.8× |
| Ascension St. Vincent Williamsport | Williamsport, IN | $69.60 | $116 | $39 | 1.8× |
| Ascension St. Vincent Kokomo | Kokomo, IN | $70.20 | $117 | $39 | 1.8× |
| Franciscan Health Michigan City | Michigan City, IN | $71.76 | $345 | $39 | 1.8× |
| Lawrence + Memorial Hospital | New London, CT | $72.72 | $202 | $39 | 1.9× |
| Ascension St. Vincent Carmel | Carmel, IN | $73.20 | $122 | $39 | 1.9× |
| Ascension St. Vincent Fishers | Fishers, IN | $73.20 | $122 | $39 | 1.9× |
| Franciscan Health Munster | Munster, IN | $73.49 | $345 | $39 | 1.9× |
| Community Hospital of Huntington Park | Huntington Park, CA | $73.70 | $73.70 | $39 | 1.9× |
| Memorial Hospital of Gardena | Gardena, CA | $73.70 | $73.70 | $39 | 1.9× |
| East Los Angeles Doctors Hospital | Los Angeles, CA | $73.70 | $73.70 | $39 | 1.9× |
| Coast Plaza Hospital | Norwalk, CA | $73.70 | $73.70 | $39 | 1.9× |
| Rutherford Regional Medical Center | Rutherfordton, NC | $75.34 | $188.35 | $39 | 1.9× |
| Franciscan Health Lafayette | Lafayette, IN | $76.25 | $345 | $39 | 2.0× |
| Mt Sinai Hospital Medical Center range across 2 matching MRF lines |
Chicago, IL | $76.85–$149.28 | $109.78–$213.25 | $39 | varies |
| Holy Cross Hospital range across 2 matching MRF lines |
Chicago, IL | $76.85–$149.28 | $109.78–$213.25 | $39 | varies |
| Piedmont Medical Center | Rock Hill, SC | $79.50 | $106 | $39 | 2.0× |
| Franciscan Health Indianapolis | Indianapolis, IN | $79.70 | $345 | $39 | 2.0× |
| Titus Regional Medical Center | Mount Pleasant, TX | $82.20 | $137 | $39 | 2.1× |
| Delhi Hospital | Delhi, LA | $82.55 | $127 | $39 | 2.1× |
| Erie County Medical Center | Buffalo, NY | $83.52 | — | $39 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $83.54 | — | $39 | 2.1× |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $86.42 | $108.02 | $39 | 2.2× |
| Trinity Muscatine | Muscatine, IA | $86.42 | $108.02 | $39 | 2.2× |
| Trinity Regional Medical Center | Fort Dodge, IA | $86.42 | $108.02 | $39 | 2.2× |
| St. Lukes Hospital | Cedar Rapids, IA | $86.42 | $108.02 | $39 | 2.2× |
| UnityPoint Health Des Moines Iowa Methodist Medical Center | Des Moines, IA | $86.42 | $108.02 | $39 | 2.2× |
| Trinity Bettendorf | Bettendorf, IA | $86.42 | $108.02 | $39 | 2.2× |
| Allen Hospital | Waterloo, IA | $86.42 | $108.02 | $39 | 2.2× |
| Finley Hospital | Dubuque, IA | $86.42 | $108.02 | $39 | 2.2× |
| St. Lukes Regional Medical Center | Sioux City, IA | $86.42 | $108.02 | $39 | 2.2× |
| Grinnell Regional Medical Center | Grinnell, IA | $86.42 | $108.02 | $39 | 2.2× |
| Jones Regional Medical Center | Anamosa, IA | $86.42 | $108.02 | $39 | 2.2× |
| Trinity Rock Island | Rock Island, IL | $86.42 | $108.02 | $39 | 2.2× |
| Tufts Medical Center | Boston, MA | $86.80 | $124 | $39 | 2.2× |
| Franciscan Health Mooresville | Mooresville, IN | $87.63 | $345 | $39 | 2.2× |
| Community Hospital East | Indianapolis, IN | $88.80 | $148 | $39 | 2.3× |
| Franciscan Health Crown Point | Crown Point, IN | $89.01 | $345 | $39 | 2.3× |
| Franciscan Health Dyer | Dyer, IN | $93.15 | $345 | $39 | 2.4× |
| Franciscan Health Crawfordsville | Crawfordsville, IN | $93.50 | $345 | $39 | 2.4× |
| Norton Hospital | Louisville, KY | $95 | $475 | $39 | 2.4× |
| Ascension St. Vincent Mercy range across 2 matching MRF lines |
Elwood, IN | $105–$187.80 | $175–$313 | $39 | varies |
| Bridgeport Hospital | Bridgeport, CT | $105.04 | $202 | $39 | 2.7× |
| Greenwich Hospital | Greenwich, CT | $105.04 | $202 | $39 | 2.7× |
| INTEGRIS Health Woodward | Woodward, OK | $108.40 | $542 | $39 | 2.8× |
| INTEGRIS Health Ponca City | Ponca City, OK | $108.40 | $542 | $39 | 2.8× |
| Yale New Haven Hospital range across 2 matching MRF lines |
New Haven, CT | $114.31–$119.18 | $193.75–$202 | $39 | varies |
| Northwest Surgical Hospital | Oklahoma City, OK | $117 | — | $39 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $117 | — | $39 | 3.0× |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | $123.51 | $345 | $39 | 3.2× |
| Arkansas Children's Hospital range across 2 matching MRF lines |
Little Rock, AR | $124.79–$151.06 | $138.65–$167.84 | $39 | varies |
| Arkansas Children's Northwest range across 2 matching MRF lines |
Springdale, AR | $124.79–$151.06 | $138.65–$167.84 | $39 | varies |
| Children's of Alabama | Birmingham, AL | $134.56 | $312.93 | $39 | 3.5× |
| UVA Health Culpeper Medical Center | Culpeper, VA | $140 | $280 | $39 | 3.6× |
| UVA Health Prince William Medical Center | Manassas, VA | $140 | $280 | $39 | 3.6× |
| UVA Health Haymarket Medical Center | Haymarket, VA | $140 | $280 | $39 | 3.6× |
| Children's Hospital of Michigan range across 2 matching MRF lines |
Detroit, MI | $145.50–$244.50 | $194–$326 | $39 | varies |
| Nacogdoches Medical Center | Nacogdoches, TX | $147 | $196 | $39 | 3.8× |
| St. Mary's Regional Medical Center | Enid, OK | $148.80 | $372 | $39 | 3.8× |
| Hoopeston Community Memorial Hospital | Hoopeston, IL | $165 | $165 | $39 | 4.2× |
| UVA Health University Medical Center | Charlottesville, VA | $168 | $280 | $39 | 4.3× |
| Wilcox Medical Center | Lihue, HI | $168.60 | $281 | $39 | 4.3× |
| Straub Benioff Medical Center | Honolulu, HI | $168.60 | $281 | $39 | 4.3× |
| Pali Momi Medical Center | Aiea, HI | $168.60 | $281 | $39 | 4.3× |
| Kapiʻolani Medical Center for Women & Children | Honolulu, HI | $168.60 | $281 | $39 | 4.3× |
| Denver Health Medical Center | Denver, CO | $170.33 | $486.64 | $39 | 4.4× |
| Kaiser Foundation Hospital - Panorama City | Panorama City, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - Los Angeles | Los Angeles, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - Downey | Downey, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital Fontana | Fontana, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - South Bay | Harbor City, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - Zion | San Diego, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - West La | Los Angeles, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - Orange County - Anahe | Anaheim, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - Woodland Hills | Woodland Hills, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital, Riverside | Riverside, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - Baldwin Park | Baldwin Park, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital-moreno Valley | Moreno Valley, CA | $174.72 | $336 | $39 | 4.5× |
| Kaiser Foundation Hospital - San Marcos | San Marcos, CA | $174.72 | $336 | $39 | 4.5× |
| Akron General | Akron, OH | $174.85 | $269 | $39 | 4.5× |
| Cleveland Clinic | Cleveland, OH | $174.85 | $269 | $39 | 4.5× |
| Lodi Hospital | Lodi, OH | $174.85 | $269 | $39 | 4.5× |
| Kaiser Permanente Central Hospital | Seattle, WA | $176 | $220 | $39 | 4.5× |
| St. Louis Children’s Hospital | St. Louis, MO | $181.20 | $302 | $39 | 4.6× |
| Aspire Hospital | Conroe, TX | $182 | $182 | $39 | 4.7× |
| Karmanos Cancer Center | Detroit, MI | $189.25 | $378.50 | $39 | 4.9× |
| Kaiser Permanente Moanalua Medical Center | Honolulu, HI | $192 | $256 | $39 | 4.9× |
| Mount Auburn Hospital | Cambridge, MA | $195 | $195 | $39 | 5.0× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital | San Rafael, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $199.36 | $356 | $39 | 5.1× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $199.36 | $356 | $39 | 5.1× |
| Sibley Memorial Hospital range across 2 matching MRF lines |
Washington, DC | $204–$273 | $204–$273 | $39 | varies |
| Lucile Salter Packard Children's Hsp at Stanford range across 2 matching MRF lines |
Palo Alto, CA | $219–$567.50 | $438–$1,135 | $39 | varies |
| Children's Minnesota - Minneapolis Hospital | Minneapolis, MN | $221 | $221 | $39 | 5.7× |
| Dayton Children's Hospital | Dayton, OH | $222.60 | $318 | $39 | 5.7× |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $225.40 | $322 | $39 | 5.8× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $225.40 | $322 | $39 | 5.8× |
| Owensboro Health Muhlenberg Community Hospital | Greenville, KY | $228.79 | $351.98 | $39 | 5.9× |
| Children's Hospital Colorado range across 4 matching MRF lines |
Aurora, CO | $228.80–$1,294.80 | $352–$1,992 | $39 | varies |
| Children's Hospital Colorado - Colorado Springs range across 4 matching MRF lines |
Colorado Springs, CO | $228.80–$1,294.80 | $352–$1,992 | $39 | varies |
| Owensboro Health Twin Lakes Medical Center | Leitchfield, KY | $228.92 | $352.19 | $39 | 5.9× |
| Owensboro Health Regional Hospital | Owensboro, KY | $231.88 | $356.74 | $39 | 5.9× |
| Mountain West Medical Center | Tooele, UT | $233.60 | $389.33 | $39 | 6.0× |
| M Health Fairview Lakes Medical Center | Wyoming, MN | $243.11 | $606.25 | $39 | 6.2× |
| M Health Fairview Southdale Hospital | Edina, MN | $243.11 | $606.25 | $39 | 6.2× |
| M Health Fairview University of Minnesota Medical Center | Minneapolis, MN | $243.11 | $606.25 | $39 | 6.2× |
| M Health Fairview Northland Medical Center | Princeton, MN | $243.11 | $606.25 | $39 | 6.2× |
| M Health Fairview St. John's Hospital | Maplewood, MN | $243.11 | $606.25 | $39 | 6.2× |
| M Health Fairview Woodwinds Hospital | Woodbury, MN | $243.11 | $606.25 | $39 | 6.2× |
| M Health Fairview Ridges Hospital | Burnsville, MN | $257.66 | $606.25 | $39 | 6.6× |
| Inova Alexandria Hospital | Alexandria, VA | $261.50 | $523 | $39 | 6.7× |
| Inova Loudoun Hospital | Leesburg, VA | $261.50 | $523 | $39 | 6.7× |
| Inova Fairfax Hospital | Falls Church, VA | $261.50 | $523 | $39 | 6.7× |
| Inova Fair Oaks Hospital | Fairfax, VA | $261.50 | $523 | $39 | 6.7× |
| Inova Mount Vernon Hospital | Alexandria, VA | $261.50 | $523 | $39 | 6.7× |
| Northern Nevada Medical Center | Sparks, NV | $262.40 | $656 | $39 | 6.7× |
| HCA Florida Putnam Hospital | Palatka, FL | $268.75 | $268.75 | $39 | 6.9× |
| Lanai Community Hospital | Lanai City, HI | $271.99 | $461 | $39 | 7.0× |
| Kula Hospital | Kula, HI | $271.99 | $461 | $39 | 7.0× |
| University of WI Hospitals & Clinics Authority | Madison, WI | $274.20 | $457 | $39 | 7.0× |
| Summerlin Hospital Medical Center | Las Vegas, NV | $276 | $690 | $39 | 7.1× |
| Spring Valley Hospital Medical Center | Las Vegas, NV | $276 | $690 | $39 | 7.1× |
| Centennial Hills Hospital Medical Center | Las Vegas, NV | $276 | $690 | $39 | 7.1× |
| Henderson Hospital | Henderson, NV | $276 | $690 | $39 | 7.1× |
| West Henderson Hospital | Henderson, NV | $276 | $690 | $39 | 7.1× |
| Osf Little Company of Mary Medical Center | Evergreen Park, IL | $280.20 | $467 | $39 | 7.2× |
| Ann & Robert H Lurie Childrens Hospital of Chicago | Chicago, IL | $322.70 | $461 | $39 | 8.3× |
| Osf Sacred Heart Medical Center | Danville, IL | $325.20 | $542 | $39‡ | 8.3× |
| Osf Heart of Mary Medical Center | Urbana, IL | $325.20 | $542 | $39‡ | 8.3× |
| Saint Francis Medical Center | Peoria, IL | $337.80 | $563 | $39‡ | 8.7× |
| Dolly Parton Children’s Hospital | Knoxville, TN | $363.60 | $606 | $39 | 9.3× |
| Saint Francis Hospital-Memphis | Memphis, TN | $401.25 | $535 | $39 | 10.3× |
| Doctors Hospital of Laredo | Laredo, TX | $404.40 | $1,011 | $39 | 10.4× |
| Saint Francis Hospital-Bartlett | Bartlett, TN | $442.50 | $590 | $39 | 11.3× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $450.75 | $601 | $39 | 11.6× |
| Childrens Medical Center Plano | Plano, TX | $450.75 | $601 | $39 | 11.6× |
| Coralvita Richardson | Richardson, TX | $452.10 | $452.10 | $39‡ | 11.6× |
| Stanford Health Care | Stanford, CA | $454 | $1,135 | $39 | 11.6× |
| Boston Children's Hospital | Boston, MA | $799 | $799 | $39 | 20.5× |
| Children's National Hospital | Washington, DC | $865.50 | $1,731 | $39 | 22.2× |
| Texas Childrens Hospital | Houston, TX | $920.58 | $1,374 | $39 | 23.6× |
| Texas Childrens Hospital North Austin Campus | Austin, TX | $920.58 | $1,374 | $39 | 23.6× |
| Methodist Hospital | Atascosa | Jourdanton, TX | $950.17 | $950.17 | $39 | 24.4× |
| Methodist Hospital | San Antonio, TX | $950.17 | $950.17 | $39 | 24.4× |
| Methodist Hospital Stone Oak | San Antonio, TX | $950.17 | $950.17 | $39 | 24.4× |
| Womans Hospital of Texas,the | Houston, TX | $1,221.79 | $1,221.79 | $39 | 31.3× |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $136.65 | $39 | — |
| Valley Hospital Medical Center | Las Vegas, NV | — | $759 | $39 | — |
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.