Herpes simplex type 1 ab (CPT 86695)
86695 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.
282 of 309 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 | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Jay Hospital | Jay, FL | $0.60 | $4 | $13.19 | 0.0× |
| Baptist Hospital | Pensacola, FL | $1.50 | $10 | $13.19 | 0.1× |
| Gulf Breeze Hospital | Gulf Breeze, FL | $1.80 | $12 | $13.19 | 0.1× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $4.71 | $7.59 | $13.19 | 0.4× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $4.71 | $7.59 | $13.19 | 0.4× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $4.71 | $7.59 | $13.19 | 0.4× |
| Lower Keys Medical Center | Key West, FL | $4.82 | $17.85 | $13.19 | 0.4× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $5.92 | $16 | $13.19 | 0.4× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $5.92 | $16 | $13.19 | 0.4× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $5.92 | $16 | $13.19 | 0.4× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $5.92 | $16 | $13.19 | 0.4× |
| Southeast Colorado Hospital | Springfield, CO | $6 | $7 | $13.19 | 0.5× |
| North Okaloosa Medical Center | Crestview, FL | $6.23 | $34.63 | $13.19 | 0.5× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $6.75 | $9 | $13.19 | 0.5× |
| Florida Coast Medical Center | Port St. Lucie, FL | $6.75 | $9 | $13.19 | 0.5× |
| Santa Rosa Medical Center | Milton, FL | $6.97 | $46.44 | $13.19 | 0.5× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $8 | $20 | $13.19 | 0.6× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $8 | $20 | $13.19 | 0.6× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $8 | $20 | $13.19 | 0.6× |
| Orlando Health South Lake Hospital | Clermont, FL | $8 | $20 | $13.19 | 0.6× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $8 | $20 | $13.19 | 0.6× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $8 | $20 | $13.19 | 0.6× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $8 | $20 | $13.19 | 0.6× |
| West Boca Medical Center | Boca Raton, FL | $8.04 | $10.72 | $13.19 | 0.6× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $8.60 | $46.50 | $13.19 | 0.7× |
| HCA Florida Blake Hospital | Bradenton, FL | $8.99 | $8.99 | $13.19 | 0.7× |
| Delray Medical Center | Delray Beach, FL | $9.36 | $12.48 | $13.19 | 0.7× |
| Holy Cross Hospital | Fort Lauderdale, FL | $9.74 | $14.99 | $13.19 | 0.7× |
| Sarasota Memorial Hospital | Sarasota, FL | $10 | $25 | $13.19 | 0.8× |
| HCA Florida Trinity Hospital | Trinity, FL | $10 | $10 | $13.19 | 0.8× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $10 | $25 | $13.19 | 0.8× |
| Good Samaritan Medical Center | West Palm Beach, FL | $10.25 | $13.67 | $13.19 | 0.8× |
| St. Mary's Medical Center | West Palm Beach, FL | $10.25 | $13.67 | $13.19 | 0.8× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $10.53 | $50.16 | $13.19 | 0.8× |
| HCA Florida Raulerson Hospital | Okeechobee, FL | $10.63 | $10.63 | $13.19 | 0.8× |
| Lee Memorial Hospital | Fort Myers, FL | $10.80 | $54 | $13.19 | 0.8× |
| Gulf Coast Medical Center | Fort Myers, FL | $10.80 | $54 | $13.19 | 0.8× |
| Cape Coral Hospital | Cape Coral, FL | $10.80 | $54 | $13.19 | 0.8× |
| North Shore Medical Center | Miami, FL | $10.90 | $10.90 | $13.19 | 0.8× |
| Halifax Health Medical Center | Daytona Beach, FL | $11.20 | $14 | $13.19 | 0.8× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $11.20 | $14 | $13.19 | 0.8× |
| HCA Florida Brandon Hospital | Brandon, FL | $11.80 | $11.80 | $13.19 | 0.9× |
| Parrish Medical Center | Titusville, FL | $12 | $30 | $13.19 | 0.9× |
| HCA Florida Largo Hospital | Largo, FL | $12.01 | $12.01 | $13.19 | 0.9× |
| Coral Gables Hospital | Coral Gables, FL | $12.32 | $12.32 | $13.19 | 0.9× |
| Banner North Colorado Medical Center | Greeley, CO | $12.42 | $46.50 | $13.19 | 0.9× |
| HCA Florida Capital Hospital | Tallahassee, FL | $12.70 | $12.70 | $13.19 | 1.0× |
| Lakeland Regional Medical Center | Lakeland, FL | $13 | $63 | $13.19 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $13.19 | $30 | $13.19 | 1.0× |
| Foothills Hospital | Boulder, CO | $14 | $28 | $13.19 | 1.1× |
| Hialeah Hospital | Hialeah, FL | $14.90 | $14.90 | $13.19 | 1.1× |
| Memorial Regional Hospital | Hollywood, FL | $15.05 | $21.50 | $13.19 | 1.1× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $15.05 | $21.50 | $13.19 | 1.1× |
| Memorial Hospital West | Pembroke Pines, FL | $15.05 | $21.50 | $13.19 | 1.1× |
| Memorial Hospital Miramar | Miramar, FL | $15.05 | $21.50 | $13.19 | 1.1× |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach, FL | $15.42 | $15.42 | $13.19 | 1.2× |
| Holmes Regional Medical Center | Melbourne, FL | $17 | $68 | $13.19 | 1.3× |
| Cape Canaveral Hospital | Cocoa Beach, FL | $17 | $68 | $13.19 | 1.3× |
| Viera Hospital | Melbourne, FL | $17 | $68 | $13.19 | 1.3× |
| Palm Bay Hospital | Palm Bay, FL | $17 | $68 | $13.19 | 1.3× |
| HCA Florida North Florida Hospital | Gainesville, FL | $17.37 | $17.37 | $13.19 | 1.3× |
| HCA Florida West Hospital | Pensacola, FL | $17.45 | $17.45 | $13.19 | 1.3× |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $17.65 | $17.65 | $13.19 | 1.3× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $18.09 | $67 | $13.19 | 1.4× |
| UF Health Leesburg Hospital | Leesburg, FL | $18.70 | $34 | $13.19 | 1.4× |
| Flagler Hospital | Saint Augustine, FL | $18.70 | $34 | $13.19 | 1.4× |
| UF Health Shands Hospital | Gainesville, FL | $18.70 | $34 | $13.19 | 1.4× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $18.70 | $34 | $13.19 | 1.4× |
| Sterling Regional MedCenter | Sterling, CO | $18.92 | $46.50 | $13.19 | 1.4× |
| Mount Sinai Medical Center | Miami Beach, FL | $18.96 | $18.96 | $13.19 | 1.4× |
| HCA Florida Highlands Hospital | Sebring, FL | $19.19 | $19.19 | $13.19 | 1.5× |
| Banner Wyoming Medical Center | Casper, WY | $19.53 | $46.50 | $13.19 | 1.5× |
| UF Health Jacksonville | Jacksonville, FL | $19.75 | $35.90 | $13.19 | 1.5× |
| Delta County Memorial Hospital | Delta, CO | $21 | $35 | $13.19 | 1.6× |
| HCA Florida Northside Hospital | Saint Petersburg, FL | $22.69 | $22.69 | $13.19 | 1.7× |
| HCA Florida Poinciana Hospital | Kissimmee, FL | $22.90 | $22.90 | $13.19 | 1.7× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $23 | $23 | $13.19 | 1.7× |
| Doctors Memorial Hospital | Perry, FL | $23.60 | $59 | $13.19 | 1.8× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $25.50 | $51 | $13.19 | 1.9× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $25.55 | $36.50 | $13.19 | 1.9× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $25.67 | $25.67 | $13.19 | 1.9× |
| Larkin Community Hospital | South Miami, FL | $25.90 | $37 | $13.19 | 2.0× |
| Memorial Hospital of Converse County | Douglas, WY | $28.78 | $50.50 | $13.19 | 2.2× |
| Lincoln Health Hospital | Hugo, CO | $29 | $29 | $13.19 | 2.2× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $29.66 | $29.66 | $13.19 | 2.2× |
| HCA Florida Oak Hill Hospital | Brooksville, FL | $31.47 | $31.47 | $13.19 | 2.4× |
| Denver Health Medical Center | Denver, CO | $31.55 | $90.12 | $13.19 | 2.4× |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $32.24 | $32.24 | $13.19 | 2.4× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $32.24 | $32.24 | $13.19 | 2.4× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $32.36 | $46.50 | $13.19 | 2.5× |
| Mease Dunedin Hospital | Dunedin, FL | $32.40 | $54 | $13.19 | 2.5× |
| Winter Haven Hospital | Winter Haven, FL | $32.40 | $54 | $13.19 | 2.5× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $32.40 | $54 | $13.19 | 2.5× |
| St. Anthony's Hospital | Saint Petersburg, FL | $32.40 | $54 | $13.19 | 2.5× |
| St. Joseph's Hospital | Tampa, FL | $32.40 | $54 | $13.19 | 2.5× |
| Bartow Regional Medical Center | Bartow, FL | $32.40 | $54 | $13.19 | 2.5× |
| Morton Plant Hospital | Clearwater, FL | $32.40 | $54 | $13.19 | 2.5× |
| South Florida Baptist Hospital | Plant City, FL | $32.40 | $54 | $13.19 | 2.5× |
| Mease Countryside Hospital | Safety Harbor, FL | $32.40 | $54 | $13.19 | 2.5× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $32.40 | $54 | $13.19 | 2.5× |
| East Morgan County Hospital | Brush, CO | $34.36 | $46.50 | $13.19 | 2.6× |
| HCA Florida Lake City Hospital | Lake City, FL | $34.50 | $34.50 | $13.19 | 2.6× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $34.65 | $86.63 | $13.19 | 2.6× |
| AdventHealth Fish Memorial | Orange City, FL | $34.85 | $34.85 | $13.19 | 2.6× |
| Platte County Hospital | Wheatland, WY | $35.16 | $46.50 | $13.19 | 2.7× |
| Jackson Hospital | Marianna, FL | $35.50 | $4 | $13.19 | 2.7× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $35.75 | $55 | $13.19 | 2.7× |
| Cleveland Clinic Hospital | Weston, FL | $35.75 | $55 | $13.19 | 2.7× |
| Bethesda Hospital East | Boynton Beach, FL | $36.08 | $55.50 | $13.19 | 2.7× |
| Baptist Hospital of Miami | Miami, FL | $36.08 | $55.50 | $13.19 | 2.7× |
| Homestead Hospital | Homestead, FL | $36.08 | $55.50 | $13.19 | 2.7× |
| South Miami Hospital | South Miami, FL | $36.08 | $55.50 | $13.19 | 2.7× |
| Doctors Hospital | Coral Gables, FL | $36.08 | $55.50 | $13.19 | 2.7× |
| West Kendall Baptist Hospital | Miami, FL | $36.08 | $55.50 | $13.19 | 2.7× |
| Fishermen's Community Hospital | Marathon, FL | $36.08 | $55.50 | $13.19 | 2.7× |
| Mariners Hospital | Tavernier, FL | $36.08 | $55.50 | $13.19 | 2.7× |
| Palmetto General Hospital | Hialeah, FL | $36.40 | $36.40 | $13.19 | 2.8× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $36.72 | $91.80 | $13.19 | 2.8× |
| Broward Health Medical Center | Fort Lauderdale, FL | $37.30 | $37.30 | $13.19 | 2.8× |
| Broward Health North | Pompano Beach, FL | $37.30 | $37.30 | $13.19 | 2.8× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $37.30 | $37.30 | $13.19 | 2.8× |
| Broward Health Coral Springs | Coral Springs, FL | $37.30 | $37.30 | $13.19 | 2.8× |
| AdventHealth Palm Coast | Palm Coast, FL | $38.18 | $38.18 | $13.19 | 2.9× |
| Madison County Memorial Hospital | Madison, FL | $38.63 | $77.25 | $13.19 | 2.9× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $41.26 | $58.94 | $13.19 | 3.1× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $41.60 | $64 | $13.19 | 3.2× |
| HCA Florida Twin Cities Hospital | Niceville, FL | $43.50 | $43.50 | $13.19 | 3.3× |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $43.63 | $43.63 | $13.19 | 3.3× |
| Northwest Florida Community Hospital | Chipley, FL | $44.80 | $56 | $13.19 | 3.4× |
| Middle Park Medical Center | Kremmling, CO | $45.16 | $56.45 | $13.19 | 3.4× |
| Parkview Medical Center | Pueblo, CO | $45.20 | $113 | $13.19 | 3.4× |
| Yuma District Hospital | Yuma, CO | $45.75 | $61 | $13.19 | 3.5× |
| AdventHealth Lake Wales | Lake Wales, FL | $45.81 | $45.81 | $13.19 | 3.5× |
| HCA Florida Osceola Hospital | Kissimmee, FL | $47.70 | $47.70 | $13.19 | 3.6× |
| AdventHealth Ocala | Ocala, FL | $48.80 | $48.80 | $13.19 | 3.7× |
| Sublette County Health | Pinedale, WY | $49.50 | $55 | $13.19 | 3.8× |
| Ascension Sacred Heart Bay | Panama City, FL | $49.78 | $124.44 | $13.19 | 3.8× |
| AdventHealth Sebring | Sebring, FL | $50.99 | $50.99 | $13.19 | 3.9× |
| AdventHealth Wauchula | Wauchula, FL | $50.99 | $50.99 | $13.19 | 3.9× |
| AdventHealth Heart of Florida | Davenport, FL | $52.34 | $52.34 | $13.19 | 4.0× |
| Community Hospital Grand Junction | Grand Junction, CO | $53.20 | $95 | $13.19 | 4.0× |
| AdventHealth Orlando | Orlando, FL | $53.50 | $53.50 | $13.19 | 4.1× |
| Montrose Regional Health | Montrose, CO | $54.38 | $72.50 | $13.19 | 4.1× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $54.42 | $136.06 | $13.19 | 4.1× |
| HCA Florida Aventura Hospital | Aventura, FL | $55 | $55 | $13.19 | 4.2× |
| Washakie Medical Center | Worland, WY | $55.01 | $46.50 | $13.19 | 4.2× |
| Cody Regional Health | Cody, WY | $55.25 | $65 | $13.19 | 4.2× |
| AdventHealth North Pinellas | Tarpon Springs, FL | $55.50 | $55.50 | $13.19 | 4.2× |
| AdventHealth Waterman | Tavares, FL | $58.08 | $58.08 | $13.19 | 4.4× |
| Star Valley Medical Center | Afton, WY | $58.10 | $83 | $13.19 | 4.4× |
| Boca Raton Regional Hospital | Boca Raton, FL | $58.50 | $90 | $13.19 | 4.4× |
| Rio Grande Hospital | Del Norte, CO | $58.80 | $78.40 | $13.19 | 4.5× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $59 | $118 | $13.19 | 4.5× |
| AdventHealth Deland | Deland, FL | $59.20 | $59.20 | $13.19 | 4.5× |
| Rangely District Hospital | Rangely, CO | $60 | $92.30 | $13.19 | 4.5× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $60.08 | $100.12 | $13.19 | 4.6× |
| Memorial Hospital of Carbon County | Rawlins, WY | $61.50 | $82 | $13.19 | 4.7× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $62 | $103 | $13.19 | 4.7× |
| Southwest Memorial Hospital | Cortez, CO | $62.50 | $124.50 | $13.19 | 4.7× |
| UCF Lake Nona Hospital | Orlando, FL | $62.68 | $62.68 | $13.19 | 4.8× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $63 | $63 | $13.19 | 4.8× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $64.07 | $64.07 | $13.19 | 4.9× |
| AdventHealth Zephyrhills | Zephyrhills, FL | $65.45 | $65.45 | $13.19 | 5.0× |
| AdventHealth Carrollwood | Tampa, FL | $65.45 | $65.45 | $13.19 | 5.0× |
| AdventHealth Tampa | Tampa, FL | $65.45 | $65.45 | $13.19 | 5.0× |
| AdventHealth Wesley Chapel | Wesley Chapel, FL | $65.45 | $65.45 | $13.19 | 5.0× |
| AdventHealth Riverview | Riverview, FL | $65.45 | $65.45 | $13.19 | 5.0× |
| Campbell County Health | Gillette, WY | $66.15 | $73.50 | $13.19 | 5.0× |
| Regional West Medical Center | Scottsbluff, NE | $67.80 | $113 | $13.19 | 5.1× |
| Evanston Regional Hospital | Evanston, WY | $68.17 | $113.61 | $13.19 | 5.2× |
| UCHealth Greeley Hospital | Greeley, CO | $68.40 | $114 | $13.19 | 5.2× |
| Sheridan Memorial Hospital | Sheridan, WY | $69.60 | $87 | $13.19 | 5.3× |
| HCA Florida Fawcett Hospital | Port Charlotte, FL | $70.18 | $70.18 | $13.19 | 5.3× |
| St. Anthony Summit Medical Center | Frisco, CO | $70.38 | $175.94 | $13.19 | 5.3× |
| UCHealth University of Colorado Hospital | Aurora, CO | $71.40 | $204 | $13.19 | 5.4× |
| George E Weems Memorial Hospital | Apalachicola, FL | $72.80 | $104 | $13.19 | 5.5× |
| St. Elizabeth Hospital | Fort Morgan, CO | $73.63 | $184.06 | $13.19 | 5.6× |
| St. Mary-Corwin Hospital | Pueblo, CO | $73.89 | $184.72 | $13.19 | 5.6× |
| Desoto Memorial Hospital | Arcadia, FL | $75.50 | $151 | $13.19 | 5.7× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $76 | $76 | $13.19 | 5.8× |
| San Luis Valley Health Regional Medical Center | Alamosa, CO | $76.45 | $139 | $13.19 | 5.8× |
| Mercy Hospital Durango | Durango, CO | $77.84 | $194.59 | $13.19 | 5.9× |
| Grand River Medical Center | Rifle, CO | $78.50 | $157 | $13.19 | 6.0× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $78.97 | $263.23 | $13.19 | 6.0× |
| Poudre Valley Hospital | Fort Collins, CO | $79.80 | $114 | $13.19 | 6.1× |
| Medical Center of the Rockies | Loveland, CO | $79.80 | $114 | $13.19 | 6.1× |
| Kit Carson County Memorial Hospital | Burlington, CO | $81.12 | $95.43 | $13.19 | 6.1× |
| Manatee Memorial Hospital | Bradenton, FL | $84.20 | $210.50 | $13.19 | 6.4× |
| Lakewood Ranch Medical Center | Bradenton, FL | $84.20 | $210.50 | $13.19 | 6.4× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $87.25 | $87.25 | $13.19 | 6.6× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $87.84 | $125.48 | $13.19 | 6.7× |
| Melissa Memorial Hospital | Holyoke, CO | $89.60 | $112 | $13.19 | 6.8× |
| Ivinson Memorial Hospital | Laramie, WY | $90 | $90 | $13.19 | 6.8× |
| St. John's Medical Center | Jackson, WY | $90 | $90 | $13.19 | 6.8× |
| South Big Horn County Hospital (Three Rivers Health) | Basin, WY | $91.20 | $121.60 | $13.19 | 6.9× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $91.98 | $153.30 | $13.19 | 7.0× |
| Nemours Children's Hospital, Florida | Orlando, FL | $92 | $92 | $13.19 | 7.0× |
| Longs Peak Hospital | Longmont, CO | $92.14 | $263.23 | $13.19 | 7.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $92.14 | $263.23 | $13.19 | 7.0× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $92.14 | $263.23 | $13.19 | 7.0× |
| Memorial Hospital at Craig | Craig, CO | $92.15 | $141.78 | $13.19 | 7.0× |
| HCA Florida Westside Hospital | Plantation, FL | $94 | $94 | $13.19 | 7.1× |
| Wellington Regional Medical Center | Wellington, FL | $96.75 | $129 | $13.19 | 7.3× |
| Parkland Memorial Hospital | Dallas, TX | $98 | $245 | $13.19 | 7.4× |
| Niobrara County Hospital District | Lusk, WY | $100.80 | $126 | $13.19 | 7.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $102.09 | $226.86 | $13.19 | 7.7× |
| Longmont United Hospital | Longmont, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| St. Anthony Hospital | Lakewood, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| Penrose Hospital | Colorado Springs, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| St. Anthony North Health Campus | Westminster, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| OrthoColorado Hospital | Lakewood, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| Jupiter Medical Center | Jupiter, FL | $103 | $103 | $13.19 | 7.8× |
| HCA Florida Citrus Hospital | Inverness, FL | $104.72 | $104.72 | $13.19 | 7.9× |
| Wray Community District Hospital | Wray, CO | $105.20 | $140.27 | $13.19 | 8.0× |
| Naples Community Hospital | Naples, FL | $107.60 | $269 | $13.19 | 8.2× |
| Family Health West Hospital | Fruita, CO | $107.80 | $154 | $13.19 | 8.2× |
| HCA Florida JFK Hospital | Atlantis, FL | $108 | $108 | $13.19 | 8.2× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $110.25 | $122.50 | $13.19 | 8.4× |
| HCA Florida Kendall Hospital | Miami, FL | $113 | $113 | $13.19 | 8.6× |
| Powell Valley Healthcare | Powell, WY | $113.82 | $133.90 | $13.19 | 8.6× |
| Ed Fraser Memorial Hospital | Macclenny, FL | $114 | $114 | $13.19 | 8.6× |
| Gunnison Valley Hospital | Gunnison, CO | $116.45 | $137 | $13.19 | 8.8× |
| Aspen Valley Hospital | Aspen, CO | $119 | $119 | $13.19 | 9.0× |
| Vail Health Hospital | Vail, CO | $125.25 | $167 | $13.19 | 9.5× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $125.38 | $147.50 | $13.19 | 9.5× |
| Tampa General Hospital | Tampa, FL | $126 | $360 | $13.19 | 9.6× |
| MedStar Georgetown University Hospital | Washington, DC | $126.57 | $194.73 | $13.19 | 9.6× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $127 | $127 | $13.19 | 9.6× |
| HCA Florida Lawnwood Hospital | Fort Pierce, FL | $128 | $128 | $13.19 | 9.7× |
| Estes Park Medical Center | Estes Park, CO | $129 | $172 | $13.19 | 9.8× |
| HCA Florida Lehigh Hospital | Lehigh Acres, FL | $129.66 | $129.66 | $13.19 | 9.8× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $131 | $131 | $13.19 | 9.9× |
| Howard University Hospital | Washington, DC | $131.02 | $163.77 | $13.19 | 9.9× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $131.95 | $203 | $13.19 | 10.0× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $135 | $135 | $13.19 | 10.2× |
| Johnson County Healthcare Center | Buffalo, WY | $142 | $142 | $13.19 | 10.8× |
| HCA Florida Englewood Hospital | Englewood, FL | $142.63 | $142.63 | $13.19 | 10.8× |
| St. Thomas More Hospital | Canon City, CO | $151.03 | $377.57 | $13.19 | 11.5× |
| Sibley Memorial Hospital | Washington, DC | $154 | $154 | $13.19 | 11.7× |
| MedStar Washington Hospital Center | Washington, DC | $157.79 | $242.75 | $13.19 | 12.0× |
| HCA Florida South Tampa Hospital | Tampa, FL | $167.08 | $167.08 | $13.19 | 12.7× |
| Weston County Health Services | Newcastle, WY | $168 | $168 | $13.19 | 12.7× |
| George Washington University Hospital | Washington, DC | $174.40 | $436 | $13.19 | 13.2× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $174.40 | $436 | $13.19 | 13.2× |
| Crook County Medical Services District | Sundance, WY | $175.95 | $234.60 | $13.19 | 13.3× |
| HCA Florida Northwest Hospital | Margate, FL | $178 | $178 | $13.19 | 13.5× |
| Valley View Hospital | Glenwood Springs, CO | $204.85 | $241 | $13.19 | 15.5× |
| Animas Surgical Hospital | Durango, CO | $206 | $206 | $13.19 | 15.6× |
| AdventHealth Dade City | Dade City, FL | $211.04 | $211.04 | $13.19 | 16.0× |
| Calhoun-Liberty Hospital | Blountstown, FL | $231.35 | $330.50 | $13.19 | 17.5× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $249.48 | $249.48 | $13.19 | 18.9× |
| HCA Florida Woodmont Hospital | Tamarac, FL | $249.75 | $249.75 | $13.19 | 18.9× |
| HCA Florida Ocala Hospital | Ocala, FL | $250.88 | $250.88 | $13.19 | 19.0× |
| HCA Florida Putnam Hospital | Palatka, FL | $257.12 | $257.12 | $13.19 | 19.5× |
| HCA Florida Memorial Hospital | Jacksonville, FL | $270 | $270 | $13.19 | 20.5× |
| Haxtun Hospital District | Haxtun, CO | $276.90 | $284 | $13.19 | 21.0× |
| AdventHealth Porter | Denver, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| AdventHealth Avista | Louisville, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| AdventHealth Littleton | Littleton, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| AdventHealth Parker | Parker, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| AdventHealth Castle Rock | Castle Rock, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| HCA HealthOne Rose Medical Center | Denver, CO | $290 | $290 | $13.19 | 22.0× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $314.52 | $314.52 | $13.19 | 23.8× |
| Lake Butler Hospital | Lake Butler, FL | $332.88 | $332.88 | $13.19 | 25.2× |
| HCA Florida Palms West Hospital | Loxahatchee, FL | $405 | $405 | $13.19 | 30.7× |
| South Lincoln Medical Center | Kemmerer, WY | $565.50 | $754 | $13.19 | 42.9× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $673 | $673 | $13.19 | 51.0× |
| Medical City Dallas | Dallas, TX | $980.22 | $980.22 | $13.19 | 74.3× |
| HCA Florida Mercy Hospital | Miami, FL | $1,132 | $1,132 | $13.19 | 85.8× |
| HCA Florida University Hospital | Davie, FL | $1,166 | $1,166 | $13.19 | 88.4× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $1,305.26 | $1,305.26 | $13.19 | 99.0× |
| North Walton Doctors Hospital | Defuniak Springs, FL | — | $2.64 | $13.19 | — |
| Jackson Memorial Hospital | Miami, FL | — | $42.93 | $13.19 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $62.19 | $13.19 | — |
| Keralty Hospital | Miami, FL | — | $94 | $13.19 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $124.15 | $13.19 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $124.20 | $13.19 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $145.25 | $13.19 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $145.44 | $13.19 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $151.25 | $13.19 | — |
| North Big Horn Hospital District | Lovell, WY | — | $156.50 | $13.19 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.